The pain in primary osteoarthritis of the knee. Its causes and treatment by osteotomy.
1. Some results of a clinical investigation of patients with osteoarthritis of the knee are described. 2. The different varieties of pain which occur in osteoarthritis are detailed. 3. A sub-group of patients with primary osteoarthritis of the knee is described. In this group "venous" pain predominated; the venographic appearances are typical, and in a large proportion of cases the veins outside the bone are manifestly abnormal. 4. It is suggested that venous congestion within the bone results from extra-osseus vein disturbances, and leads to congestive bone pain and to progressive joint degeneration. 5. The mechanism by which osteotomy produces relief of pain is analysed and discussed. 6. A simple procedure which reproduces some of the benefits of osteotomy is described.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D010027:Osteotomy; D010146:Pain / Q000209:etiology / Q000601:surgery*; D014648:Varicose Veins / Q000150:complications