American practice of surgery : a complete system of the science and art of surgery . udy would not proveany more conclusive, as many of these agents are not themselves presentin the joints, and when they are they are not there in sufficient abundancein the fluids of the joint to be readily detected. Furthermore, it is rarely neces-sary or sufficiently desirable, in order to learn what the specific organism is, toopen the joint and remove some of the synovial membrane for bacteriologicalstudy. W hat is essential for treatment and prognosis is to be able to recognize, NON-TUBERCULOUS INFLAMMATIO
American practice of surgery : a complete system of the science and art of surgery . udy would not proveany more conclusive, as many of these agents are not themselves presentin the joints, and when they are they are not there in sufficient abundancein the fluids of the joint to be readily detected. Furthermore, it is rarely neces-sary or sufficiently desirable, in order to learn what the specific organism is, toopen the joint and remove some of the synovial membrane for bacteriologicalstudy. W hat is essential for treatment and prognosis is to be able to recognize, NON-TUBERCULOUS INFLAMMATIONS OF JOINTS. 497 from the clinical phenomena, that one is dealing with an infection, and evidenceis accumulating which will make it possible to establish distinctions of thisnature. As our knowledge increases, we shall doubtless be able not only tosay with positiveness that the process under observation is of an infectiousnature, but also to specify the particular kind of organism to which the infec-tion is due. As a further result of this knowledge it will then also probably be. Fig. 219.—Back View of Infectious Spine. No motion. Rounded back; no kyphosis. Fixation of developed pulmonary tuberculosis, probably due to imperfect aeration of lungs. (Original.) practicable to vary the treatment within certain limits in accordance with thedifferences in the etiological factors. Even at the present time it is knownempirically that certain joint infections arc satisfactorily treated by preparedsera, and doubtless the future will show greater advance along this has long been recognized as a fact that the superposition of one infectionupon another often effects a cure of the symptoms dependent upon the originalinfection. Pathology. The tissue changes which result from infectious processes in the joints varywithin wide limits. These processes affect, under some circumstances and in VOL. III. -32 V. is AMERICAN PRACTICE OF SURCHRY. varying degree, all the structur
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