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March 1947

PROGRESS IN ORTHOPEDIC SURGERY FOR 1945 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: IX. CHRONIC ARTHRITIS

Arch Surg. 1947;54(3):349-364. doi:10.1001/archsurg.1947.01230070355008

NO OUTSTANDING discoveries have appeared in regard to chronic arthritis. There have been some additional studies on etiology. Gold therapy has been subjected to a somewhat more critical analysis, and the toxicity especially has been stressed. Reiter's syndrome has been frequently recognized, particularly in men in the Army. Here it has frequently been confused with gonorrheal infection, until bacteriologic studies giving normal results have questioned the diagnosis. Some excellent papers on general treatment have appeared. There has been greater interest in the surgical therapy of chronic arthritis, particularly osteoarthritis.

ETIOLOGY  A large number of trivial injuries occurring during a day's activities are regarded by Cecil207 to be of importance in the pathogenesis of rheumatoid arthritis, particularly psychic trauma and strain. Poor posture is one of the factors causing daily mild trauma. When pains develop, rest and mild sedation may be enough. Often if the condition is not serious or