Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The disease spreads throughout the capsule and synovial membrane, which
becomes diffusely thickened and infiltrated with granulation tissue
which eats into and replaces the articular cartilage. Clinically, the
condition resembles tuberculous disease of the synovial membrane, for
which it is probably frequently mistaken, but in the syphilitic
affection the swelling is nodular and uneven, and the subjective
symptoms are slight, mobility is little impaired, and yet the deformity
is considerable.

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