infection exists, if they are not promptly
treated and the infectious process checked, it is neither humane nor
practical to prolong treatment.
Distinction must be made between the different joints when infected as
the condition is much more serious in some cases than in others. All
things considered, perhaps open joints rank, with respect to being
serious cases as follows: elbow, navicular, stifle, tarsus, carpus,
fetlock and pastern. This, of course, is restricted to articulations of
the locomotory apparatus.
Treatment.--Preliminary care in the treatment of an open carpal joint,
is the same as has been described in this condition as it affects the
scapulohumeral articulation described on page 65. Likewise the further
treatment of such cases is along the same lines except that where it is
possible, the parts are kept covered with cotton and bandages. However,
in some cases, animals have been successfully treated without bandaging
and by keeping the patient in a standing position and on pillar reins
until recovery resulted. Such cases were of the non-infectious type and
recovery was possible within three or four weeks. Further, the condition
is not sufficiently painful in such instances as to prevent the subjects
bearing weight with the affected member; hence, no danger of resulting
laminitis is incurred. And finally, where bandages are not employed, the
frequent use of antiseptic dusting powders is substituted for cotton as
a protector.
When bandaged, such wounds need dressing more or less frequently, as
individual instances demand. The purulent infective inflammation of a
carpal joint will require daily dressing; whereas, in other cases
(non-infective), semi-weekly change of bandages is sufficient. Equal
parts of boric acid and exsiccated alum constitute a suitable
combination for the treatment of these cases, and this powder should be
liberally employed. Tincture of iodin may be injected into the joint
capsule where there is provision for its ready evacuation, as
conditions seem to require. Daily injections for three, four or five
days, are not harmful and will control infection in many instances.
Thecitis and Bursitis.
Etiology and Occurrence.--The thecae and bursae of the leg are several
in number. In the carpal region, the flexors of the phalanges are
contained together in the carpal sheath, and this is the principal theca
in the carpal region. Each of the tendons is provided with synovial
sheaths whi
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