328 THE FARM DOCTOR. 



side of the coraco-radial tendon which plays over the point of 

 the shoulder, and tenderness may be shown when it is handled. 

 Treatment. — When inflammation is very severe, rest and 

 soothing measures should be first resorted to. In the majority 

 of cases it assumes a subacute type, and is to be treated by a 

 high-heeled shoe, rest and counter-irritants. Repeated blister- 

 ing with Spanish flies may suffice, but in obstinate cases and 

 whenever there is reason to suspect ulceration, the hot iron is 

 most serviceable, applied round the outer side of the joint only. 



OTHER AFFECTIONS OF THE SHOULDER. 



The shoulder-blade is subject to fracture, ulceration, and 

 necrosis ; the muscles beneath the bone to lacerations ; the 

 joint to dislocations (rare in large quadrupeds) ; and the 

 lymphatic glands inside the joint to abscess (especially in 

 strangles), all of which must be treated on general principles, 

 space forbidding their further notice in the present work- 

 Shoulder lameness may further arise from liver disease, which 

 see. 



AFFECTIONS OP THE ELBOW AND ARM. 



Lameness in the region of the elbow is characterised by the 

 inability to extend the joint fully or to bear weight upon it in 

 this condition. In bad cases the elbow and knee-joints ar:. 

 kept semiflexed when standing still, and when walking or trot- 

 ting the dropping of the head and body is extreme, in conse- 

 quence of a similar flexion. Movement of the joint will also 

 give rise to symptoms of tenderness. 



TUMOURS ON THE POINT OF THE ELBOW. 



These are usually caused by the heels of the shoe when the 

 horse lies with his fore limbs bent under him (cow fashion) from 

 undue narrowness of the stall. 



Symptofns. — There is first a hot, tender swelling, and if the 

 iource of injury is kept up, this may increase by small degrees 



