TRAUMATIC ARTHRITIS, 535 
‘lous tract. Seven days later, the synovial discharge had stopped, the 
fistula obliterated, the animal was gay. During a week, burnt alum 
“was applied on the granulations to keep them under control, A few 
‘running water baths completed the recovery.? 
Immobilization is important. By means varying according to cases 
(wadded dressing with or without plastered bandage, blisters, hobbles, 
-slings) the movements of the joint must be limited as much as possible. 
When arthritis runs its course, treatment is very long. Fistulas must 
‘be freely enlarged, abscesses punctured, irrigations abundant. Often 
the suppuration lasts for weeks, sometimes months, and numerous 
‘patients, exhausted by the pains, covered with bed-sores, succumb to the 
~disease. 
For the study of the traumatic lesions of joints individually, we have 
not separated the penetrating wounds from arthrits. It would seem, @ 
priori, that in the three, four or five days following the opening of a 
synovial, this must be invaded by purulent phlegmasia, and quite 
‘humerous observations are found of rapid recovery in synovial wounds 
sof eight, ten and fifteen days; on the other hand, the general phenom- 
vena and the lameness are not absolutely characteristic of arthritis. 
“The grouping of the observations would have been difficult, even arbi- 
‘trary, for many among them. To consider separately articular wounds, 
:and in particular arthritis, would have been of no advantage in the prac- 
tical point of view. 
ARTICULAR WOUNDS AND TRAUMATIC ARTHRITIS OF EXTREMITIES. 
I.— Scapulo-Humeral Joint. ‘ 
Penetrating wounds of the scapulo-humeral joint are rare. For many 
-observations, positive diagnosis was not made, the lesions of the bicep- 
ital groove not being distinguished from those of the joint itself. Rey 
‘has mentioned two cases where recovery.was obtained with sublimate 
«corrosive; one was published by Schaack, the other by Pierre. This 
Jast author introduced in the wound a tent covered with populeum and 
dusted it with sublimate; a second application two days after; six days 
later, the synovia escaped no longer; after six weeks the horse was 
-cured. Romant, having a mule to treat which presented on the exter- 
nal face of the right shoulder-joint, a little back of the most prominent 
part of the angle of the shoulder, a deep transversal wound, with synovia 
escaping, covered the region with a blister, and applied a little subli- 
mate every day on the wound. After three days, a thick scab was 
1 Mauri--Rev. Vet., 1889, p. 62. 
