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Updated: September 26, 2025
When complete, transverse fractures permit of separation of the parts of bone. Tension on the straight ligaments below and contraction of the quadriceps above usually cause insuperable difficulty in the handling of this type of fracture in the horse.
The right humerus was broken at the middle, the end of the upper fragment piercing the triceps, and almost protruding through the skin. One or more of the middle ribs on the right side were broken near the angle, and there was a large transverse rent in the quadriceps extensor.
The adductor longus may be ruptured, or torn from the pubes, by a violent effort to adduct the limb. A swelling forms in the upper and medial part of the thigh, which becomes smaller and harder when the muscle is thrown into contraction. The quadriceps femoris is usually ruptured close to its insertion into the patella, in the attempt to avoid falling backwards. The injury is sometimes bilateral.
It is especially important to provide for the subject to be exercised when there is atrophy of the quadriceps muscles following azoturia. In addition to the foregoing, good results have attended the use of intramuscular injections of oxygen. The technic of the operation consists in preparing the area of skin which covers the atrophied muscles as for any operation.
In bilateral affections animals drag the toes because of the pain incident to flexing the stifles. This is particularly evident when the subject is made to trot. As the disease progresses, atrophy of the quadriceps femoris muscles becomes pronounced and as destructive changes involving the articular cartilages take place.
He appeared before a pension board in New York, June 29, 1865, with the following history: In 1862 he suffered a sabre-cut across the quadriceps extensor of the left thigh, and a sabre-thrust between the bones of the forearm at the middle third. Soon afterward at Williamsburg, Va., he was shot in the thigh, the ball passing through the middle third external to the femur.
In three months both tendons had united to such an extent that the patient was able to walk slowly. Gibney records a case in which the issue was not so successful, his patient being a man who, in a fall ten years previously, had ruptured the right quadriceps tendon, and four years later had suffered the same accident on the opposite side.
This case is marvelous when we consider the proximity of several of the wounds to a vital part; the slightest deviation of position would surely have resulted in a fatal issue for this apparently charmed life. The following table shows the man's injuries in the order of their reception: Sabre-cut across the quadriceps femoris of right leg, dividing the tendinous and muscular structures.
I will now present the following cases which have seemed of special interest to me: CASE FIRST. In 1874, while in the mountains on the Trinity river, Dr. was kicked by a mule in such a manner as to rupture the ligamentum patellae. The tendon of the quadriceps femoris, at once drew the patella at least two inches above its normal position.
I climb and climb and climb, halting perforce betimes, to ease the violent aching of my quadriceps muscles; reach the top completely out of breath; and find myself between two lions of stone; one showing his fangs, the other with jaws closed. Before me stands the temple, at the farther end of a small bare plateau surrounded on three sides by low cliffs,-a small temple, looking very old and grey.
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