Journal of Bone and Joint Surgery, 1919;1:152-156.
© 1919 by The Journal of Bone and Joint Surgery, Inc
SEVERE ACUTE SPRAINS OF THE KNEE JOINT
MAYNARD C. HARDING M.C.1
1 Chief of Section of Orthopædic Surgery, Base Hospital, Camp Lewis, Washington.
From a study of this series a few important lessons can be drawn.
First, careful diagnosis of the type of sprain.
Second, aspiration of any distended joint promptly, since practically all effusions are bloody and absorb slowly. I have found them present after many weeks and they lead to the formation of a thickened, chronic joint.
Third, prevent distention of the capsule, as it is one of the main causes of a weakened knee in after life.
Fourth, early baking and massage.
Fifth, strict supervision of the manner of returning to use.