American Journal of Orthopedic Surgery. the Official Publication of the American Orthopedic Association
American Journal of Orthopedic Surgery. the Official Publication of the American Orthopedic Association
American Orthopaedic Association
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(148865) I.»oose body left knee su- terual condyle, from wnieh the loose body prai>atellar pouch, arose. The loose body was to the inner side of the patella. thought better to group these under the head of injury rather fhan dis- ease, though there are arguments for their inclusion under the latter. A comparatively slight trauma might produce a loose body in a person affected with osteochondritis dissecans, whereas the same trauma in a normal person would not be productive of trouble. Osteochon...dritis dis- secans is probably not so exceedingly rare as was at first believed, and the theory of Koenig accounts, more or less satisfactorily, for the produc- tion of these bodies, but leaves us in the dark as to why this pathologic process should occur. His theory is based on the fact that arteries sup- plying the contiguous joint-surfaces of the femur and tibia are end arteries, and that a blockage or failure to act on the part of one of these arterioles shuts off the nourishment to a certain localized area.
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