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August 26, 1911


JAMA. 1911;LVII(9):720-722. doi:10.1001/jama.1911.04260080284008

It may seem somewhat bold for an orthopedic surgeon to address the members of an august body like this on a matter pertaining to their own specialty, and were there anything like a unanimity among you, I should hesitate.

That the greatest confusion exists as to the pathology of joint tuberculosis, one can easily find by consulting a few text-books and by reading a few articles on the subject. This confusion, of course, is reflected in all the aspects of the disease, and until the exact pathology is laid down in full and comprehensive terms, it is futile to look for any scientific treatment of the disease. In other words, although the cause of the disease has been known for many years, the failure of the pathologist to place the pathology on a sound footing, is responsible for the chaos in the whole subject of joint tuberculosis.

In self-defense, then,