Septic arthritis : the Bradshaw Lecture delivered at the Royal College of Surgeons of England on December 10, 1903 / by Howard Marsh.

  • Marsh, Howard, 1839-1915.
Date:
1903
Catalogue details

Licence: In copyright

Credit: Septic arthritis : the Bradshaw Lecture delivered at the Royal College of Surgeons of England on December 10, 1903 / by Howard Marsh. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    led me to believe that scattered about in every- day practice are a number of cases which have hitherto been regarded as ' rheumatic,' but which are really infective. Many such cases, it is true, when they are taken singly present no distinct resemblance to what are usually regarded as the typical forms of infective arthritis. When, how- ever, they are massed together and their features are compared, and when they are studied in con- nection with observations which have recently been made in bacteriology, their real nature ap- pears to admit of scarcely any reasonable doubt; and I venture to anticipate that in the future their comparatively common occurrence will be generally recognised. PEOGNOSIS AND TREATMENT. In the first form of infective arthritis which I have mentioned—that, namely, which consists of a transient synovitis, attended with limited effusion— prognosis is favourable. The arthritis soon sub- sides, often in the course of four or five days, and the joints completely recover. A suitable splint and warm fomentations will be the only treatment required. In the second group, in which the joint-cavities contain fluid, the treatment imperatively called for is clear. It is the same as that which should be