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
Treatment.--Perfect apposition of the broken ends of bone is easily
effected and less difficulty is encountered in maintaining such
relations in metacarpal fractures than in fractures of the radius.
However, reduction and immobilization of this as in all fractures, must
be done without delay. In simple fracture, the metacarpus is covered
with enough cotton to pad the parts, and this is retained in position by
bandages. Splints of heavy leather or of thin pieces of tough flexible
wood are placed on each side of the leg and firmly held in position with
bandages. Bandages may be put on in layers and a coating of glue applied
over each layer if this is thought necessary. The advantage gained in
using glue or other adhesive materials is that the cast thus formed is
more rigid than where such material is not employed. On the other hand,
all elasticity is lost as soon as the cast adapts itself to the contour
of the extremity, and because of this rigidity, it is doubtful if
anything is gained by the incorporation of glue, except in the way of
added strength of the cast. Since the animal does not walk upon the
broken leg, it is possible to employ splints of suitable materials which
are retained in position without glue and frequent readjustment of a
part of the immobilizing apparatus is possible. This is impossible with
casts.
In compound fractures, provision ought to be made for dressing the wound
of the soft structures. This entails adjusting the splints in such
manner that one splint may be retained and others removed for dressing
the wound and readjusted as often as wound dressing is necessary.
Splints.
By this term is meant a condition where there exists an exostosis which
involves usually the second (inner small) and third (large) metacarpal
bones. While an exostosis involving any one of the splint bones, even
when directly caused by an injury, is called a "splint," the term is
employed here, in reference to exostoses not due to direct injury such
as in contusions.
Etiology and Occurrence.--This condition is one wherein there is
osseous formation following a periostitis and the region of the upper
portion of the second (inner small) metacarpal bone is the usual site of
the exostosis. There is incited an inflammation of the periosteum at
the site of the interosseous ligament which attaches the small to the
large metacarpal bone. This ligament is involved in the inflammatory
process, and according to Havemann, whose view is supported by Moller,
this inflammation is the origin of the trouble.
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