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There is severe pain and considerable swelling on the lateral aspect of the ankle; the peroneus longus by itself, or together with the brevis, can be felt on the lateral aspect or in front of the lateral malleolus; the patient is unable to move the foot. By a little manipulation the tendons are replaced in their grooves, and are retained there by a series of strips of plaster.
I remembered having read somewhere that a Dr. Schiff had shown that he could produce remarkable "knockings," so called, by voluntarily dislocating the great toe and then forcibly drawing it back into its socket. A still better noise could be made by throwing the tendon of the peroneus longus muscle out of the hollow in which it lies, alongside of the ankle.
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.
The treatment recommended is surgical. This consists in cutting the tendon of the peroneus muscle. The seat of the operation is a little below the hock and on the external face of the cannon. SPAVIN. A spavin is a chronic inflammation of the articular faces of the hock bones, ligaments and synovial membranes. The predisposing causes are of the greatest importance.
At the end of three weeks massage and exercises are employed. In other cases there is no history of injury, but whenever the foot is everted the tendon of the peroneus longus is liable to be jerked forwards out of its groove, sometimes with an audible snap. The patient suffers pain and is disabled until the tendon is replaced.
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