The degree of lameness may vary. In some cases there may be no lameness when the animal walks, but a slight degree of lameness may be noticed when it trots. For several weeks after the injury the horse may be unable to use the limb, but it may eventually make nearly a complete recovery.
Atrophy of the muscles of the hip or quarter (Fig. 44) should not be mistaken for fractures of the ileum. This condition involves the heavy gluteal muscles and may occur as a complication of azoturia, or a lameness of the hind limb that is usually due to a spavin.
It is very seldom necessary to give fractures of the ileum any special care. If the animal is very lame, it should be given a narrow stall, and placed in a sling until it can support its weight on the limb. The same treatment is indicated in cattle. It is not advisable to breed a mare that has had the ileum fractured. The bony enlargement that results from the union of the broken ends of the bone may interfere with the passage of the foetus through the pelvic cavity and cause difficult parturition.
[Illustration: FIG. 44.—Atrophy of the muscles of the quarter.]
LUXATION OF THE PATELLA, "Stifle Out."—This is a common accident in horses and mules. Young, immature animals are more prone to displacement of the patella than when mature. The displacement is usually upward or outward. Outward displacement is comparatively rare.
The causes of "stifle out" may be described as follows: The patella or knee-cap rests on a pulley-like articular surface belonging to the inferior extremity of the thigh-bone. The external lip of this articular surface is smaller than the internal lip. The patella is held in place from above by the heavy muscles of the anterior region of the thigh, and from below, by straight ligaments that attach it to the leg-bone. If the retaining structures mentioned become relaxed, the patella may, when the limb is extended, become so displaced as to rest on the superior portion of the external lip. Laxness of the muscles and ligaments in young animals is a predisposing factor. Hard work that tires the muscles and causes them to become relaxed, strains, unusual movements, as kicking in the stable and slipping, may cause this accident. Congenital displacement results from imperfect development of the external lip of the trochlea. Such a deformity subjects the animal to frequent luxations.
The symptoms may vary. The displacement may be first noticed when the horse is backed out of the stall or turned quickly. A slight "hitch" in the movement of the limb is noted, that is followed by more noticeable flexion of the hock than normal. In case the luxation is more permanent, the horse stands quietly with the affected leg held stiffly and extended backward. When made to move forward, it hops on the well leg and carries the affected one, or drags it on the toe. If both limbs are affected, the animal is unable to move. The inability to move the limb is due to the patella resting on the external lip of the pulley surface, and a locking of the stifle- and hock-joint.
This accident is annoying, and in case the horse is subject to it should be considered an unsoundness.
The following treatment may be recommended: The luxation may be reduced in the large majority of cases by backing or turning the animal. If this does not reduce the displacement, a collar should be placed on the animal, and a hobble strap fastened to the pastern of the involved limb. One end of a long rope is tied to the collar, passed backward between the front limbs, through a ring in the hobble and back over the outside of the shoulder and under the collar. While an attendant pulls the limb a little forward with the rope, the operator takes hold of the foot and attempts to flex the limb, at the same time pushing inward on the patella. After reducing the luxation it is advisable to tie the rope to the collar, so that the limb is carried forward. This prevents the animal from throwing weight on the foot. It may be advisable to tie the animal so that it can not lie down, if the foot is to be left hobbled for a few days. A fly blister should be applied to the front and outside of the stifle and the application repeated in two or three weeks.
STRING-HALT.—This term is applied to a peculiar involuntary movement of one or both hind limbs that is characterized by a sudden, purposeless flexion of the hock-joint (Fig. 45). Horses that are slightly affected may show this movement of the hind limbs when first exercised. Other horses may be "string-halted" when backed, turned, walked, or trotted, and fail to drive out of it. The cause of true "string-halt" is not known.