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Updated: June 15, 2025
The subject becomes more lame and eventually is rendered incapable of service. Upon manipulation of the patellar region, one is impressed with the fact that hyperesthesia does not exist in proportion to the pain manifested during locomotion. In some cases a gelatinous swelling is present and may be detected by palpating between the straight ligaments of the patella.
There are, further, the suture wires in the knee-caps; Sir Morgan Bennet, having looked up the notes of the operation, informs me that he introduced three suture wires into the left patella and two into the right; which is what the skiagraph shows. Lastly, the deceased had an old Pott's fracture on the left side.
"Surgeon Patella, then, gentlemen," said Cuticle, turning round triumphantly, "is clearly of opinion that amputation should be immediately performed. For my own part individually, I mean, and without respect to the patient I am sorry to have it so decided. But this settles the question, gentlemen in my own mind, however, it was settled before.
Möller states that moderate exercise or work stimulates the establishment of collateral circulation. Massage per rectum is condemned as dangerous by Cadiot. Fracture of the Patella. Etiology and Occurrence. Patellar fractures are rarely met with in the horse but may be caused by falls and heavy contusions. Violent muscular contraction, it is said, may also bring about the same condition.
Spasmodic contraction of the crural muscles which sometimes retains the patella in such position that the leg is rigidly extended, does not in itself constitute luxation of the patella; and unless this bone becomes lodged on the upper portion of a femoral condyle or laterally displaced out of its femoral groove, luxation cannot be said to exist in the horse. These are sub-luxations.
Because of the distance between the most dependent part of the femerotibial articulation and the summit of the patella, one may misjudge the exact location of the lowermost part of this portion of the capsular ligament of the stifle joint and thereby fail at once to appreciate the seriousness of calk wounds in this region. Etiology and Occurrence.
Geoffroy-Saint-Hilaire presented to the Academie des Sciences in 1830 a child with four legs and feet who was in good health. Amman saw a girl with a large thigh attached to her nates. Below the thigh was a single leg made by the fusion of two legs. No patella was found and the knee was anchylosed.
In the larger joints the subjective symptoms usually precede any palpable evidence of disease, the patient complaining of stiffness, crackings, and aching, aggravated by changes in the weather. The roughness due to fibrillation of the articular cartilages causes coarse friction on moving the joint, or, in the knee, on moving the patella on the condyles of the femur.
One end of a long rope is tied to the collar, passed backward between the front limbs, through a ring in the hobble and back over the outside of the shoulder and under the collar. While an attendant pulls the limb a little forward with the rope, the operator takes hold of the foot and attempts to flex the limb, at the same time pushing inward on the patella.
Luxation of the patella is a condition wherein the articular portions of the femur and patella assume abnormal relations whether such displacement of the patella be momentary and capable of spontaneous reduction, or fixed and requiring corrective manipulation.
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