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Journal of Bone and Joint Surgery, 1955;37:1223-1230.
© 1955 by The Journal of Bone and Joint Surgery, Inc

A REPORT OF FOUR PROVED CASES OF TUBERCULOUS BONE OR SYNOVIAL INFECTION TREATED WITH STREPTOMYCIN

James Dougherty M.D.1 and Mary S. Sherman M.D.1

1 Division of Orthopaedic Surgery, the Department of Surgery, The University of Chicago, Chicago

1. Four cases of tuberculous arthritis in children were treated.

2. In the one case in which involvement seemed limited to the synovial structures, streptomycin therapy alone appears to have arrested the disease.

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3. In the three cases in which there was a concomitant focus of tuberculous osteomyelitis, surgical curettage of the bone focus together with streptomycin therapy seems to have been effective.

4. All wounds healed per primam. Synovectomy, open packing, and intra-articular injections of streptomycin were not employed.

5. In three of the four cases, no immobilization was employed.

6. We feel that good results may be obtained from the early treatment of tuberculous arthritis by streptomycin.


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