Excerpt from Physician and Surgeon, 1901, Vol. 23: A Professional Medical Journal
It is of the treatment of this kind of cases that I will speak particularly. The etiology and pathology is practically the same as that of hip disease about which I lectured last week. At first the treatment is of course largely prophylactic. If these cases are seen early in their history it is possible with proper care to avoid the extensive destructive changes present in this joint. The treatment is both constitutional and local, although too often one or the other of these is neglected. Constitutional treatment consists of plenty of good food, good air, cheerful environ ments and careful attention to the general health. Beefsteak, cream and eggs are better general tonics than cod-liver oil and creosote. These drugs, however, have their place in the treatment of these cases; too often to the exclusion of the more common dietetic agents. I have noticed in this hospital that after operations upon ca'ses coming from the overcrowded sections of the city, if the little ones are returned to their tenement homes the disease often recurs and they are again seen at our dispensary, candidates for further Operative treatment. If they are sent to our country hospital at Englewood they usually make a permanent recovery, which certainly proves the value of combining hygienic treat ment with the mechanical and Operative.
When a case of knee-joint disease comes to your office it is a good plan to first of all be sure of your diagnosis. The child's gait will teach you a great deal, as I have often showed you here. Having seen the patient walk, repeat to yourself mentally, at least, if not verbally, that magic combination of symptoms which will unlock the diagnosis of any case of joint disease. See how many there are present out of the eight.
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