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May 4, 1946


Author Affiliations


Surgeon, Harvard Athletic Association.

JAMA. 1946;131(1):61. doi:10.1001/jama.1946.02870180063022

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To the Editor:—  I was interested in your reply in the March 9 issue of The Journal to the query of Dr. D. L. Hollis of Biloxi, Miss., regarding the procaine injection of ankle sprains in football players.While procaine is useful in the treatment of certain minor sprains in nonathletes, the experience of this department for the past ten years, based on the treatment of approximately 75 ankle sprains a year in athletes, has led to the conclusion that it has no place in the treatment of any sprain sustained in contact sport.A sprain is a partial rupture of a ligament. When the protective function of pain is eliminated by procaine and the ligament is subjected to the violent stresses and strains of football, the partial rupture might well become complete.Furthermore, it was found some years ago in a small experimental series that the contact athlete whose

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