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Updated: May 4, 2025
In acute tendinitis, the subject while at rest, maintains the affected member in volar flexion because this position permits relaxation of the inhibitory apparatus, including the inflamed tendon.
The joints of the lower extremity are especially apt to suffer; the child is seriously ill, is delirious at night, develops bed-sores over the sacrum and, it may happen that, not being expected to recover, the legs are allowed to assume contracture deformities with ankylosis or dislocation at the hip and flexion ankylosis at the knees; should the child survive, the degree of crippling may be pitiable in the extreme; prolonged orthopædic treatment and a series of operations arthroplasty, osteotomies, and resections may be required to restore even a limited capacity of locomotion.
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.
It has been divided in accidental wounds, by a scythe, for example, in incising for cellulitis, and in performing subcutaneous tenotomy of the biceps tendon. Cases have been observed of paralysis of the nerve as a result of prolonged acute flexion of the knee in certain occupations.
Normal subjects shift their weight from one hind leg to the other and the one relaxed, rests in a state of flexion with the toe on the ground and the heel raised. Examination by Palpation.
When the stifle is extended, the hock is automatically extended, nor can it under any circumstances flex without the previous flexion of the stifle. There is no parallel to this in the body. The two joints, though far apart, act as one, and they are locked by the drawing up of the patella, and in no other way. The so-called dislocation of the stifle in the horse is a misnomer.
Extension of the hock in upward luxation of the patella, permits of flexion of the phalanges. In upward luxation, then, the leg is extended as if too long, but the phalanges may be in a state of moderate flexion. If the foot rests on the ground when the extremity is not flexed, it is almost impossible for the subject to step backward.
They take up the slack, as it were, and move on again in that remarkable pas de flexion that is so oddly tireless. It is a difference of method; probably the best thing for men who are Gallic, temperamental. A more lethargic army is better governed probably by rule of thumb. I had crossed the Channel again to see the French and English lines.
The same plan that is described in detail for treatment of similar conditions affecting the fetlock joint is indicated in this affection. Exceeding care must be exercised in bandaging the hock, however, lest the animal be so irritated that in the extreme flexion of the tarsus which is often caused by bandaging, the wound dressings may be completely deranged.
Barlow says that movements were noticed after death in the victims of Asiatic cholera. The bodies were cold and expressions were death-like, but there were movements simulating natural life. The most common was flexion of the right leg, which would also be drawn up toward the body and resting on the left leg.
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