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rated from tlie other tissues of the foot ; the inner lateral cartilage M'as 

 gangrenous, as was also a small spot on the extensor tendon, near its 

 point of attachment on the colfin bone. Several small collections of 

 pus were found deep in the connective tissue of the coronary region ; 

 along the course of the sesamoid ligaments ; in the sheath of the flexor 

 tendons; under the tendon just below the fetlock joint in front, and in 

 the coffin joint. 



But all cases of tendinous quittor are by no means so complicated as 

 this one was. In rare instances the swelling is slight, and, after a few 

 daj's' time the lameness and other symptoms subside without any dis- 

 charge of pus from an external opening. In most cases, however, from 

 one to half a dozen or more soft points arise on the skin of tbe coronet, 

 open, and discharge slowly a thick, yellow, fetid, and bloody matter. 

 In other cases the suppurative process is largely confined to the sensi- 

 tive lam.inae and plantar cushion ; in these cases the suftering is intense 

 until the pus finds an avenue of escape, which it generally does by 

 separating the hoof from the coronary band, at or near the heels, with- 

 out causing a loss of the whole horny box. When the flexor tendon is 

 involved deep in the foot, the discharge of pus usually takes place from 

 an opening in the hollow of the heel 5 if the sesamoid ligament, or the 

 sheath of the flexors, are affected, the opening is nearer the fetlock 

 joint ; although in most of these cases the suppuration spreads along 

 the course of the tendons until the navicular joint is involved, and ex- 

 tensive sloughing of the deeper i^arts follows. 



Treatment. — The treatment of tendinous quittor is to be directed to- 

 ward the saving of the foot. First of all, an effort must be made to 

 prevent suppuration; and if the patient is seen at the beginning, the 

 cold irrigation, recommended in the treatment for cutaneous quittor, is 

 to be resorted to. Later on, when the tumor is forming on the coronet, 

 the knife must be used, and a free and deep incision made into the 

 swelling. Whenever openings appear from which the pus escapes they 

 should be carefully probed ; in all instances these fistulous tracts will 

 be found leading down to dead tissue which nature is trying to remove 

 by the process of sloughing. If a counter opening can be made, which 

 will enable a more ready escape of the pus, it should be done at once; 

 for instance, if the probe shows that the discharge originates from the 

 bottom of the foot the sole must be pared through, over the seat of 

 trouble. Whenever suppuration has commencet), the process is to be 

 stimulated by the use of warm baths and poultices. The pus which ac- 

 cumulates in the deeper i^arts, especially along the tendons, around the 

 joints and in the hoof, is to be removed by pressure and injections, made 

 with a small syringe and repeated two or three times a day. As soon 

 as the discharge assumes a healthy character and diminishes in quan- 

 tity, stimulating solutions are to be injected into the open wounds. 

 Where the tendons, ligaments, and other deeper parts are affected, a 



