TOO 
WOUNDS AND INJURIES. 
skin is not excessively swollen, but at a later stage shows fungiform 
swellings, produced by deep-seated abscesses breaking through the fascia 
and becoming subcutaneous. As the cellulitis is frequently of a septic 
chaiacter, it may lead to extensive necrosis and fatal septicaemia, a 
lesult favoured by the impossibility of discharges escaping through the 
unyielding fascia. 
The treatment must be directed by general principles. Cold appli¬ 
cations aie useful in relieving severe pain; if merely bruised, the parts 
may be sunounded with cotton-wool, and kept continuously irrigated. 
Wounds, especially those reaching to the bone, are best treated by 
antiseptic measures. The periostitis may afterwards be dispersed by 
blisteis. Sequestra must be removed as soon as they appear to have 
separated. If only the skin is bruised or excoriated, the parts should 
be cleansed, and dusted with iodoform, amyloform, or boric acid, or 
smeared with lead or zinc ointment. 
The exuberant granulations produced by muscular hernias are removed 
with scissois, the cautery, or caustics. To prevent their return, it is 
often necessaiy to still further divide the fascia; sometimes a piece of 
it may be excised, and further strangulation thus prevented. Though 
a pressure dressing is difficult to apply at this point, benefit sometimes 
follows the use of a few strips of adhesive plaster. A piece of leather 
or strong linen is smeared with resin plaster (composed of two-thirds 
lesin and one-third wax), and applied over a pad of gauze covering both 
the. exuberant granulations and neighbouring parts. Absolute rest is 
indispensable. Subfascial cellulitis calls for early incision and disinfec¬ 
tion, and, if necessary, drainage. Deep-seated abscesses are to be opened 
as soon as diagnosed. Immediately the mushroom-like swellings appear 
they should be divided, and the pus allowed to escape. 
II.—FRACTURE OF THE TIBIA. 
In the horse, fractures of the tibia rank next in point of frequency 
to those of the pelvis. Of 1,082 fractures occurring during four years 
amongst army horses, 189 were in this bone. Such fracture is oftenest 
caused by kicks from horses in neighbouring stalls, the point struck 
being the anterior and internal face of the tibia, which lies directly 
undei the skin. In most cases the bone is at first only fissured, and the 
true fracture occurs later, during such acts as rising, lying down, or 
passing mine or faeces. It is seldom postponed more than a week or 
ten days from the date of original injury, though cases exist where 
fiactuie has not occurred until four or five weeks afterwards. In a case 
of Moller’s, fracture was delayed until a month after the injury, and in 
an army horse 127 days passed after the primary accident before the parts 
