Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
=Prognosis.= The prognosis varies greatly. If the luxation is of
traumatic origin and the accompanying symptoms are not grave, reduction
may be followed by permanent recovery. On the other hand, in spontaneous
luxation recurrence is almost inevitable.
=Treatment=. The indications for treatment may be comprised in a single
phrase: reduction, with immobilisation of the parts for a sufficient
time. To effect reduction, a strip of webbing is fixed around the
pastern of the affected limb, passed over the withers, in front of the
shoulder of the opposite side, and brought round in front of the neck or
between the front limbs. By means of this an assistant exercises strong
traction on the limb until the fetlock is raised as high as the elbow of
the same side. The operator then applies strong inward pressure to the
patella, which usually slips back on to the gliding surface of the
trochlea at the first or second effort.
[Illustration: $1]
After-treatment comprises the application of a smart blister, producing
œdematous infiltration of all the tissues around the joint, and thus
impeding movement and recurrence of luxation. For this purpose various
preparations are used—_e.g._, cantharides, biniodide of mercury, croton
oil, etc. It is also advisable to fix the animal so that for a time it
cannot lie down, and to secure the pastern to the neck by means of a
side-line.
As an experiment, cases of simple fixation of the patella on the summit
of the internal lip of the trochlea might be treated by Bassi’s
method—_i.e._, subcutaneous division of the internal lateral ligament of
the patella which holds the bone in its abnormal position.
Finally, in spontaneous luxation, occurring in young animals in which
blisters have been ineffectually tried after reduction, Bénard’s bandage
may be used, though it is not generally regarded as very practical. It
consists of a piece of cloth of elongated lozenge form about four feet
in length, six inches in breadth at its centre and two inches at its
ends. Its centre is pierced by a transverse opening intended to surround
the patella, and carries a loop for the purpose of supporting the turns
of bandage. A second longitudinal opening is situated about eight inches
from the centre.
Reduction being effected, the whole region of the stifle joint is
covered with Burgundy or ordinary pitch and the bandage then applied.
The patella projects through the central opening. The end A is passed
backwards around the thigh, and through the aperture B; the two cross
ends are then brought forward, crossed again at the end, the loop over
the patella carried a second time backwards, again crossed, and finally
fixed in front under the patella. The bandage should be firmly applied,
without, however, being so tight as to interfere with circulation, and
must be left in place from eight to ten days.
[Illustration: $1]
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