FREE BOOKS

Author's List




PREV.   NEXT  
|<   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108  
109   110   111   112   113   114   115   116   117   118   119   120   121   122   123   124   125   126   127   128   129   130   131   132   133   >>   >|  
the forge will best guard against this by viewing the foot, while on the ground, from behind. From that position he will be able to detect the lowness of the quarters, and the projecting portion of the shoe, that the hoof, by reason of its sudden bending inwards, does not touch. The 'feeling' manner of the gait before alluded to, together with the disinclination to put the foot firmly and squarely forward, will sometimes lead the examiner to over-look the contraction, and diagnose his case as one of shoulder lameness. In many cases, too, such consequent conditions as 'thrushy frogs' and 'suppurating corns' are often treated with utter disregard of the contraction that has really brought them about. But above all, the disease most likely to be confounded with simple contraction is navicular disease. More than probable it is that many cases of so-called 'navicular' have in reality been nothing more than contraction brought about by one or other of the causes we shall afterwards enumerate--cases where a due attention to the prime cause of the mischief would, in all likelihood, have remedied the lameness. _Changes in the Internal Structures_.--It follows as a matter of course that the changes we have described in the form of the hoof itself carry with them alterations in the bones and sensitive structures beneath it. The tissues, as a whole, become atrophied. The os pedis becomes deformed, loses its circular shape, and gradually becomes more or less oval in contour. At the same time, its structure becomes more compact, the cribriform appearance of its anterior and lateral faces more or less destroyed, and the few remaining openings apparently increased in size. This atrophy of the os pedis is best noted at the wings. In the plantar cushion the effects of the atrophy are noted in the smallness of the organ, in its becoming whiter in colour than normal, and more resistant to pressure. The coronary cushion is also affected in the same way, where the changes are noted most in its posterior portions. A further effect of the narrowing of the heels, and their consequent tendency to drop downwards, is the exertion of a continual pressure on the sensitive sole. In course of time, and especially in flat feet, this leads to the appearance of corns. The navicular bone and bursa and the tendon of the perforans also suffer from the effects of compression. The movement of the tendon is restricted, and arterial supply to the ad
PREV.   NEXT  
|<   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108  
109   110   111   112   113   114   115   116   117   118   119   120   121   122   123   124   125   126   127   128   129   130   131   132   133   >>   >|  



Top keywords:

contraction

 

navicular

 

pressure

 
atrophy
 
consequent
 

lameness

 

cushion

 

effects

 
appearance
 

disease


sensitive
 

tendon

 

brought

 

anterior

 

compact

 

restricted

 

cribriform

 

structure

 
supply
 

beneath


tissues

 

structures

 

alterations

 

atrophied

 

lateral

 

contour

 

gradually

 

deformed

 

circular

 

arterial


increased

 

effect

 
narrowing
 

portions

 

affected

 

perforans

 

posterior

 
tendency
 
continual
 

exertion


coronary

 
resistant
 

movement

 

apparently

 
destroyed
 
remaining
 

openings

 

compression

 

whiter

 

colour