Tubercular arthritis of the sacro-iliac synchondrosis
Gibson, James Albert
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The title has been given in preference to the customary one of "Sacro-iliac Disease," as there is in the latter no indi¬ cation of the pathological nature of the articular lesion. In the subsequent discussion, except in so far as the differential diagnoses of affections of this joint are concerned, reference has only been made to those, conditions which are believed to be of a tubercular nature. Such conditions as Rheumatic Inflammation, Gonorrhoeal Synovitis and the Subluxation of pregnancy and the puerperium, are not discussed in detail, but are referred to incidentally.A short history of disease of the saero-iliae joint.is given the first place, by which is shown that the increased mobility of the joint during pregnaney was known to the Ancients; while the recognition of" the true tubercular affection is only 2 of recent date and synchronous with the development of modern pathological investigation. The etiology, pathology, diagnosis, and treatment are then dismissed, and in conclusion a number of cases gleaned from contemporary literature are recorded, to which have been added the details of two original cases occurring in the author's practice.