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
The shaft of the humerus, protected as it is by heavy muscles, is not
frequently fractured; and fractures of its less protected parts, as for
example, the head, are complicated in such manner that resultant
arthritis soon constitutes the more serious condition.
As a result of falls on frozen ground, kicks or any other form of heavy
contusion, the humerus is occasionally broken. It is rarely fractured
otherwise. Because of the force of contusions usually required to effect
humeral fracture, the manner in which the bone is broken, with respect
to direction, is variable. Often oblique fractures exist and
occasionally there occurs multiple fracture. In addition to the
ordinarily serious nature of the fracture itself, there is always much
injury done the adjoining structures.
Symptomatology.--Mixed lameness and manifestation of severe pain
characterize this affection. Considerable swelling which increases, in
some cases for a week or more, is to be observed. Crepitation is readily
detected, if pain and swelling is not too great to prevent passive
movement of the member. Where intense pain is not manifested, because of
manipulation, one may abduct the extremity and thereby occasion distinct
crepitation; but when it is possible to recognize crepitation by holding
the hand in contact with the olecranon while the animal is made to walk,
this method is to be preferred, if the subject can move without serious
difficulty. The pathognomonic symptom here is recognition of
crepitation, but this may be very difficult to recognize in fracture of
condyles, and in such instances, a careful examination is necessary.
Gentle manipulation in a manner that pain is not aggravated will tend to
inspire confidence on the part of the subject and relaxation of muscles
will enable the operator to detect crepitation.
Course and Prognosis.--Because of the direction of the long axis of
the humerus, with relation to the bony column of the extremity, it is
obvious that any lateral movement of the leg tends to rotate the shaft
of this bone. In fractures of the shaft of the humerus, then, it is
apparent that immobilization is very difficult if at all possible.
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