question: I had aminor accident about a week ago, fell on a slimey, slippery rock in a dirty river and splitting the skin at the apex of my elbow down to the bone. ER X-rayed, found teeny bone chip they felt required no intervention, cleaned and sutured the wound and Rx Keflex. A day later began intermittent fever around 100-102F, more pain, heat,redness, generalized swellling of my forearm and localized red swelling, like a small tomato around joint. Went to Weekend Urgent Care, who gave RX for Clindamycin. 2 more days with fever,heat,swelling, pain and leakage of significant quantities of fluid around the sutures. To my primary MD today, who opened the wound, cleaned, packed and dressed it, gave 2 antibiotic injections and TF shot. Due for return to change dressing, etc in 2 days. Forarem swelling continued, increased, fever down, less pain, heat around wound. I m guessing treating the infection is, indeed, primary, but what needs to be done about possible rupture of synovial sac?