Injuries of joints / by Robert Jones.

  • Robert Jones
Date:
1915
Catalogue details

Licence: In copyright

Credit: Injuries of joints / by Robert Jones. Source: Wellcome Collection.

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    pad and strap placed on the tendon just above the inflamed area ; this acts as a stop, preventing the tension on the muscle from being transmitted in its full force to the injured attachment. This is com¬ parable to the half-turn round a post which a sailor takes with a rope when he wishes to check a move¬ ment which he could not stop by the direct application of his strength. This is no new principle, although sadly overlooked by the profession, for every workman who puts a strap round his wrist to ease a strained tendon is putting it into practice. The wonder is that so few surgeons apply it to the deltoid, the quadriceps extensor, the ankle and the foot, as well as to the wrist. We often have to deal with the chronic case. Here the trouble is that repeated small injuries with repeated efforts at repair have produced a small plexus of new fibrous tissue, which itself impedes the free access of blood necessary for the complete removal of effusion and the conclusion of the processes of repair. Treatment must then be directed to encouraging a free flow of blood to and through the injured area. This is not effected by a passive congestion, but by massage and alternate applications of hot and cold water, by counter-irritation, and in obstinate cases, where the pain is confined to a very limited area, by puncture with a heated needle, which both destroys implicated nerve-ends and produces an increased flow of blood. 2. Sprains of Ligaments, that is, rupture of fibres JONES B
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