310 VETERINARY SURGICAL THERAPEUTICS, 
peri-tendinous infiltration). The seat, dimensions, and condition of the 
levelling permit the recognition of the locality of the disease. All that is 
necessary is positive anatomical knowledge of the parts. 
The Zrognosis, always serious and often very much so, varies with the 
situation, extent, and serosity of the lesions. Sprains of the suspensory 
ligament or of the perforatus are less serious than those of the perforans 
or carpal band. With complete rupture of the suspensory, recovery may 
be sufficiently perfect to permit the animal to resume work. When the 
perforans and its band are simultaneously affected, the prognosis is very 
serious. Distension, with or without tearing of the metacarpo-phalangeal 
sheath, gets well almost always; the line of the tendons remains irregular, 
but the lameness disappears. If both tendons are affected at the same time, 
recovery is doubtful. Of course, the seriousness of the prognosis varies 
with the severity of the lesions and the thickness of the altered fibrous 
structure. Again, it has been observed that sprains of the tendon occur- 
ring suddenly are often incurable, while the lameness due toa slow, gradual 
and progressive inflammation of the tendons ordinarily disappears by proper 
treatment. The prognosis is evidently aggravated when there are bony, 
synovial or articular lesions already present, as well as by the complications 
they may bring on (synovitis, periostosis, knuckling). 
The new theories given upon the pathogeny of “nerf-férure”’ leave the 
prophylaxis doubtful and poor. For light legs, douches, massage and care- 
ful shoeing are recommended ; thick heeled shoes are only indicated for 
low heels. Long bracelets in glove-skin or flannel bandages are also ad- 
visable. We must bear in mind that high heeled shoes and high heels 
predispose to lesions of the suspensory, and that dry roads and speed are 
the worst enemies of tendons. 
The therapeutics of the disease includes numerous more or less active 
indications ; but their results are uncertain ; quite often, the disease resists, 
progresses and brings on complications. A first important indication, 
common to all cases, is to place the tendon in conditions which will insure 
it the most complete rest. To this end an appropriate shoe will be put 
on, and the animal turned loose in a box stall. To immobilize the cannon 
and the fetlock, plaster bandages have been recommended. If the in- 
flammatory symptoms are severe, it is generally preferable to treat them 
by cold water, white lotions, compresses and alum water frequently changed. 
Ableitner advises to begin the treatment by the application of compresses 
as cold as possible or by irrigation; if compresses are used, they are 
changed for the night, by an application of wet clay alone or mixed up 
with salt and vinegar. Some prefer cold baths, the patient being placed in 
Tunning water, three or four times a day, an hour at a time. Running 
