Lameness of the Horse: Veterinary Practitioners' Series, No. 1Lacroix, John Victor
Science
Lameness of the Horse: Veterinary Practitioners' Series, No. 1
Lacroix, John Victor
Horses -- Health; Lameness in horses
With complete rupture of the suspensory ligament there occurs a marked
dropping of the fetlock joint and an abnormal amount of weight is then
thrown upon the superficial flexor tendon (perforatus), causing it to be
markedly tensed. This is readily recognized by palpation. By palpating
the suspensory ligament from its proximal portion down to and beyond its
bifurcation, while the affected member is supporting weight, it is
possible to diagnose rupture of one of its branches.
Prognosis and Treatment.--In rupture of the superficial flexor tendon
(perforatus) because of its comparatively less important function,
prognosis is favorable and recovery takes place when proper treatment is
put into practice.
With rupture of the deep flexor tendon (perforans), especially when it
occurs at or near its point of insertion and sometimes following
disease, prognosis is unfavorable.
Rupture of the suspensory ligament constitutes a condition which is, as
a rule, hopeless, because of the impracticability of treating such
cases.
The salient feature which characterizes any practical attempt at
treatment of ruptured tendons or other portions of the inhibitory
apparatus of the fetlock region, is to retain the phalanges in their
normal position for a sufficient length of time that the approximated
ends of ruptured tendons or ligaments may unite. The length of time
required for this to occur, together with the difficulties encountered
in confining the affected extremities in suitable braces or supportive
appliances, precludes all possibility of this condition's being
practically amenable to treatment when the deep flexor tendon
(perforans) and suspensory ligament are simultaneously ruptured. It does
not follow, even so, that recovery does not succeed treatment in some of
these unfavorable cases.
[Illustration: Fig. 27--A good style of shoe for bracing the fetlock
where tenotomy has been performed, or in case of traumatic division of
the flexor tendons. An invention of Dr. G.H. Roberts.]
Affected subjects are kept in slings as long as it seems
necessary--until they learn to get up without deranging the braces worn.
Several styles of braces are in use and each has its objections;
nevertheless some sort of support to the affected member is necessary
and steel braces which are connected with shoes are usually employed.
The principal difficulty which attends the use of braces is
pressure-necrosis of the skin which is caused by the constant and firm
contact of the metal support. The practitioner's ingenuity is taxed in
every case to contrive practical means of padding the exposed parts in
order to prevent or minimize necrosis from pressure. This is
attempted--with more or less success--by frequent changing of bandages
and the local application of such agents as alcohol or witch hazel.
Needless to say, the skin must be kept perfectly clean and the dressings
free from all irritating substances.
[Illustration: Fig. 28--Showing the Roberts brace in operation.]
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