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August 31, 1940

Tuberculosis of Bone and Joint

JAMA. 1940;115(9):801. doi:10.1001/jama.1940.02810350145029

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Orthopedic surgeons have long been aware of the apparent difference between the course of the average case of bone and joint tuberculosis in the United States and the same disease treated under similar conditions in the British Isles or on the European continent. Some of the orthopedic surgeons may have developed theories which attempt to explain this. This excellent treatise by Girdlestone is the first completely adequate discussion of the general subject of bone and joint tuberculosis, based on an extensive clinical experience and analyzed by a thoroughly competent clinical observer, which has appeared in the modern literature. The author emphasizes the fact that bone and joint tuberculosis in the United States and Canada has been reduced by as much as 75 per cent through enforced pasteurization of milk and the elimination of tuberculous cattle from the dairy herds in these countries. Less effective measures toward public hygiene in the

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