FREE BOOKS

Author's List




PREV.   NEXT  
|<   71   72   73   74   75   76   77   78   79   80   81   82   83   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   >>   >|  
vided all of the substance of the extensor tendons, it is, of course, impossible for the subject to advance the leg; but where lacerated wounds involve only a part of the extensor apparatus of the foreleg, not so much inconvenience is evident, unless the wound is seriously infected and inflammation involves contiguous structures. Therefore, in many instances, lameness is more pronounced in contusions of the anterior brachial region than where tissues have been divided more or less keenly. In every instance diagnosis is easily established. The injury is quite evident, and the manner of locomotion is not in itself an essential feature to be considered in a discussion of symptoms. Where a contusion of the anterior brachial structures occurs, there is, in addition to lameness, swelling which is painful because of the pressure occasioned by the heavy non-yielding brachial fascia. And where suppuration occurs, there is then an intensely painful condition which is not relieved until pus has been evacuated. Rather frequently, drainage for wound secretions is a difficult problem, and approximation of the divided ends of muscles is always difficult to maintain. Treatment.--Contused wounds of the anterior brachial region are treated along usual lines; that is, attempt is made to stimulate prompt resolution. Hot or cold applications are employed throughout the acute stage of the affection. Complete rest is provided for until all pain has subsided. Later, stimulating liniments are beneficial. Where no injury is done the periosteum or bone, complete resorption of all products of inflammation usually occurs, though in many instances, this is tardy--six weeks or more are sometimes required for recovery to take place. If suppuration occurs, it is necessary to provide for drainage as soon as it is possible to distinguish the presence of pus. Due regard is given the manner of establishing drainage because of the usual existence of sub-fascial fistulae. In these cases, one avoids injecting solutions of aqueous antiseptics. By gently compressing the parts, pus is caused to drain out and in enforcing a moderate amount of exercise at a walk, when lameness is not intense, drainage is maintained. Cotton packs, moistened with hot antiseptic solutions, and kept around the forearm for several hours daily, are helpful because drainage is facilitated, and resolution is stimulated by the increase of blood thus attracted to the parts, and pain
PREV.   NEXT  
|<   71   72   73   74   75   76   77   78   79   80   81   82   83   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   >>   >|  



Top keywords:

drainage

 

brachial

 

occurs

 
lameness
 

anterior

 
extensor
 

manner

 

difficult

 
instances
 
resolution

region

 

divided

 
injury
 
solutions
 
structures
 

suppuration

 

wounds

 

painful

 

evident

 
inflammation

regard

 
provide
 

presence

 

provided

 

distinguish

 

stimulating

 
resorption
 
products
 

complete

 

liniments


periosteum

 

Complete

 

beneficial

 

required

 

recovery

 

subsided

 

aqueous

 
antiseptic
 

moistened

 

intense


maintained
 

Cotton

 
forearm
 
increase
 
attracted
 

stimulated

 

facilitated

 
helpful
 
avoids
 

injecting