MEDIAN AND ULNAR NEURECTOMY. 447 



The animal was returned to its box and tied up. During the night 

 the parts were irrigated with warm sublimate solution. Temperature 

 at 7 p.m. 39"0° C. 



Next day the parts were slightly swollen and painful, but injection 

 of antiseptics did not produce any marked struggling. 



During the following days swelling and pain increased, and the foot 

 was rested on the toe. Purulent serosity escaped from the lower end 

 of the drainage-tube. The injections were continued ; temperature 

 39-2° to 38-6° C. 



On the 6th the region was less sensitive, the discharge less abun- 

 dant, and more weight was placed on the limb. The lower part of the 

 drainage-tube was removed with scissors, and the lower wound opened 

 so as to allow any liquid which might accumulate there to escape. 



On the loth the inilammation, suppuration, and pain were much 

 diminished. The animal was suitably secured, and the drainage-tube 

 replaced by one of smaller calibre. 



On the I2th suppuration had almost ceased, and the limb was 

 moved without difficulty. 



On the i8th drainage was discontinued. The animal was perfectly 

 sound when walking, and at a trot only showed occasional lameness. 



Next day it left hospital, returning to work shortly afterwards. The 

 external half of the hock remained slightly indurated. 



Remark. — Double puncture and drainage also gave excellent results 

 in another draught-horse similarly affected. Distension of this bursa 

 offers the greatest clinical analogy with distension of the precarpal 

 bursa. Most of the classic authors ignore it. 



MEDIAN AND ULNAR NEURECTOMY— AFTER-COMPLICATION. 



152. A ten-year-old gelding, suffering from arthritis of the near fore 

 fetlock-joint, consequent on pneumonia. Treated at the commence- 

 ment of November, 1898, by firing in points. After operation the 

 animal was returned home ; the region fired became covered with mud, 

 and was not treated in any way. 



At the end of a week three of the punctures on the inner surface of 

 the fetlock discharged purulent synovia. The parts became greatly 

 swollen and very hot ; the foot was only rested on the toe. The 

 cauterised surface having been disinfected with a i per 1000 warm 

 solution of sublimate, and the three small wounds touched with tinc- 

 ture of iodine, a cotton-wool dressing was applied to the fetlock, and 

 kept moist by applications of sublimate solution. The dressing was 

 renewed daily. Inflammation remained confined to a part of the 

 synovial membrane. In a fortnight the wounds had healed, and the 

 animal began to use the diseased limb. The fetlock, however, re- 

 mained swollen, and became indurated. The animal was exercised 

 night and morning for ten minutes to a quarter of an hour, and the 

 lameness diminished to a considerable extent. 



Firing the fetlock in lines lessened the swelling and lameness, but 

 the animal always remained too lame to trot. Median neurectomy 

 was decided on. The result was insufficient. A month later the ulnar 



