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Lameness of the Horse - Veterinary Practitioners' Series, No. 1 by John Victor Lacroix
page 76 of 341 (22%)
cases, the treatment of the injury along general surgical principles,
such as cleansing the area, providing drainage for wound secretion, and
the administration of suitable dressing materials such as antiseptic
dusting powder, is all that is required for the wound. The symptoms
manifested by the subject in such cases are the same as have been
discussed heretofore and merit no special consideration.

Prognosis.--Unless very serious injury be done the articular portions
of the scapula or the humerus, resulting in the destruction of the
capsular ligament, prognosis is entirely favorable.

Open Joint.--Where the capsular ligament is perforated and the
condition becomes one of open joint, then a special wound treatment
becomes necessary. The surface of the skin is first freed from all hair
and filth in the vicinity of the wound. The wound proper is cleared of
all foreign material either by clipping with the scissors, curetting or
mopping with cotton or gauze pledgets. The whole exposed wound surface
as well as the interior of the joint cavity, if much exposed, is
moistened with tincture of iodin. Subsequent treatment consists in a
local application of a desiccant dusting powder, which should be applied
five or six times daily. The composition of the powder should be such as
to permit of its liberal use, thereby affording mechanical protection to
the wound as well as exerting a desiccative effect. Equal parts of boric
acid and exsiccated alum serve very well in such cases.

Animals suffering from open joints of this kind should be confined in a
standing position, preferably in slings, and kept so confined for three
or four weeks. Since they usually bear weight upon the affected member,
there is no danger of laminitis resulting.

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