gnosis, and attempts to induce recovery, as might
have been expected, have proved futile.
FRACTURES OF THE CANNON BONES.
Whether these occur in the fore or hind legs, they appear either in the
body or near their extremities. If in the body as a rule the three
metacarpal or metatarsal bones are affected, and the fracture is
generally transverse and oblique. On account of the absence of soft
tissue and tightness of the skin, the broken bones pierce the skin and
render the fracture a complicated one. The diagnosis is easy when all
the bones are completely broken, but the incomplete fracture can be only
suspected.
_Symptoms._--There is no displacement, but excessive mobility,
crepitation, inability to sustain weight, and the leg is kept off the
ground by the flexion of the upper joint.
No region of the body affords better facilities for the application of
treatment, and the prognosis on this account is usually favorable. We
recall a case, however, which proved fatal, though under exceptional
circumstances. The patient was a valuable stallion of highly nervous
organization, with a compound fracture of one of the cannon bones, and
his unconquerable resistance to treatment, excited by the intense pain
of the wound, precluded all chance of recovery, and ultimately caused
his death.
_Treatment._--The general form of treatment for these lesions will not
differ from that which has been already indicated for other fractures.
Reduction, sometimes necessitating the casting of the patient;
coaptation, comparatively easy by reason of the subcutaneous situation
of the bone; retention, by means of splints and bandages--applied on
both sides of the region, and reaching to the ground as in fractures of
the forearm--these are always indicated. We have obtained excellent
results by the use of a mold of thick gutta-percha, composed of two
sections and made to surround the entire lower part of the leg as in an
inflexible case.
FRACTURE OF THE FIRST PHALANX.
The hind extremity is more liable than the fore to this injury. It is
usually the result of a violent effort, or of a sudden misstep or
twisting of the leg, and may be transverse, or, as has usually been the
case in our experience, longitudinal, extending from the upper articular
surface down to the center of the bone, and generally oblique and often
comminuted. The symptoms are the swelling and tenderness of the region,
possibly crepitation; a certain abnormal mobility;
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