. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . artilage frimi its tibial attachment. The inter-nal one is the one most frequently displaced. A suddentwist on slight flexion or a wrench is the accident whichmost often causes this condition. The symptoms are ef-fusion and tenderness over the cartilage, and there maybe protrusion of one of the cartilages. The general his-tory of the accident is that the \vg was caught in flexionand that the pain was severe. Tlie treatment consists inreduction of the dislocation (
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . artilage frimi its tibial attachment. The inter-nal one is the one most frequently displaced. A suddentwist on slight flexion or a wrench is the accident whichmost often causes this condition. The symptoms are ef-fusion and tenderness over the cartilage, and there maybe protrusion of one of the cartilages. The general his-tory of the accident is that the \vg was caught in flexionand that the pain was severe. Tlie treatment consists inreduction of the dislocation (which the jiatient usuallyaccomplishes himself), followed by rest and the ordinarytreatment for the ensuing synovitis. Raising the innerborder of the sole of the shoe is often serviceable. The synovitis having been thoroughly cured, the pa-tient is allowed to walk and to resume the use of the the dislocation recurs it is generally advisable to re-move the loosened part of the cartilage by incision of tliejoint. Dislocation of tlie Putelht may occur spontaneously orin consequence of some slight twist of the leg. It usu-. Fio. 3018.—Prepatellar Bursitis (Housemaids Knee). ally attacks young girls with lax muscular fibre and afeeble development; boys are exceptionally dislocation occurs most often outwardly (Fig. 274 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. Joiuts,Joiuls* 3019). The jiioiHr treatment is to extend the leg fully andthen trently to press the patella back into place. Massageand electricity are indicated in all cases. Operative treat- ;;nl,l, Ialclla ;llL-il. ment consists in the removal of an elliptical piece of thefront of the capsule of the ^oint internal to the extensortendon, and a stitching together of the edges of the open-ing, thereby tightening the inner part of the capsule. Insome cases the tubercle of the tibia has been trans-planted to cure the atTection. Syitoiial Fringes.—In certain conditions of the synovialmembran
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