ItEt»OM'S OF CASE8 
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ture leg is enlarged one and one-half inch, tapering upward. 
She stands square upon it and does not limp. We think she 
can be driven lightly in the spring, in livery. 
FRACTURE OF OS TRAPEZIUM OR PISIFORM BONE. 
By The Same. 
“As the trapezium is the lever bone of the carpal joint, its development and 
position are points of very great importance.”— Strangeway. 
Subject, a six-year-old, thirteen hundred pound gelding, 
property of S. Och & Co. On 9th of January, 1891, he ran 
off. He galloped down a steep road, leaped over a strong 
fence at bottom of road, falling, and leaving wagon on oppo¬ 
site side of the fence. Being assisted to his feet, he was found 
to be exceedingly lame in one fore limb. Was walked two 
miles to my hospital. He kept the knee joint constantly 
flexed and foot off the ground. He trembled for several days 
and seemed to suffer considerably from the*shock. Occasion¬ 
ally I gave him hypodermics of morphine. 
Upon examination 1 found trapezium fractured in several 
places, and, what is strange to me, no swelling occurred for 
at least three days. The articulation, I am sure, was not in¬ 
jured. Placed him in a box stall, and, upon demand of owner, 
put him in a sling. Anodyne liniment to knee. Let him out 
of sling in six days. He could lie down and get up handily. 
In about ten days he could stand full share of weight upon 
this leg, but showed considerable pain upon bringing loot 
to ground in walking, or upon some one flexing metacarpus. 
There was by this time some enlargement of a bony char¬ 
acter, which has remained. He gradually became better of 
his lameness, so that in about seven weeks they began using 
him, although he was considerably lame in trotting, but not at 
all in walking. 
Since six months after accident and to present time, he has 
not tumbled or limped in the least in trotting or walking. 
The results of fracture of the trapezium in this case are, you 
cannot bring the foot within six inches of radius, and affected 
knee is two inches larger in circumference than the opposite. 
