swelling is seen especially below the kneepan, on
each side of the front of the joint, and also often above the kneepan.
Frequently the only signs of trouble are swelling with slight pain,
unless the limb is moved.
=Treatment.=--If the knee is not red, hot, or tender to the touch, it
will not be necessary for the patient to remain in bed, but when these
symptoms are present a splint of some sort must be applied so that the
leg is kept nearly straight, and the patient must keep to his bed
until the heat, redness, and tenderness have subsided. In the meantime
either an ice bag, hot poultice, cloths wrung out in hot water, or a
hot-water bag should be kept constantly upon the knee.
A convenient splint consists of heavy pasteboard wet and covered with
sheet wadding (or cotton batting) shaped and affixed to the back of
the leg, from six inches below to four inches above the joint, by
strips of adhesive plaster, as shown in the illustration, and then by
bandage, leaving the knee uncovered for applications. A wooden splint
well padded may be used instead.
In mild cases without much inflammation, and in others after the
tenderness and heat have abated, the patient may go about if the knee
is treated as follows: a pad of sheet wadding or cotton batting about
two inches thick and five inches long and as wide as the limb is
placed in the hollow behind the knee, and then the whole leg is
encircled with sheet wadding from six inches below to four inches
above the knee, covering the joint as well as the pad. Beginning now
five inches below the joint, strips of surgeon's adhesive plaster, an
inch wide and long enough to more than encircle the limb, are affixed
about the leg firmly like garters so as to make considerable pressure.
Each strip or garter overlaps the one below about one-third of an
inch, and the whole limb is thus incased in plaster from five inches
below the knee to a point about four inches above the joint.
An ordinary cotton bandage is then applied from below over the entire
plaster bandage. When this arrangement loosens, the plaster should be
taken off and new reapplied, or a few strips may be wound about the
old plaster to reenforce it. The patient may walk about with this
appliance without bending the knee.
When the swelling has nearly departed, the plaster may be removed and
the knee rubbed twice daily about the joint and the joint itself moved
to and fro gently by an attendant, and then bandaged with a
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