The frequency of tubercular disease of the joints, and the necessity for early diagnosis, serve as an excuse for this paper on a subject about which so much has been written. The writer desires to emphasize the fact that the present article is intended only as a résumé of some of the more important well-proven and accepted conditions which make it an imperative duty of both the general practitioner and surgeon to be able to recognize a tubercular joint in its incipiency, for on our ability to diagnose this trouble early depends the success of treatment. We must recognize that joint tuberculosis is at first a local manifestation. We must disabuse our minds of the idea that it originates only in the children of tuberculous parents, and of the idea that all joint pain is rheumatic.
Tuberculosis in the region of a joint is essentially of the bone, although it