Original article| Volume 32, ISSUE 1, P45-47, April 1936

Download started.


Treatment of sprains by interligamentary injection of novocaine

      This paper is only available as a PDF. To read, Please Download here.


      As the result of clinical experience and study we have found that the interligamentary injection of novocaine satisfactorily relieves symptoms and speeds the healing of sprains, where no associated fracture or ligamental tear can be demonstrated. This treatment is based upon the conception that local anesthesia of the irritated, complex nervous elements of injured articular ligaments, quickly restores the functional state and greatly reduces the otherwise prolonged convalescence. The technique, results and contraindications are discussed. The best results are obtained in: (1) simple sprains with articular impotence but when no fracture or torn ligaments are found, (2) patients suffering from the after-effects of sprains, namely pain and muscular atrophy, and (3) orthopedic cases where surgical maneuvers may have strained the ligaments about a joint resulting in what we have termed an “operation sprain.” This simplified form of treatment should be of special value in athletic centers where sprains are common.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Arnulf
        • Frieh P.
        Traitement immédiat des traumatismes articulaires sans fracture par les injections intraligamentaires de novocaine.
        Presse méd. 1934; 42 (April 14): 597-599
        • Bernard
        • Etienne
        • Marie
        Traitement des Séquelles des contusions articulaires (et des entorses, banales).
        These pour le doctorat en Medecine (diplome D'etat). 1933; (librairie, Louise Arnette 2.) (Rue Casimir-Delavigne 2.)
        • Gusmal Ismael
        O Methodo de Leriche no tratamento das entorses e arthrites traumatices.
        —Revista medicina e Cirurgia. 1934; (Rio de Janeiro. (Oct.))
        • Leriche R.
        Des effets de l'anesthésie a la novocaine des ligaments et des insertions tendineuses périarticulaires dans certaines maladies articulaires et dans les vices de position fonctionels des articulations.
        Gazette des Hôpitaux. 1930; 103: 1294
        • Leriche R.
        Recherches sur le rôle de l'innervation sensitive des articulations et de leur appareil ligamentaire dans la physiologie pathologique articulaire.
        Presse méd. 1930; 38 (March 26): 417-418
        • Leriche R.
        • Fontaine R.
        De la valeur thérapeutique des infiltrations péri-articulaires à la novocaine dans les entorses et les arthrites traumatiques.
        Presse, Méd. 1932; 40 (Feb. 20): 280-282
        • Leriche R.
        Qu'est-ce qu'une entorse?.
        Bull. et mém. Soc. Nat. de chir. 1934; 60 (March 3): 365-373
        • Leriche R.
        Gaz. d. hôp. 1934; 107 (also) (March 7): 325-328
        • Magione G.
        • Buglairi R.G.
        Sul trattamento con infiltrazione novocaine dei traumatismi articolari.
        Minerva méd. 1934; 2 (Dec. 22): 885-892
        • Perard
        • Chatel
        Le traitement des entorses.
        Maroc Médical. 1935; 15 (Jan.): 17