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However, in general practice a classification on an etiological basis is probably more practical and we shall consider inflammation of bursae and thecae as infectious and noninfectious. Infectious bursitis and thecitis is usually the result of direct introduction of septic material into the synovial structure by means of injuries.

Even then, with reasonably good care given the animal, recovery is almost certain. Complete return of function of the member and cessation of lameness takes place within a few weeks in the average case. Inflammation of bursae and thecae may be classified on a chronological basis with propriety because the duration of such affections, in many cases, materially modifies the result.

Direct injury such as blows may be the cause of synovial distension of thecae and the affection is to be seen in all horses that have done much fast work on hard road surfaces or pavements. The usual case as it occurs in practice is a non-infective synovitis, but where puncture wounds cause the trouble, an infectious inflammation obtains. Symptomatology.

While drainage of distended thecae and bursae by means of openings made with hot irons was practiced by the Arabs, centuries ago, and good results have attended such heroic corrective measures, nevertheless the occasional serious complications which result from infection likely to be introduced in following such procedures, cause the prudent and skilful practitioner to employ safer methods of treatment.

Infection by contiguous extension occurs and also metastatic involvement is met with occasionally. The noninfectious inflammation of bursae and thecae usually result from contusions or strains and generally run their course without becoming infective in character, where vitality and resistance of the subject are normal.

No difficulty is encountered in recognizing these conditions even where considerable organization of tissue overlying distended thecae occurs. In such cases there may be only slight fluctuation of the enlargement, but if necessary, an aseptic exploratory puncture may be made with a suitable needle or trocar. Treatment.

In the consideration of group causes, lameness may be said to originate from affections of bones, ligaments, thecae and bursae, muscles and tendons, nerves, lymph vessels and glands, and blood vessels, and may also result from an involvement of one or several of the aforementioned tissues, caused by rheumatism.

In a general way, inflammation and other affections of bursae and thecae are considered very similar to like affections of joints. Muscles and tendons having to do with locomotion are more frequently injured than are any of the other structures whose function is to propel the body or sustain weight. This is due in part to the exposed position of muscles and tendons.

The average horse that has been subjected to hard service on pavements or hard roads at fast work suffers synovial distension of bursae, thecae or of joint capsules. Some of the well bred types such as the thoroughbred horses may be subjected to years of hard service and still remain "clean limbed" and free from all blemishes.

Daily injections for three, four or five days, are not harmful and will control infection in many instances. Thecitis and Bursitis. Etiology and Occurrence. The thecae and bursae of the leg are several in number. In the carpal region, the flexors of the phalanges are contained together in the carpal sheath, and this is the principal theca in the carpal region.