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Updated: June 15, 2025
There was another burn, 12 inches long and three inches wide, passing from just above the crest of the ilium forward and downward to the symphysis pubis. The next burn began at the patella of the right knee, extending to the bottom of the heel, upon reaching which it wound around the inner side of the leg.
Without much difficulty, a piece one-fourth of an inch thick, softened in hot water, was applied, and kept in place by means of compresses and bandages until it hardened. This made a perfect and firm, splint fitting all the inequalities of the knee, covering all but the posterior part of the leg, and extending three or four inches above and below the patella.
In a unilateral involvement of this kind in a three-month-old mule colt, the author observed a case wherein an unfavorable prognosis was given and destruction of the subject advised, because of the extreme dislocation of the patella. This colt, however, was not destroyed and in three weeks had apparently recovered.
In the lower limbs, the muscles are larger because they have heavier work to do, supporting and moving the whole weight of the body; but they are simpler in their arrangement since they have not such a variety of movements to carry out. The principal muscle in the thigh is the great muscle running down the front of the thigh, and fastening to the upper border of the patella, or knee cap.
Thurmann has shown how remarkably this fact holds true in the Bernese Jura, although the argillaceous divisions, so conspicuous in England, are feebly represented there, and some entirely wanting. Terebratula digona, Sowerby. Natural size. Purpuroidea nodulata. One-fourth natural size. Cylindrites acutus. Sowb. Syn. Actaeon acutus. Patella rugosa, Sowerby. Nerita costulata, Desh.
Did he apply an acid to the limy wall until it opened before him? Who can find the tools of the cunning workman, or the laboratory where his corrodents are composed? Some rods farther south, the shore is covered with smooth stones, and there you may find the Limpet in great numbers. Patella is the Latin name, but children call it Tent-Shell.
"He does not, surely, mean to touch the body?" exclaimed Surgeon Sawyer, with much excitement. "Oh, no!" said Patella, "that's only his way; he means, doubtless, that it may be inspected previous to being taken ashore for burial."
Let it be borne in mind that 'Avicula', 'Mytalis', 'Chiton', 'Natica', 'Patella', 'Trochus', 'Discina', 'Orbicula', 'Lingula', 'Rhynchonella', and 'Nautilus', all of which are existing 'genera', are given without a doubt as Silurian in the last edition of 'Siluria'; while the highest forms of the highest Cephalopods are represented in the Lias by a genus, 'Belemnoteuthis', which presents the closest relation to the existing 'Loligo'.
Traction is exerted upon the rope and at the same time force is directed against the stifle joint to produce further extension if possible, so that the straight patellar ligaments may relax sufficiently to allow the patella to be dislodged from its position upon the inner trochlear lip. Failing in this manner of procedure, the affected animal is to be cast and anesthetized with chloroform.
With this bound moderately tight to the leg by a roller bandage, it was simply an impossibility for the patella to move from its proper position. At the end of about a week the patient left the bed, and could walk about, but, of course, with a stiff leg. He wore this splint or cap for the knee for about four weeks, when I found he could leave it off at night without much pain.
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