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TRAUMATISM OF JOINTS
The subject of traumatism of joints can be more easily and more clearly considered by adhering to the following synopsis:I. Contusions: Strains, bruises, overwork, occupations, etc.A. With effusion.1. Transient.2. Permanent.3. Hemophilia with hydrops genu.4. Autotoxic effusions.5. Serosanguinous fluid.B. With hematogenous infection.II. Penetrations: Punctures, stabs, bullet wounds, etc.III. Lacerations:A. From within, as fractures and dislocations.B. From without, as foreign bodies, accidents, etc.
Following contusions, sprains, etc., certain changes take place in the capsule of the joint which demand surgical recognition. The effusion which follows even simple contusions may be great, produce high tension in the joint and much discomfort. It is usually transient and rapidly disappears, if the joint is placed at rest, hut if the patient persists in the use of the joint, the effusion may become permanent and the condition of chronic
MURPHY JB. CONTRIBUTION TO THE SURGERY OF BONES, JOINTS AND TENDONS. JAMA. 1912;LVIII(17):1254–1265. doi:10.1001/jama.1912.04260040270005
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