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Updated: June 15, 2025
Because of the manner in which the patella functionates with the trochlea of the femur, comparatively little energy is required to prevent further flexion of the stifle joint. The patella, according to Strangeways, may be considered a sesamoid bone. The capsules are removed. 1. Middle patellar ligament. 2. Stump of fascia lata. 3. Stump of common tendon of extensor longus and peroneus tertius.
Upward luxation of the patella is characterized by the stiff-extended position of the leg. When the patella is situated upon the inner trochlear rim, the tibia must be extended because of the traction exerted by the straight ligaments. Since the stifle and hock joints extend and flex in unison, there is presented also an extension of the tarsus.
The patella may be pushed inward and into position without manipulation of the leg. Retention of the patella in position is a difficult problem. Bandaging is considered impractical and is not ordinarily done in this country.
Outward luxation of the patella is occasioned by a lax condition of the internal femeropatellar ligament or a rupture of the same so that the patella slips over the outer femoral trochlear rim and permits of an abnormal flexion of the stifle joint. The outer trochlear rim being the smaller of the two, inward luxation does not occur in the horse.
Surgeon of the Fleet," said Patella, respectfully hemming, "concerning the dangerous condition of the limb, seems obvious enough; amputation would certainly be a cure to the wound; but then, as, notwithstanding his present debility, the patient seems to have a strong constitution, he might rally as it is, and by your scientific treatment, Mr.
Symptomatology. Fracture may be transverse or vertical, and depending on the manner in which the bone is broken, prognosis is either at once rendered favorable or unfavorable. The patella performs a function which is in a way similar to that of the sesamoids and when fractured, complete recovery is improbable in the average instance.
I here found, at a point 140 miles from the Atlantic, and seventy miles from the nearest creek of the Pacific, at the height of 410 feet, a very old and worn shell of Patella deaurita. The plain at the head of the valley is tolerably level, but water-worn, and with many sand-dunes on it like those on a sea-coast.
When made to move forward, it hops on the well leg and carries the affected one, or drags it on the toe. If both limbs are affected, the animal is unable to move. The inability to move the limb is due to the patella resting on the external lip of the pulley surface, and a locking of the stifle- and hock-joint.
Luxations attending some cases of influenza recover promptly when subjects are kept comfortably confined in roomy box-stalls. The administration of stimulative medicaments such as nux vomica and the application of an active blistering agent to the patella serve to hasten recovery. Dislocations in such cases are often bilateral and they are usually momentary.
Thus, there are two species of Cypraea, one of Oliva, two of Mitra, four of the genus Cerithium, six of Fusus, two of Trochus, one of Patella, one of Emarginula, etc.; on the whole, more than thirty univalves, spiral or patelliform. At the same time, some of the accompanying bivalve shells, echinoderms, and zoophytes, are specifically identical with fossils of the true Cretaceous series.
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