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
Fractures of the neck of the scapula are recognized by crepitation, by
passively moving the leg, but it is necessary to exclude fractures of
the humerus when one depends upon the finding of crepitation by this
means. However, unless undue swelling exists, the exact location of the
crepitation is recognized without serious difficulty.
Treatment.--The treatment of compound fractures of the scapular spine
consists in the removal of the broken piece of bone by way of a
cutaneous incision so situated that good drainage of the wound will
follow.
Simple fractures of the body of the scapula are best treated by placing
the subject in a sling, if the animal is halter broken, and enforcing
absolute quiet for a period of from three to six weeks. Splints or
similar appliances are not of practical value in scapular fractures.
Compound fractures of the scapula usually result from violence, which at
the same time does serious injury to adjacent structures, and it then
becomes necessary to administer an expectant treatment, observing
general surgical principles and providing in so far as possible for the
comfort of the patient.
Scapulohumeral Arthritis.
Anatomy.--The scapulohumeral joint is an enarthrodial (ball and
socket) joint wherein the ball or humeral articulating head greatly
exceeds in size the socket or glenoid cavity of the scapula. The
capsular ligament surrounding this joint is very large and admits of
free and extensive movement of the articulation. There exist no lateral
or common ligaments jointing the scapula and humerus as in other joints,
but instead the tendinous portions of muscles perform this function. The
principal ones which are attached to the scapula and humerus that act as
ligaments are the supraspinatus (antea-spinatus), infraspinatus
(postea-spinatus) biceps-brachii (flexor brachii) and subscapularis
muscles.
Etiology and Occurrence.--Inflammation of the scapulohumeral
articulation results from injuries of various kinds, including punctures
which perforate the joint capsule, bruises from collars, metastatic
infections and involvement as a result of direct extension of infectious
conditions situated near the joint.
Classification.--Acute arthritis may be septic or aseptic, and there
seems to be a remarkable tendency for recovery in cases of septic
arthritis involving this joint in the horse.
Chronic arthritis with destruction of articular surfaces and ankylosis,
is seldom observed. It is only in cases of severe injury, where the
articular portions of the bones are damaged at the time of infliction of
the injury, and where the articulation remains exposed for weeks at a
time, together with immobility of the parts because of attending pain,
that permanent ankylosis results.
Scapulohumeral arthritis may result then from _infections_, local or
metastatic; from _injuries_, such as contusions of various kinds; from
_wounds_, which break the surface structure or perforate the joint
capsule; or from _luxations_.
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