A 10-year-old boy presented with a history of injury to the left upper limb 8 months earlier. He had fallen from a tree and sustained a closed injury to the left elbow and wrist. He received massage from a local osteopath for the initial 3–4 weeks, following which the elbow and wrist were mobilized. The pain and swelling gradually diminished over 8 months, but there was restriction of movement ...

A forty-three-year-old Indian stepped on a sharp piece of wood and suffered a small puncture wound on the sole of the right foot. A doctor gave him daily injections of penicillin for three days, but no antitetanus serum. Ten days after the injury he was admitted to hospital complaining of pains in his legs, and trismus was observed. He was immediately given an intravenous injection of 100,000 u...