American practice of surgery : a complete system of the science and art of surgery . on of the footto the ground causes its prompt recurrence. The patient, by reason of thepain produced by placing any weight upon the injured ankle, will hop to anobject of support. Within a comparatively short time, swelling in the region ofthe joint will appear, and associated with this there will be a general stiffen- 756 AMERICAN PRACTICE OF SURGERY. ing of the parts. Active as well as passive movements will induce pain, andthe muscles which fix the joint will remain in a state of tonic


American practice of surgery : a complete system of the science and art of surgery . on of the footto the ground causes its prompt recurrence. The patient, by reason of thepain produced by placing any weight upon the injured ankle, will hop to anobject of support. Within a comparatively short time, swelling in the region ofthe joint will appear, and associated with this there will be a general stiffen- 756 AMERICAN PRACTICE OF SURGERY. ing of the parts. Active as well as passive movements will induce pain, andthe muscles which fix the joint will remain in a state of tonic may appear in the skin within a few minutes, but ordinarily severalhours will elapse before signs of extravasation become evident. An abnormalrange of motion will be present if extensive laceration of the ligaments hastaken place; lateral motion may be detected, but as a rule this is preventedby the osseous elements of the joint. Diagnosis.—The history of the case, combined with a negative radiogram,will enable the surgeon to make a correct diagnosis. Unfortunately the radio-.


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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906