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Many fully developed cases of contraction of the tendons of the carpal flexors are observed where the condition has become established gradually and no lameness has resulted from tendinitis or carpitis.
In all serious cases of inflammation of the carpal flexors, whether tenotomy has been performed or not, the subject needs a long period of rest subsequent to treatment. In fact, three or four months at pasture is necessary to permit of recovery and this where no congenital deformity has predisposed the subject to such affection of the flexors.
There is no chance for complete recovery in the usual case of carpal fracture because of the fact that there results sufficient arthritis to destroy articular cartilage beyond repair. In the average instance, because of arthritis which persists for a considerable length of time, more or less ankylosis results.
However, in most instances, the practitioner's attention is not directed to typical and uncomplicated cases, but to subacute or chronic inflammations which are often attended with contraction of the tendinous parts of the carpal flexors, and in such cases carpitis is present.
Recognition of fracture of any other single carpal bone must be done by detecting crepitation unless it be a compound fracture, whereupon probing is of aid in establishing a diagnosis. Carpal luxation when present is to be recognized by finding the apposing carpal bones joined in an abnormal manner that is, out of position.
As inflammation subsides, a counterirritating application such as a suitable liniment and later blistering or line-firing is helpful in stimulating resolution. Open Carpal Joint. Anatomy.
The structures which are usually considered as true flexors of the carpus are a group of three muscles, which have separate heads of origin and different points of tendinous insertion. This muscle is the smaller of the three and is not usually divided in doing carpal tenotomy. The other blends with the posterior annular ligament of the carpus. Etiology and Occurrence.
Where there is an active and painful inflammation of the prescapular lymph glands and contiguous structures, in some cases of "levator-humeri abscess," the scapulohumeral joint is extended. This is brought about by flexion of the elbow and carpal joints.
The case made a complete recovery and the pony was again in service within sixty days. Case 2. A twelve-hundred-pound bay mare with an open carpal joint. The wound was an open one about two and one-half inches in length, and made transversely and when the member was flexed the articular surface of the carpal bones were presented to view.
The four bones of the second row of the carpus bear the four long bones which support the palm of the hand. The fifth bone of the same character is articulated in a much more free and moveable manner than the others, with its carpal bone, and forms the base of the thumb.
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