FISTULOUS WITHERS.
Cause.—Fistulous Withers are seen mostly in horses that have a thick neck as well as those that are very high in the withers, or among saddle horses, those that are very low on the withers, the saddle here riding forward and bruising the parts. They are often caused by ill-fitting collars or saddles, by direct injury from blows, and from the horse rolling upon rough, sharp stones. In this location, the ulcer of the skin or a simple abscess, if not properly and punctually treated, may terminate into Fistula. The pus burrows and finds lodgment deep down between the muscles, and escapes only when the sinuses become surcharged when, during motion of the muscles, the pus is forced to the surface.
Symptoms.—These of course will vary according to the progress made by the Fistula. Following an injury we may often notice soreness or stiffness of the front legs, and upon careful examination of the withers we will see small tortuous lines running from the point of irritation downwards and backwards over the region of the shoulder. The stiffness of the limbs may disappear at this time, and heat and soreness of the parts may become less noticeable, but the swelling of the shoulders continues to enlarge. The swelling may often have the form of a running ulcer, or its contents may dry up and leave a tumor, which gradually develops the common characteristic of a fistulous tumor. When the enlargement has an opening, we should carefully examine the pus cavity, as upon this condition will wholly depend our treatment.
Treatment.—Keep the animal as quiet as possible, as any movements of the limbs cause the pus to spread between the lines of the muscles and form larger abscesses or tumors. When the bone becomes diseased, it is very difficult to effect a cure, especially where the pus burrows back of the Scapula (Shoulder Blade). In case the abscess is newly formed, and close to the surface, syringing out with a solution made from Bichloride of Mercury, five grains to one ounce of water, generally causes the white fibrous tissue to slough away and the parts to heal rapidly. If the abscess is deep, and the bones become diseased, the pus will have a very offensive odor, and I would recommend free use of a knife and bone chisels to remove all diseased portions of bone or muscle.