Now that rheumatology has achieved clinical maturity and ranks as a major specialty in internal medicine, it is not surprising that a rash of texts, manuals, and monographs has appeared. Earlier treatises, of which that by Pemberton and Osgood (1934) is an example, were almost naïve handbooks on arthritis. For example, it was noted in the introduction to one publication that "this book has been written because of the convictions of the authors, that chronic arthritis is largely a preventable and curable disease." The latest of the current group of publications on arthritis is a spiral manual from the Hospital for Special Surgery, New York City, a unique institution in America for disease of the musculoskeletal system. The hospital and outpatient clinic are unique because orthopedic surgery and (medical) arthritis are integrated in a commendable fashion for patient management as well as teaching.
Since most of the problems of diagnosis