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Rheumatology 2003; 42: 180-183
© 2003 British Society for Rheumatology

Heberden Historical Series

The first descriptions of therapeutic arthrocentesis: a historical note

F. J. Aceves-Avila1,2,, M. A. Delgadillo-Ruano2, C. Ramos-Remus1,2, A. Gómez-Vargas2 and S. Gutiérrez-Ureña2,3

1 Departamento de Reumatología, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara,
2 Unidad de Enfermedades Crónico-Degenerativas S.C. Guadalajara and
3 Unidad de Investigación en Reumatología, URHIA, Antiguo Hospital Civil de Guadalajara, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México

Abstract

The existence of synovial fluid has been known since Hippocratic times. The abnormal accumulation of liquid inside the joints has been recognized as the proximal cause of rheumatic diseases since humoral theory was the dominant paradigm in Occidental medical culture. Although evacuating the excess of the abnormal humour was the target of all therapeutic measures taken during this era, no mention of arthrocentesis is found in Occidental medical texts until 1652. We present two earlier indications of arthrocentesis to treat abnormal accumulation of liquid inside the joints. One in the Codex Badianus, an Aztec manuscript written in the 16th century, and the other in the Tractado breve de medicina, published in Mexico in 1592.

KEY WORDS: Rheumatic diseases, History, Therapeutics, Arthrocentesis, Synovial fluid.

Notes

Correspondence to: F. J. Aceves-Avila. E-mail: fjaceves{at}megared.net.mx


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S. E. Hansen
Arthrocentesis in the past. Comment on an article by Aceves-Avila et al.
Rheumatology, December 1, 2003; 42(12): 1569 - 1569.
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