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November 19, 1887


JAMA. 1887;IX(21):655-656. doi:10.1001/jama.1887.02400200015002

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Surgical Tuberculosis.  —The fourth division made by Volkmann (see the preceding numbers of The Journal) is Tuberculosis of Bones, Joints, and Tendon-sheaths.17. Everything that has hitherto been called caries of bones, Pädarthrocace, spina ventosa, scrofulous inflammation of joints and bones, tumor albus, fungus articuli, strumous affection of joints (English), in most recent time designated, on Billroth's precedent as fungous inflammation of bones and joints, belongs, with very few exceptions, to genuine tuberculosis.18. As an etiological moment in the origin of chronic suppurative affections of bone and joints, a series of other infectious diseases has to be considered; most of them, however, begin acute, to become chronic only in their farther course. The most frequent of these, infectious osteo myelitis, often, as we know, leading to suppuration of the joint and destruction of the articular cartilages, presents such a characteristic clinical picture, even when not acute from the beginning

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