Lameness of the Horse - Veterinary Practitioners' Series, No. 1 by John Victor Lacroix
page 72 of 341 (21%)
page 72 of 341 (21%)
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has resulted. In such instances, the upper portion of the scapula is
disjoined from all attachment, and with every movement the animal makes, the scapula is moved back and forth. Complete recovery in such cases does not occur. Symptomatology.--Fractures of the scapular spine are ordinarily readily recognized because there is usually visible displacement of the broken part. Crepitation is also detected without difficulty. In fractures of the body of the scapula where an examination may be made before much swelling has taken place, and in subjects that are not heavily muscled, one should have no difficulty in recognizing the crepitation. Fractures of the neck of the scapula are recognized by crepitation, by passively moving the leg, but it is necessary to exclude fractures of the humerus when one depends upon the finding of crepitation by this means. However, unless undue swelling exists, the exact location of the crepitation is recognized without serious difficulty. Treatment.--The treatment of compound fractures of the scapular spine consists in the removal of the broken piece of bone by way of a cutaneous incision so situated that good drainage of the wound will follow. Simple fractures of the body of the scapula are best treated by placing the subject in a sling, if the animal is halter broken, and enforcing absolute quiet for a period of from three to six weeks. Splints or similar appliances are not of practical value in scapular fractures. |
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