n 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.
The proximity to the axillary lymph glands makes for easy dissemination
of infection when the contused musculature becomes infected. The
adjacent brachial nerve plexus is so very apt to become involved, if not
actually injured at the time fracture occurs, that paralysis is a
probable complication. Consequently, it is logical to reason that
because of the many possible serious complications, such as shock,
occasioned by the injury and the distress and pain which this accident
produces, recovery must be the exception in fracture of the humerus.
However, recoveries do take place and in addition to the reported
recoveries by Liautard, Moller, Stockfleth, Lafosse, Frohner and others,
we have instances cited by American practitioners where cases resulted
in recovery. Thompson[13] reports a good recovery in a 1600-pound mare
where there existed an oblique fracture of the humerus. This mare was
kept in slings for eight weeks. Walters[14] reports complete
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