CAPPED ELBOW. 257 



wherever there is a prominence. This bursa, from long- 

 continued irritation, enlarges as before described. 



Treatment. — The treatment of capped elbow varies to a 

 considerable extent. If the injury is of recent date, and 

 the bursa but little enlarged, with only a slight exu- 

 date, remove the shoe and freely apply hot or cold 

 applications ; and if the animal be in a gross condition a few 

 doses of diuretic medicine will be of benefit. If a consider- 

 able amount of effusion has taken place, the parts are to be 

 opened and the accumulation of fluid allowed to escape. 

 In some cases lymph and fibre, or shreds, may be observed. 

 It is good practice to insert a small quantity of digestive 

 ointment, or pass a small seton through the parts to keep them 

 open, and the exciting cause should be removed. Where a 

 horse is in the habit of injuring the elbow in the manner 

 described, it becomes necessary to afford some protection to 

 the part, which may be effectually done by the application 

 of an elbow-boot at night. It may be removed in the 

 morning, unless the animal is in the habit of lying down 

 through the day. If the enlargement is of long standing, 

 and of a fibrous nature, it should be carefully dissected 

 out. In such a case the wound heals by granulation, and 

 occupies considerable time in the process. This is due in a 

 great measure to the part being one of extensive motion, 

 and also to the fact that more or less irritation is caused 

 when the animal lies down. Capped elbow rarely interferes 

 Avith the action of the animal, yet is unsightly, and depre- 

 ciates his value. 



Elbow. — Like other exposed parts, the region of the 

 elbow occasionally suflers from wounds of various kinds, as 

 kicks, punctures, open joint, etc., each of which gives 

 rise to symptoms more or less severe, according to its 

 nature. For general treatment see 'Wounds.' A very pecu- 

 liar and interesting condition is that arising, sometimes, 



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