The incidence of the atrophic variety of Charcot's hips is not as uncommon as one would suppose. The five cases reported occurred within a relatively short period of time. The diagnosis must be thought of when there is a triad of symptoms associated with an increased mobility of the joint and a positive blood or spinal-fluid Wassermann reaction. The treatment to date has been very unsatisfactory, although the administration of heavy metals should be tried. Surgery was not of any assistance in our single case and is not advised except in certain isolated cases, particularly when diagnosed very early. The prognosis for recovery, as well as for function of the joint, is poor.
(C) 1940 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.