A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . is the re-sult of a secondary synovitis and not to disuse during the wearing ofa splint. Tubercular arthritis and rheumatoid arthritis are probablythe most common causes of ankylosis. The differential diagnosis between bony and firm fibrous ankylosisis often difficult, except under general anaesthesia. If the slightestmotion is possible the case is not one of bony union. Fibrous anky-losis, however, may make the joint as immobil
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . is the re-sult of a secondary synovitis and not to disuse during the wearing ofa splint. Tubercular arthritis and rheumatoid arthritis are probablythe most common causes of ankylosis. The differential diagnosis between bony and firm fibrous ankylosisis often difficult, except under general anaesthesia. If the slightestmotion is possible the case is not one of bony union. Fibrous anky-losis, however, may make the joint as immobile as a bony protective muscular spasm of inflamed joints may be distinguishedfrom ankylosis by the immediate mobility obtained under general an-aesthesia. Treatment.—Restoration of motion should be attempted as early aspossible, but not while symptoms of active inflammation are passive motions and manipulations which constitute the main treatment in fibrous ankylosis may beFig. 282. undertaken notwithstanding the exis- tence of some swelling. Manipulationof the joint will give some five orten minutes at one time. The forc- Fig.
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