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Updated: May 13, 2025
Fractures are complete and varying as to nature, or incomplete. The heavy tibial fascia affords sufficient protection so that fissures without entire solution of continuity of the bone may occur from violence to which this part is often subjected. Möller classes tibial fracture as ranking second in frequency pelvic fracture being more often met with in horses.
The sac may press upon the popliteal artery or vein and their branches, causing congestion and œdema of the leg, and lead to gangrene. Pressure on the tibial and common peroneal nerves gives rise to severe pain, muscular cramp, and weakness of the leg.
These discs surround the tibial spine and are otherwise shaped to fit perfectly between the articular portions of the femur and tibia.
The astragalus is almost of normal shape; the trochlea is slightly prolonged anteriorly, especially on the inner side, from contact with the tibial articular surface. The cartilage on the exposed posterior portion of the trochlea seems healthy. The head of the astragalus is very prominent on the outer side, the scaphoid being depressed downward and inward away from it.
Cadiot and Almy recommend vaginal douches of cold water and counterirritation of the region of the inner thigh in these cases. Paralysis of the Sciatic Nerve. Anatomy. Near the stifle it passes between the two heads of the gastrocnemius muscle and continues as the tibial. Etiology and Occurrence.
An example of this kind is to be seen in a wound perforating the tibial fascia, where the injury is inflicted by means of a horse being kicked by another animal shod with sharp shoe-calks. Cases of this kind invariably result in a septic lymphangitis, and frequently lymphadenitis also occurs, for the inguinal lymph glands are so situated that their becoming contaminated is almost certain.
Sometimes also specimens of fatty and earthy deposits in the arteries occur, in which exact similarity is shown in the plan, though not in the degree, with which the disease affects severally the humeral and femoral, the radial and peroneal, the ulnar and posterior tibial arteries." Dr. William Budd gives numerous instances of symmetry in disease, both lateral and serial.
As examples of proximal ligation for secondary hæmorrhage may be cited ligation of the hypogastric artery for hæmorrhage in the buttock, of the common iliac for hæmorrhage in the thigh, of the brachial in the upper arm for hæmorrhage from the deep palmar arch, and of the posterior tibial behind the medial malleolus for hæmorrhage from the sole of the foot.
Prognosis is unfavorable in the majority of cases, but should attempts at treatment be undertaken in young and quiet mares which might prove valuable for breeding purposes in case of imperfect recovery, they should be put in slings and the member is to be immobilized as in tibial fracture.
Now, as it was an equinus, it was necessary to cut the tendo Achillis, and, if need were, the anterior tibial muscle could be seen to afterwards for getting rid of the varus; for the doctor did not dare to risk both operations at once; he was even trembling already for fear of injuring some important region that he did not know.
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