MASSAGE IN SPRAINS AND DISLOCATIONS. 387 



voluntary motion. Fifteen or twenty days of this treatment 

 seems to be all that is necessary in mankind ; and this is just 

 about the length of time required for the repair of the rent in the 

 capsule. In the meantime, the surrounding tissues are preserved 

 in health and activity by means of the massage. 



Soon after the swelling from the injuries to the dogs had sub- 

 sided the muscles became more or less atrophied in the limb that 

 had not been masseed, but not at all in the limb that had been 

 masseed. At the end of five or six months the dogs were killed 

 and the tissues examined by the microscope. The muscular tissue 

 of the side that had not been masseed presented a diffuse scle- 

 rosis or hardening ; the connective tissue intervening between 

 the fibers and bundles of fibers was thickened ; there were inter- 

 stitial hsemorrhages, especially in the cellular tissue around the 



Fio. 1. — Bruised Muscle without Massage. 

 y, muscular fasciculus; c, intermuscular 

 comiective tissue. 



Fio. 2. — Bruised Muscle with Massage, 

 /", muscular fasciculus ; c', intermuscular 

 connective tissue. 



Kg. 2 shows that the natural size of the intermuscular connective tissue has been preserved, 

 while Fig. 1 shows the intermuscular tissue thickened, and the muscular bundles tliinner and 

 compressed. (From the Archives generales de Medecine, Fevrier, 1892, p. 197.) 



muscles; the internal and external coverings of the bundles of 

 muscular fibers (perimysia) were infiltrated with blood, and also 

 the fascia or covering outside of this. The transverse markings 

 of the muscular fibers (striae) were effaced in many places, while 

 the longitudinal striation or marking, which is not seen normally, 

 was very distinct. The muscular tissue from the corresponding 

 region that had been masseed was found to be normal in every 

 particular. M. Castex has left us to surmise the appearance of 

 the sarcolemma or covering of the individual fibers. In all 

 probability this also was hardened, thickened, and infiltrated with 

 blood as were the outer and larger coverings. 



The blood-vessels appeared perfectly natural from the Tnasseed 

 side, but from the side that had not been m^asseed they presented 

 a hyperplasia or thickening of their external coat. 



The nerve filaments were found to be natural in the masseed 



