SEXTUPLE FRACTURE OF THE OSSA INNOM1NATA. 513 
of an occasional febrifuge, no treatment whatever was insti- 
tuted, and no constitutional disturbance of any moment was 
manifested throughout. On the 1st of March last, the whole 
batch of horses arrived at Julnah, a distance from Caera 
(where the accident occurred) of 444 miles and li furlong. 
I was then absent from my corps on division leave, but a few 
days afterwards returned to cantonment. 
I found the subject of this case very much emaciated, and 
there was a general atrophied condition of all the muscles of 
the hind quarters and extremities. The injuries sustained 
were evidently plural, complicated, and severe. The powers 
of progression were very limited. 
The action, if such a term could be correctly applied to 
the hopping gait of this animal, was exceedingly faulty, ab- 
normal, and grotesque. Having made a careful examination, 
my prognosis was decidedly unfavorable. I communicated the 
same to the commanding officer, and recommended that the 
animal should be destroyed. A committee was accordingly as- 
sembled, and the horse subsequently shot. The pelvis was then 
denuded, when thefollowing appearances presented themselves. 
There had been a transverse fracture of the left dorsum ilii. 
Fracture of the symphysis pubis. Two distinct fractures, 
one on either side of the symphysis, immediately anterior to 
the notch in the acetabulum, and including the anterior 
boundary of the obturator foramen. The tuberosity of the 
ischium, on the left side, was also fractured, and there was 
likewise a fracture of the body of the ischium on the same side, 
situated just posteriorly to the foramen ovale. These frac- 
tures had all been complete , but a vigorous formation of callus 
had succeeded, together with a superabundant exterior os- 
seous deposit. It will be apparent that one side of the 
innominata was entirely severed from the other. Had not 
such excessive interstitial deposition and tumefaction of the 
parts supervened, the result of such serious and complicated 
injuries must, I should imagine, have been similar to those 
recorded in your Journal for February last, by Mr. Western. 
Singular, however, to say, in the present instance, although 
this long march was almost immediately and continuously 
prosecuted after the accident, not the slightest injury ap- 
peared to have been inflicted upon the pelvic viscera. The 
near hind quarter, from all three bones being broken, was 
longer than the opposite one; a depression was also during 
lifetime observable of the left antero-superior iliac spine, and 
there was a peculiar transverse ridge upon the left dorsum 
ilii, from all of which I was led to diagnose that there had 
been fracture with displacement. 
XXIX. 
66 
