“a 
= PR ings 
Snes 
TRAUMATIC ARTHRITIS. : 5: 
ditions of success, and the great majority of authors are of the sar 
opinion. 
To reduce inflammatory phenomena to their minimum, the patie 
should be placed in slings, unless he is too irritable. For lower artic 
dations of the legs, wadded dressing gives a sufficient immobilizatio: 
‘for the others, blistering should be used. 
Immobilization must not be kept too long; one must take into cc 
_ ‘Sideration the stiffness of the joint and the peri-articular amyotrophic 
-As soon as the synovial wound is closed and pain is gone, massage a1 
‘moderate exercise are the therapeutics of convalescence. 
As remarked by Tisserant, often recovery is not complete; the 
Yemain lesions which necessitate the application of firing. With a 
tisepsy, these consecutive alleviations are less frequent at present. 
We have had particularly in view the treatment of articular wounds 
horses. For cattée and small animals, the indications are the same. 
dogs, tepid repeated antiseptic baths have given us the best results 
«cases of wounds of articulations of the extremities. 
Vv. 
TRAUMATIC ARTHRITIS. 
With soiled articular wounds in general, already the third, fourth 
fifth day, the infection has spread into the joint: traumatic arthril 
exists. 
The swollen, very painful, articulation is held in the position mc 
favorable to the relief of its structure. If it be on a leg, the standii 
takes place on the toe; there are frequent convulsive movements of t: 
eg indicating lancinating pains; a warm, cedematous swelling i 
-vades the surrounding regions or the whole leg; there is an abunda 
flow of synovia scarcely of suspicious aspect or already purulent. 
As the infection process spreads, the symptoms are more marke: 
the most limited motions of the joint give rise to acute pains, that t 
animal avoids in remaining immobile, standing on its place or co 
stantly lyingdown. Soon the swelling has become enormous. Throuy; 
‘the fistula the escaping synovia is purulent, loaded with yellowish-whi 
clots, exhaling a fetid odor. Fever is high, the temperature going up 
or above 40°. The loss of flesh is more and more marked; eschai 
idue to the long decubitus, appear on the prominent parts of the boc 
‘When the subjects resist, the articular cartilages are destroyed and t. 
joint ankyloses. But this termination is not fatal; by an energe! 
‘treatment started early, it can be avoided. ; 
