CASES OF QU1TTOR. 
189 
medicine progress in the “ right way.” Assuredly, each of us, 
particularly we who are in full practice, must occasionally meet 
with cases which, if not of rare occurrence, are, nevertheless, highly 
instructive to us individually, and ought therefore to be rendered, 
as being so to the profession at large. The case of ruptured vein 
may probably be regarded by some of your readers as a case per se , 
there being no similar case on record that I am aware of ; and that 
is the reason why I relate it. With those, however, who would consider 
it a novelty I must respectfully beg to differ, being aware of a simi- 
lar case occurring in Mr. Lepper’s practice a short time since ; and 
believing that the cases of “ Rupture of the Spur Vein” which we 
have heard of, were, in reality, precisely the same as the case I am 
going to report. I think the anatomy and physiology of the parts, 
long since demonstrated by Mr. Mayhew, fully warrant me in giv- 
ing this opinion. I shall have great pleasure in transmitting other 
cases for your next Number*, and shall continue to contribute all 
cases worthy of interest in future, and trust my brother-practition- 
ers will do the same. In haste, 
I remain, dear Sir, 
Truly yours. 
Case I.— Quittor cured by Dilatation. 
February ‘llth, 1847. — I was requested to see an aged brown 
mare, the property of Mr. Jackson, contractor on the Dunstable 
railway. The animal, for a considerable time, had been lame in her 
near fore limb, but the affection had materially increased the last 
two months, during which time she had been under the care of a 
shoeing smith. She is now found to be incapable of continuing 
her work, which has been that of drawing heavy loads along the 
railway, where she had to step over wooden sleepers rising eight 
inches above the ground surface. I learned from the driver that 
she had frequently bruised the coronet of the lame limb against the 
sleepers, and also with the opposite foot. The lateral cartilages 
are found to be in a great measure ossified, the inner one forming 
a large bony tumour. On the coronet, in a line with the middle 
of the quarter, is a deep ill-conditioned ulcer, the size of a shilling, 
from which flows a thin, foetid, and dark-coloured discharge : a 
probe is readily passed along a sinus extending from the ulcer in 
a direction downwards and forwards to the extent of three inches. 
I was informed that the smith had “ cored” the sinus and used 
several kinds of dressings. 
Treatment . — The ground surface of the inside quarter was 
* The late arrival of this paper forced us to publish our March number 
without it. — E d Yet. 
