Diseases of the Horse's FootReeks, H. Caulton (Harry Caulton)
Science
Diseases of the Horse's Foot
Reeks, H. Caulton (Harry Caulton)
Hoofs -- Diseases; Horses -- Diseases
At this stage, too, the veterinary surgeon should have noticed whether or
not the smith has previously sent the animal home with what is known as a
'draw back.' He has discovered, immediately after he has done it, that he
has pricked the animal. He has then withdrawn the nail, and either sent the
animal back with that nail altogether missing from the set in the shoe, or
with the hole filled up with a stump.
The shoe once off, the holes made by the nails in the horn should be
minutely examined for the presence of hæmorrhage, inflammatory fluid, or
pus exuding from them, and also for evidence of their correct placing in
the foot. Should fluid matter issue from any one of them, or should it be
deemed that one has approached too near the inner margin of the white
line, more especially if tenderness exists around it, that hole should be
followed up with a 'searcher' or small drawing-knife until diagnosis is
certain.
_Complications_.--Before proceeding to discuss the complications that may
arise in the case of pricked foot, we may call to mind that the anatomy of
the parts teaches us that the most serious position in which a punctured
wound can occur is at the centre of the foot. Here the plantar aponeurosis,
the navicular bursa, the navicular bone itself, or the pedal articulation
may be injured.
Anterior to this position the most serious mischief that can ordinarily
result is stabbing of the os pedis.
Posterior to the position we have named, the only structure to be injured
is the plantar cushion.
Anatomically, then, the inferior surface of the foot may be divided into
three zones, as follows:
_A. Anterior_, extending from the toe to the point of the frog.
_B. Middle_, extending from the point of the frog to the commencement of
its median lacuna.
_C. Posterior_, including everything posterior to the middle zone.
This division of the inferior surface of the foot into zones will be
somewhat of a guide also when describing the complications next to follow:
_(a) Suppuration_.--This is the common complication of most wounds of the
foot. When detected, it calls for immediate surgical interference in the
shape of removal of the horn of the sole or the frog, as the case may be.
This we shall consider further under the treatment.
_(b) Separation of the Horny Frog_.--This is a sequel to pus formation in
the sensitive structures immediately beneath it, and the condition makes
itself apparent by a line of separation between the horn and the skin of
the heel of the injured side.
_(c) Wounding of the Plantar Aponeurosis_.--This occurs when a
moderately-deep penetration of the horn of the middle zone has taken place.
It is always most painful, especially when complicated by necrosis. The
heel is then persistently elevated, and lameness is extreme, in some cases
so severe as to cause the leg to be carried altogether.
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