ith cotton before the bandages are applied and only a
moderate degree of tension is employed in applying the bandages lest
anemic-necrosis result from pressure. In distension of the superficial
bursa, after clipping the hair over a liberal area and preparing the
skin by thoroughly cleansing and painting with tincture of iodin, the
capsule is incised with a bistoury. An incision about an inch in length,
situated low enough to provide drainage, is made through the tissues and
the contents are evacuated. Tincture of iodin is injected into the
cavity and the parts are covered with cotton and bandaged. No after-care
is necessary except to retain the dressing in position, which is not
difficult in the average case if the subject is kept tied. If much
resistance is exhibited, such as extreme flexion of the bandaged hock,
the animal may be put in a sling and little if any objection to the
bandage will be offered thereafter. The wound may be dressed at the end
of forty-eight hours and no redressing will be necessary in the average
instance if infection is not present. But slight local disturbance and
little distress to the subject result in cases so treated even when
infection occurs, but a good technic is possible of execution in most
instances and no infection should take place.
The surgical wound heals in two or three weeks and inflammation
gradually subsides. Bandages are retained one or two weeks, as the case
may require, and subsequently a good wound lotion may be employed
several times daily. A good lotion for such cases as well as in many
others has long been employed with success by Dr. A. Trickett of Kansas
City. It consists of approximately equal parts of glycerin, alcohol and
distilled extract of witch hazel, to which is added liquor cresolis
compositus, two percent, and coloring matter q.s.
Complete resolution does not occur in the average case. There remains
some hyperplastic tissue and even where the enlargement is slight, the
prominent situation of the affection precludes its being unnoticed.
In disease of the flexor tendon and its bursa where contiguous
inflammation of tissue is present, the parts are blistered or fired.
Line firing is beneficial in such instances but in all cases the cause
is to be removed if possible.
Rupture and Division of the Long Digital Extensor
(Extensor Pedis).
Etiology and Occurrence.--Because of the fact that the long digital
extensor is the only extensor of the phalanges
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