328 VETERINARY SURGICAL THERAPEUTICS. 
employed. The bandage of Delorme answers thesame purpose. (See 
Sprains.) 
Sedative applications are indicated if pain is great. Sedative fomenta- 
tions will be advantageously employed. Generally the phlegmatic phen— 
omena subside; but ordinarily there remains a dropsical condition of the- 
serous with thickening of the perisynovial tissues. Hot, moist compresses, 
inassage, elastic roller, slight exercise relieve small exudations and tendin— 
ous stiffness. When their action is insufficient, blistering and firing are re~ 
sorted to. Acupuncture is preferable to the last even completed by iodu-. 
rated application and pressure. If there is excessive tension of the 
synovial walls, aseptic puncture with the trocar is indicated, with or with- 
out the washing of the serous sac. 
When suppuration occurs, one may, from the start, resort to phenic 
washing of the synovial, but if the symptoms become aggravated, it is: 
better to freely open the sac, drain it and make antiseptic irrigations. 
Then the prognosis is very serious; often, if the treatment is continued,, 
it lasts several months and recovery is incomplete. 
IV. 
INFECTIOUS SYNOVITIS. 
In the course of some general or infectious diseases, there sometimes: 
appear closed, acute synovitis, serous or purulent. Rheumatism, glanders, 
distemper, typhoid fever, purulent infection, tuberculosis, pleuro-pneumonia, 
dourie, variola may occur with them. In horses, they are common 
during or after pneumonia. 
Infectious synovitis are due either to the pullulation, on the surface of 
the serous, of the specific micro-organisms, or to the irritating action of the 
toxins eliminated by the serous system. Their symptoms and march are 
identical to those of the closed acute synovitis, but the presence of the 
producing diseases guides the diagnosis. The treatment includes anti-~ 
phlogistics at the start, later warm water, massage, blistering and firing. If 
the severity of the inflammatory symptoms makes one fear suppuration,. 
puncture with phenicated or sublimated washing is indicated. General. 
treatment may be useful ; in presence of a rheumatismal synovitis, salicylate: 
of soda will be prescribed. 
Para or metapneumonic synovitis are peculiarly common in horses, where- 
they have already been described as rheumatoid synovitis, Out of sixty- 
eight cases of “ diseases of the chest,” Palat has seen this complication 
five times. Bouley Jr. thought it was also common after pleurisy ; to-day 
it is recognized that it occurs habitually with pneumonia. It is observed. 
also inman. Chomel, Grisolle, Andral, Gintrac have seen it, , 
