A treatise on orthopedic surgery . atrophic arthritis. Autoinfection, due to defective assimila-tion, is probably a predisposing and exciting cause, as it is wellknown that this aggravates the symptoms of the disease whenit is once established. Contributing causes are apparently an inherited lack of vital^ Medico-CMrurg. Transactions, 1897, NON-TUBEBCULOUS DISEASES OF THE JOINTS. 291 resistance or acquired, it may be, by overwork or strain, mentalor physical. —In general, this must be directed to improvingthe condition of the patient by the regulation of the diet, whichmust be nouri
A treatise on orthopedic surgery . atrophic arthritis. Autoinfection, due to defective assimila-tion, is probably a predisposing and exciting cause, as it is wellknown that this aggravates the symptoms of the disease whenit is once established. Contributing causes are apparently an inherited lack of vital^ Medico-CMrurg. Transactions, 1897, NON-TUBEBCULOUS DISEASES OF THE JOINTS. 291 resistance or acquired, it may be, by overwork or strain, mentalor physical. —In general, this must be directed to improvingthe condition of the patient by the regulation of the diet, whichmust be nourishing and easily assimilated. Hoke has calledespecial attention to intestinal putrefaction as a factor in thedisease. Thorough catharsis having been established a dietlimited to sour milk (Kifolac) has in his practice proved effec-tive in checking the progress of the disease. Exposure to coldand wet, and overexertion must be avoided. The use of staticelectricity, the hot-air and the electric-light baths, as general and Fig. Atrophic arthritis iu u child allecling the joints and the spine, progressive incharacter, accompanied by enlargement of the lymphatic glands. The attitudeof the head is characteristic of suboccipital disease. The case is one of theStill type. local stimulants, are of service. Ichthyol ointment, the cautery,and the like may be employed locally. Large doses of potassiumiodid are sometimes of service and recently the extract of thymusgland from 15 to 60 grams daily has been ^If the joints are sensitive motion should be restricted to thepainless area by apparatus. Passive motion or massage thatincreases the pain or discomfort is harmful, but motion should1 Nathan, Am. J. Med. Sci., June, 1909. 292 OETHOPEDIC SUBGEBY. be encouraged when the disease is quiescent. Contraction de-formity may be overcome bv forcible manipulation, and, if nec-essary, by tenotomy when the disease is quiescent. And it haseven been suggested that forcible manipulati
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