PANARIS. 1103 



and protrudes somewhat in the form of a snail — hence the origin 

 of the French term " Limace." Pain is marked, no weight can be 

 borne on the foot, the animal lies continuously, and shows fever 

 and loss of appetite. After a few days the skin between the claws 

 breaks ; sometimes the interdigital ligament is ruptured, and the 

 swelling, increasing in size, causes the claws to recede from each 

 other. 



Appropriate and early treatment is generally followed by recovery, 

 though in cases the process extends to the os coronse or to the pedal- 

 joint. As a rule, the latter danger is not so great as in panaritium 

 of the toe, the pedal- joint not being so likely to become implicated 

 from this point. Interdigital panaritium is not infrequently followed 

 by extensive proliferation of connective tissue, which is readily injured 

 and leads to fresh attacks of inflammation. The growth may, how- 

 ever, be readily removed by operation. 



(3) Panaris of the bulb of the foot generally attacks the inner 

 bulb of one of the front feet ; sometimes both bulbs are attacked, 

 very seldom the external alone. The cellular inflammation rarely 

 confines itself to the sensitive parts of the bulb and to the connective 

 and fatty tissue lying above them, but, as a rule, attacks the flexor 

 tendons, and often the pedal -joint. Necrosis of the tendons sets 

 in, with purulent or septic disease of their sheaths, at the point at 

 which they pass over the navicular bone, for which reason this form 

 might be described as panaritium tendineum. 



The course depends on the character and extent of the disease. 

 When the bulbs and the structures underlying them are alone im- 

 plicated, recovery takes place in two to four weeks. In disease of 

 the flexor tendons or pedal-joint, amputation is the only resource. 



Treatment. Preventive treatment consists in keeping injuries as 

 clean as possible, and preventing further infection by dressings or 

 smearing the parts with tar, and by giving plenty of dry, clean straw 

 as bedding. When a panaritium is detected, the inflammation has 

 usually passed the stage at which resolution is possible, and efforts 

 must be made to provide the best possible exit for pus and necrotic 

 tissues. The most useful agent is certainly the knife, though in 

 many cases it cannot at once be used, and the abscess must be assisted 

 to point by warm poultices of linseed, &'c, to which are added from 

 5 to 10 per cent, of some active disinfectant. In the early stages, 

 indicated by slight reddening of the skin and shuffling with the feet, 

 resolution sometimes follows the application of bandages saturated 

 with sublimate or creolin solution. Fambach recommended the 

 long-continued application of warm alum solution. As soon as an 



