tle above the fetlock is usually the seat of the
injury. But irrespective of this, and whether the skin is or is not
implicated, the symptoms resemble very much those of a fracture. There
is excessive mobility, at least more than in a normal state, with more
or less inability to carry weight. There may be swelling of the parts,
and on passing the hands carefully along the tendon to the point of
division the stumps of the divided structure will be felt more or less
separated, perhaps wholly divided. The position of the animal while at
rest and standing is peculiar and characteristic. While the heels are
well placed on the ground, the toe is correspondingly elevated, with a
tendency to turn up--a form of breaking down which was described when
speaking of the fracture of the sesamoids. Carrying weight is done only
with considerable difficulty, but with comparatively little pain, and
the animal will unconsciously continue to move the leg as if in great
suffering, notwithstanding the fact that his general condition may be
very good and his appetite unimpaired.
The effect upon the general organism of compound lacerated wounds of
tendinous structures, or those which are associated with injuries of the
skin, are different. The wound becomes in a short time the seat of a
high degree of inflammation, with abundant suppuration filling it from
the bottom; the tendon, whether as the result of the bruise or of the
laceration, or of maceration in the accumulated pus, undergoes a process
of softening, and necrosis and sloughing ensue. This complicates the
case and probably some form of tendinous synovitis follows, running into
suppurative arthritis, to end, if close to a joint, with a fatal result.
_Prognosis._--The prognosis of lacerated tendons should be very
conservative. Under the most favorable circumstances a period of from
six weeks to two months will be necessary for the treatment, before the
formation of the cicatricial callus and the establishment of a firm
union between the tendinous stumps.
_Treatment._--As with fractures, and even in a greater degree, the
necessity is imperative, in the treatment of lacerated tendons, to
obtain as perfect a state of immobility as can be obtained compatibly
with the disposition of the patient; the natural opposition of the
animal, sometimes ill-tempered and fractious at best, under the
necessary restraint causing at times much embarrassment to the
practitioner in applying the necessary
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