White Swelling. Synovial Degenerations.
THERE, are several diseases of the knee joint, characterized by swelling and white color from tension of the skin, which have passed under the common name of white swelling
The diseases are not strictly the same, but as they all affect the knee, and have symptoms to some extent in common, it is well enough to group them under the same title, especially as one treatment is adapted to all.
One is a pulpy disease of the synovial membrane. It begins with a trifling stiffness, and a slight swelling. The swelling increases by degrees, and on touching the part there is a sensation as if it contained fluid. By and by the cartilages ulcerate. The disease is incurable, as the synovial membrane is finally converted into a pulpy substance, and the limb has to be amputated.
Another of these is inflammation of the synovial membrane, beginning with ulceration of the cartilages. It begins with pain in the joint, which is severe at one point, and attains its height in a week. In a day or two, the joint is swollen from a collection of water.
Treatment. Splints and entire rest, as in all chronic diseases of the joints. Also a generous diet, and whatever is calculated to build up the health. For the tubercular variety an injection of iodoform dissolved in glycerine is most commonly used.
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