382 The Management and Diseases of the Dog. 



joint. Reduction is effected by drawing the leg forward, 

 and then with the fingers forcing the patella back into its 

 place. In the case named, after reduction I fixed on an 

 outside splint, and bound the joint round with a pitch 

 bandage. The case did well, and no return of the luxation 

 though three years have since elapsed, has taken place 

 whereas previously it was continually out of position. 



Mr. James Rowe, of I.ondon, reports dislocations of the 

 patella as not unfrequent in his practice, and tells me he 

 has successfully treated them in a similar manner to that 

 adopted by me. One case occurred in a cat. 



Dislocation of the Hock. — The same remarks made with 

 reference to the knee will apply here. 



Dislocation of the Toes. — This accident is sometimes met 

 with, and is generally occasioned by leaping or tumbling 

 from heights. Reduction is easily effected by extension, 

 and the subsequent maintenance of the parts in their 

 proper position by bandaging the whole fobt, and, if need 

 be, small splints on either side and in front of the affected 

 toe. 



Dislocation, having once taken place, is exceedingly 

 liable to recur. For this reason, excitement and un- 

 necessary movements should be strictly avoided. The 

 after-treatment consists in observing much the same rules 

 as those laid down in fracture. The patient should be 

 kept quiet. If inflammatory symptoms, with excessive 

 swelling round the affected joint, ensue, warm fomentations 

 or a bran poultice may be applied, and a dose of aperient 

 medicine administered, and if the local inflammatory action 

 is extreme, leeches may be used. Such symptoms, how- 

 ever, rarely occur, except in protracted and aggravated 

 reduction. 



Dislocations should always be reduced under chloroform, 

 both for humanity's sake, and the greater ease with which 

 during anaesthesia, it can be accomplished. 



