Effusion

Definition and stakes

Alexander Miles,  Manual of Surgery Volume Second…

“ The effusion of blood and synovia into the joint and into the tissues around gives rise to swelling and discoloration, and the fluid effused into tendon sheaths often produces a peculiar creaking sensation, which may be mistaken for the crepitus of fracture. In sprains, the bony points about the joint retain their normal relations to one another, and this usually enables these injuries to be diagnosed from dislocations. When the swelling is great, it is often necessary to have recourse to the Röntgen rays to make certain that there is no fracture or dislocation. ”
Source: Gutenberg

Portrait of Alexis Thomson Alexis Thomson,  Manual of Surgery, Sixth Edition… (1921)

“ The localisation of the infection in a particular joint is determined by injury, exposure to cold, antecedent disease of the joint, or other factors, the nature of which is not always apparent.
The effects on the joint vary in severity. In the milder forms, there is engorgement and infiltration of the synovial membrane, and an effusion into the cavity of the joint of serous fluid mixed with flakes of fibrin--_serous synovitis_. In more severe infections the exudate consists of pus mixed with fibrin, and, it may be, red blood corpuscles--_purulent_ or _suppurative synovitis_
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Source: Wikisource

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