. Modern surgery, general and operative. ofpower, fulness of the associated muscle fromretraction, and absolute inability to bring thetendon into action. A gap may often be felt inthe tendon (see page 809). Treatment.âThe best procedure in treating rupture of a tendon is exposureby incision and the introduction of sutures. Some surgeons relax the partsand apply splints (see page 808). Thecitis, or tenosynovitis, is inflammation of the sheath of a tendon. Acute thecitis may arise from a contusion, from a wound, from repeatedoveraction in working or while engaged in some sport, from rheumatism,f
. Modern surgery, general and operative. ofpower, fulness of the associated muscle fromretraction, and absolute inability to bring thetendon into action. A gap may often be felt inthe tendon (see page 809). Treatment.âThe best procedure in treating rupture of a tendon is exposureby incision and the introduction of sutures. Some surgeons relax the partsand apply splints (see page 808). Thecitis, or tenosynovitis, is inflammation of the sheath of a tendon. Acute thecitis may arise from a contusion, from a wound, from repeatedoveraction in working or while engaged in some sport, from rheumatism,from gonorrhea, from pyogenic infection, from influenza, from a continuedfever, or from syphihs. In early syphilis certain tendon-sheaths may rapidlydevelop effusion because of hyperemia of the sheaths (Taylor). Symptoms.âIn nonsuppurative cases of thecitis the symptoms are pain,swelling, tenderness, and moist crepitus along the tendon-sheath, due toiWalshams case of dislocation of the peroneus longus, Brit. Med. Jour., Nov. 2, Fig. 512.âPalmar synovialsheaths (vaginte tendinurti), normaladult type (Poirier and Charpy). 8i2 Diseases and Injuries of Muscles, Tendons, and Bursa; inflammatory roughening. The crepitus disappears as the swelling increases,but it reappears as the swelling diminishes. In suppurative cases (phlegmon ofthe tendon-sheaths) the symptoms are great swelling, pulsatile pain, duskydiscoloration, inflammation spreading up the tendon-sheaths, and often theconstitutional symptoms of sepsis. Treatment.âIn treating non-suppurative thecitis employ splints, use thehot-air oven, and apply locally iodin, blue ointment, or ichthyol, and administersuitable remedies to combat any causative constitutional disease. In thesuppurative form inject i of formalin-glycerin (2 per cent.) after withdrawalof part or all of the exudate. If this fails, make free incisions, irrigate, drain,dress with hot antiseptic fomentations, and employ Biers method (see page 122).(S
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