The sprain is one of the most popular traumatic lesions of the knee joint and the lesion easilly left many sequelae such as pain, swelling and stif ness of joint if some adequate treatment were not applied. However basic studies on the lesion have scarsely been reported
In this study, the experimental sprains were produced on the knee joint, especially, on its collateral ligament of rabbits. The clinical, pathological and histological changes were observed on 1, 3, 5 days and 1, 2, 3, 4, 6, 8 and 12 weeks after the procedure.
According to the treatment, those experimental sprains were separated into five groups :
I) without treatment,
II) fixed by plaster cast in forced varum position,
III) cooled for 30 minutes in the ice water and then fixed in cast,
IV) cooled for 30 minutes compressed with sponge rubber and then fixed by cast compressed with dry sponge rubber, and
V) injected intramuscularly with α-chymotrypsine 5 ch. U., after treatment as like as IV. The following results were observed:
1) The lateral laxity of the knee joint was physiologically 8°-13° in its extended position. However sprained knees without complete repture of the collateral ligamnet moved to further lateral 15°-22° and this over-laxity reduced to physiological range after six weeks when adequate treatment of applied. Sometimes abnormal movements appeared in untreated knee joints. They needed more times to recover than treated ones.
2) Both elongation in length and narrowing in width of collateral ligament were observed in measurement in almost all sprained knees. Although they showed no obvious rupture of collateral ligament, they had abnormal laxity to lateral.
Those changes of the ligament in treated knees disappeared earlier than those in untreated ones.
3) The subcutaneous bleeding was noticeable in the area of the attachment of collateral ligament to tibia. This bleeding disappeared within four to six weeks in treated knee, however this change still remained over eight weeks in untreated ones.
4) The histological changes in experimental sprains were following; the severance of ligament fibers, bleedings, loosing, dissociations, local edema and round cell infiltrations. The changes were not prominent in treated knees and the degree of these changes reduced gradually in II, III, IV, V groups respectively ; some of these changes, i, e., bleedings, loosings and degeneration of muscule fiber, still remained for over eight weeks in untreated ones, however, the changes even bleedings, local edema and round cell infiltrations, disappeared in treated ones, especially in III, IV and V groups.
5) Recovering from the macroscopical or histological changes caused by the sprains was distinctly delayed in untreated knees.
The most of ective treatments were cooling, compression and fixation. Knee treated withohymotrypsin recovered from sprain earlier than those applied other treatment, although α-chymotrypsin-treated knee seemed to get worse in the initial period of treatment.
6) It was concluded that an appropriate initial treatment for sprain determined the follwing process of recovery and that recovery time would be shorten and therefore sequelae could be prevented or diminished if the treatment was enough to prevent the secondary impediment.
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