. Les maladies du bétail, moutons, chèvres et porcs. La médecine vétérinaire. 66 MALADIES DES ARTICULATIONS SYNOVIALES. MEMIUIANES AXD. difficile. L'état ne peut être confondu avec de la gaine synoviale la distension de l'appareil extenseur metacarpi niagnus ; mais cette enflure synoviale () s'étend dans le même sens que le tendon, c.-à-d., verticalement, atteint le tiers inférieur du radius, est le plus large et plus haut. Hygromas doit également être distingué de tumeurs. Moussu, que d'une seule affaire de ce genre, l'être shghtly bosselated la tumeur et, très naturellement, révélant aucune fluctuation. Le pronostic est n

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. Diseases of cattle, sheep, goats and swine. Veterinary medicine. 66 DISEASES OF THE SYNOVIAL MEMIUIANES AXD ARTICULATIONS.. difficult. The condition can only be confused with distension of the synovial sheath of the extensor metacarpi niagnus; but this (synovial) swelling extends in the same direction as the tendon, i.e., vertically, attains the lower third of the radius, and is broadest above. Hygromas must also be distinguished from tumours. Moussu only mentions a single case of this kind, the tumour being very shghtly bosselated and, naturally, revealing no fluctuation. The prognosis is not grave, though the condition may prove trouble- some, because the original injuries may be continued even during treat- ment and prevent recovery. Treatment. Success rarely follows cold applications or blistering, which are only of value at the commence- ment. It is better to puncture the cavity aseptically, remove the fluid contents, and fire the growth in points. Free opening of the lowest portion of the swelling is followed by discharge of liquid, but almost inevitably by in- fection at a later stage, and by suppu- ration. Kecovery certainly may occur, a slight thickening of the anterior surface of the knee remaining; but the process is often very prolonged. Some authors prefer to pass a seton or drain vertically through the swelling. The results are identical with those following free opening and drainage, suppuration being unavoidable. If the animal be sufficiently valu- able to warrant surgical intervention, the entire hygroma, together with its indurated wall, may be excised. Au elliptical fragment of skin is removed from the front of the swelling, and the whole mass separated Ijy dissecting away or tearing through the connec- tive tissue. Considerable care is necessary to avoid injuring the synovial sheaths of the extensor tendons. This treatment, which is only applicable in valuable animals, is completed by firmly suturing the lips of the wound, and applying an antis

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