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November 13, 1954


Author Affiliations

55 E. Washington St. Chicago 2.

JAMA. 1954;156(11):1105-1106. doi:10.1001/jama.1954.02950110067028

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To the Editor:—  In February, 1944, at Mayo General Hospital, I saw many Air Corps trainees and medical service enlisted men with acute displacement of the knee meniscuses. For years I had been disappointed with the "1-2-3 kick" technique because it adds insult to injury. I decided to try the McMurray maneuvers. So far they have not failed. It is a case of using a diagnostic test as a therapeutic maneuver. My routine was quickly established. If synovitis or hemarthrosis were present, I aspirated via the suprapatellar pouch. In every swollen, injured knee, blood might be found. Immediate reduction of the displaced meniscus is advisable. After this a long leg cast is applied. Operation may be postponed a few days.Anesthesia is usually induced intravenously with thiopental (Pentothal) sodium. The patient is placed in a supine position with a pillow placed lengthwise to maintain flexion of the knee. The surgeon

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