Three and one-half years ago, Dr. Carl G. Burdick, director of the fourth surgical division, Bellevue Hospital, formulated certain principles for the care of patients with acute fracture. At that time it was decided to use occupational therapy in preference to massage and physiotherapy in the treatment of fracture of the joint. On the children's surgical service, Dr. Burdick had encountered six cases of myositis ossificans in fractures about the elbow. In all of these cases massage had been used, and this was considered the etiologic factor in producing the myositis. Therefore it was thought that vigorous massage might produce the same changes in adults, though to a lesser degree.
The following cases of myositis ossificans occurred in the children's surgical service:
—A child, aged 10, received a fracture of the internal condyle of the humerus on Aug. 9, 1920, and was referred for baking and