Original communication| Volume 26, ISSUE 5, P770-776, November 1949

Some disabilities of the knee

A statistical survey
      This paper is only available as a PDF. To read, Please Download here.


      More than 50 per cent of knee disabilities, excluding fracture and dislocation, were found to be the result of internal derangement; of these one-half required surgical treatment.
      Meniscectomy is an essential part of correcting internal derangement of the knee joint but in the absence of restoration of quadriceps muscle strength, full weight-bearing power of the leg will be delayed. Surgeons are generally careless as applied physiologists in combining surgical intervention and accepted means of restoring quadriceps muscle power in the treatment of knee joint disability. Postmeniscectomy complaints in eighteen men were found to be due in more than one-half to quadriceps atrophy and in two because of incomplete removal of the semilunar cartilage.
      The spring scale muscle test is suitable for employment as an objective means of determining the progress of quadriceps muscle recovery after injury or arthrotomy of the knee joint. Failure to assay correctly quadriceps restoration may be the result of not employing such subjective measurements.
      Undue delay of chondrectomy is undesirable as it allows development of quadriceps atrophy and often trauma to the articular surfaces of the femur.
      An adequate follow-up study on all patients treated in military hospitals and also those separated from the service is desirable in order to conserve the fighting strength of the army by ascertaining the effect of improved surgical and medical treatment.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Boland E.W.
        • Corr W.P.
        Psychogenic Rheumatism.
        J. A. M. A. 1943; 123: 805-809
        • Stanek W.F.
        Internal Derangement and Fractures Involving the Knee, Results of 150 Consecutive Arthrotomies Performed at Station Hospital.
        J. Bone & Joint Surg. 1945; 27: 86-94
        • Law W.A.
        The Problems of Meniscectomy in the Soldier.
        J. Bone & Joint Surg. 1946; 28: 496-500
        • Groves E.W.Hey
        The Crucial Ligaments of the Knee Joint; Their Function, Rupture, and Operative Treatment of Same.
        Brit. J. Surg. 1919; 7: 505
        • American Medical Bulletin
        Quadriceps Deficiency.
        Bull. U. S. Army M. Dept. (No. 74). 1944; : 3
        • American Medical Bulletin
        Surgery on the Knee Joint.
        Bull. U. S. Army M. Dept. (No. 76). 1944; : 100-103
        • Watson-Jones Reginald
        ed. 3. Fractures and Joint Injuries. vol. 2. The Williams & Wilkins Company, Baltimore1946: 700-747
        • Dixon W.G.
        Internal Derangement of the Knee Joint.
        J. Maine M. A. 1946; 37: 214
        • West F.E.
        Diagnosis and Treatment of Internal Derangements of the Knee.
        S. Clin. North America. 1945; 25: 111-135
        • De Lorme T.L.
        Restoration of Muscle Power by Heavy Resistance Exercises.
        J. Bone & Joint Surg. 1945; 27: 645-667
        • Thomas L.I.
        Review of 18 Cases of Arthrotomy of Knee Joints.
        Mil. Surgeon. 1946; 98: 20-24
        • Peterson L.T.
        The Quadriceps. Lectures on Reconstruction Surgery of the Extremities.
        in: A. A. O. S. Edwards Brothers, Inc, Ann Arbor1944: 391
        • Murray C.R.
        Complicating Factors in Treatment of Injuries to the Menisci of the Knee Joint.
        Am. J. Surg. 1942; 55: 262-273
        • Murray C.R.
        Treatment of Injuries to the Knee Joint.
        New England J. Med. 1947; 236: 265-269
        • Lovett R.W.
        • Martin E.G.
        Certain Aspects of Infantile Paralysis, With a Description of a Method of Muscle Testing.
        J. A. M. A. 1916; 66: 729-733
        • Lovett R.W.
        • Martin E.G.
        The Spring Balance Muscle Test.
        Am. J. Orthop. Surg. 1916; 14: 415-424
        • Schmier A.
        Research Work on a More Precise Method of Determining Muscle Strength in Poliomyelitis Patients; New Muscle Tester.
        J. Bone & Joint Surg. 1945; 27: 317-326
        • Milch H.
        Measurement of Muscle Strength.
        J. Bone & Joint Surg. 1945; 27: 137-141
        • Lewey F.H.
        • Kuhn Jr., W.G.
        • Juditski J.T.
        A Standardized Method for Assessing the Strength of Hand and Foot Muscles.
        Surg., Gynec. & Obst. 1947; 85: 785-793
        • Cave E.F.
        • Rowe C.R.
        • Yee L.B.K.
        Selection of Cases for Arthrotomy of the Knee in an Overseas General Hospital.
        J. Bone & Joint Surg. 1945; 27: 603-607
        • Buirge R.E.
        A Sharp Dissector for Meniscectomy.
        Surgery. 1944; 16: 956-958
        • Brantigan O.C.
        • Voshell A.F.
        The Tibial Collateral Ligament: Its Functions, Its Bursae, and Its Relation to the Medial Meniscus.
        J. Bone & Joint Surg. 1943; 25: 121-131
        • Brantigan O.C.
        • Voshell A.F.
        The Mechanics of the Ligaments and Menisci of the Knee Joint.
        J. Bone & Joint Surg. 1941; 23: 44-66
        • Morrison G.M.
        A New Knee Cartilage Knife.
        U. S. Nav. M. Bull. 1945; 44: 404-405
        • Downing F.Harold
        Semilunar Cartilage Knives.
        J. Bone & Joint Surg. 1948; 30: 241-244
        • Downing F.Harold
        (Presented in a motion picture entitled)“Arthrotomy of the Knee,” and demonstrated in a Scientific Exhibit at the Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, Ill.Jan. 25–29, 1947
        • Brown D.
        Injuries of the Menisci, Diagnosis by Manipulation of the Knee Joint.
        Lancet. 1945; 2: 849-850
        • Cave E.F.
        Combined Anterior-Posterior Approach to the Knee Joint.
        J. Bone & Joint Surg. 1935; 17: 427-430
        • Bosworth D.M.
        Operation for Meniscectomy of the Knee.
        J. Bone & Joint Surg. 1937; 19: 1113-1116
        • Charnley J.
        Exposure of the Posterior Horn of the Medial Meniscus.
        Lancet. 1945; 2: 771
        • Kelikian H.
        Posterior Approach to the Knee.
        S. Clin. North America. 1947; 36: 157-181
        • Buirge R.E.
        Incidence of Appendectomy in Four Unrelated Population Groups.
        Surgery. 1941; 9: 733-740