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Updated: June 3, 2025
Tincture of iodin is injected into the cavity and the parts are covered with cotton and bandaged. No after-care is necessary except to retain the dressing in position, which is not difficult in the average case if the subject is kept tied.
The injection of undiluted tincture of iodin in ounce quantities, it must be remembered, is not to be done unless there is provision for its free exit. Where good drainage from the joint cavity exists all infected wounds should be thus treated, and this treatment may be repeated as conditions seem to require until infection is checked.
In distension of the superficial bursa, after clipping the hair over a liberal area and preparing the skin by thoroughly cleansing and painting with tincture of iodin, the capsule is incised with a bistoury. An incision about an inch in length, situated low enough to provide drainage, is made through the tissues and the contents are evacuated.
This periarticular swelling should produce and maintain a constant pressure over the entire affected parts for a sufficient length of time until normal tone is re-established. In some cases, swelling does not develop as the result of a single injection of iodin.
From two to five cubic centimeters of U.S.P. tincture of iodin is injected through the aspirating needle into the synovial cavity of the joint, and the exterior of the parts are vigorously massaged immediately after injection to stimulate distribution of the iodin throughout the synovial cavity.
Care is taken to apply the iodin also to the surface immediately surrounding the wound. The entire wound is then covered with a dusting powder composed of zinc oxide, boric acid, exsiccated alum, phenol and camphor. This powder is used in abundance and the wound is then covered with a heavy layer of absorbent cotton and well bandaged.
Other agents, such as tincture of iodin, solutions of silver nitrate, saline solutions and various more or less irritating preparations have been employed; but in the use of these preparations one may either fail to stimulate sufficient inflammation to cause regeneration to take place, or infection is apt to occur.
In addition to aspirating synovia, the introduction of equal parts of alcohol and tincture of iodin into the theca is necessary. The quantity of this combination injected, depends upon the size of the sheath affected and the amount of synovia retained at the time injection is made.
Or preferably, an iodin-glycerin combination of one part of iodin to four parts of glycerin is poured on a layer of cotton, and this is confined in contact with the inflamed parts by means of a bandage.
It is hardly necessary to mention the instances in which pus or blood from ruptured abscesses entered the trachea and caused subsequent asphyxiation. A curious instance is reported by Gaujot of Val-de-Grace of a soldier who was wounded in the Franco-Prussian war, and into whose wound an injection of the tincture of iodin was made.
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