STREPTOCOCCAL INFECTIONS OF THE EPIPHYSES AND SHORT BONES

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Abstract
Bacteriologic studies have been undertaken in a group of obscure but kindred necrosing bone lesions, among which are Kohler's disease of the tarsal navicular, Legg-Perthes' disease, and Kienbock's disease of the carpal semilunar, in an endeavor to throw some light on their etiology. The most feasible causes to which they have been attributed may be grouped under the headings of infection, embolism and trauma. Axhausen considers the condition an anemic infarction from a mycotic embolus or a thrombus but without bacterial infection of the field. While these and the kindred necrosing lesions have been studied pathologically in great detail, particularly by the Germans, they have been investigated very little from a bacteriologic standpoint. In the few cases in which cultures have been made, they have usually been reported as sterile. In this series, cultures have been taken in two cases, each of Kohler's disease of the tarsal navicular bones, Legg-Perthes'

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