PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons

Abstract

IN A REVIEW of the literature on arthritis, one finds less enthusiastic reference to chrysotherapy. There is more discussion of physical therapy and its application in the treatment of patients. Surgical procedures are more clearly defined, and chronic arthritis is becoming recognized as a social problem. SPECIAL TYPES OF ARTHRITIS The problem of tuberculous rheumatism is brought up again. Sheldon 1 reports that he observed 6 cases in eight years. Primary and secondary forms are seen. In the primary form arthritis precedes the appearance of the tuberculosis. In the secondary form tuberculosis is interrupted by arthritic manifestations. There may be arthralgia, acute rheumatism or chronic arthritis which resembles rheumatoid arthritis. Acute rheumatism resembling rheumatic fever was observed in 4 children. Eight patients with tuberculosis and manifestations in the joints were followed by Seligson. 2 The manifestations were not thought to indicate tuberculous infections of the joints, and tubercle bacilli were