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
Etiology and Occurrence.--Pelvic fractures are usually caused by falls
or other manner of contusion. Cases are reported where it would seem
that fracture of the iliac angle resulted from muscular contraction, but
it is certain that most fractures of this kind are due to collisions
with door jambs or similar injuries. In old horses especially, fracture
of pelvic bones occurs frequently. This form of injury is of more
frequent occurrence in animals of all ages that work on paved streets.
The country horse is not subjected to the uncertain footing of the
slippery pavement, nor to injuries which compare with those caused by
contusions sustained in falling upon asphalt or cobble-stones.
Symptomatology.--While in many cases of pelvic fracture lameness or
abnormal decumbency are the salient manifestations, yet the pathognomic
symptoms are crepitation or palpable evidence which may be obtained by
rectal or vaginal examination. In fractures of the angle of the ilium
and the ischial tuberosity, perceptible evidence always exists.
In cases where fracture of some portion of the pelvic girdle is
suspected and the subject is able to walk, crepitation is sought by
placing one hand on an external angle of the ilium and the other on the
ischial tuberosity and the animal is then made to walk. Or, by placing
the hands as just directed, an assistant may grasp the horse's tail and
by alternately exerting traction on the tail and pushing against the hip
in such manner that weight is shifted from one leg to the other,
crepitation may be detected.
Fracture of the pubis near its symphysis constitutes a grave injury, as
there is danger of the bladder becoming caught in the fissure and
perforation of its wall may result. Such a case is reported by
Bauman[36] wherein a three-year-old gelding bore the history of having
been lame for ten days. Upon rectal examination the bladder was found to
be hard and tumor-like and about the size of a baseball. The body of the
ischium in this case was fractured and a rent in the bladder was caused
by a sharp projecting piece of bone. Autopsy revealed, in addition to
the fracture and rent of the bladder wall, a large quantity of urine in
the peritoneal cavity.
In other instances hemorrhage caused death and not infrequently
infection was responsible for a fatal issue. Moller,[37] quoting Nocard,
describes a case where fracture occurred through the region of the
foramen ovale and paralysis of the obturator nerve followed.
Fractures which include the acetabular bones cause great pain. This is
manifested by marked lameness, both during weight bearing and when the
member is swung. Such cases terminate unfavorably--complete recovery is
impossible.
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