Special Report on Diseases of the Horse Part 47

The joints of the legs are of especial importance, since any interference with their function very largely impairs the value of the animal for most purposes. As the joints of the foot and ankle are at the point of greatest concussion they are the ones most subject to injury and disease.

There are three of these joints--the fetlock, pastern, and coffin. They are made by the union of two or more bones, held together by ligaments of fibrous tissue, and are lubricated by a thick, viscid fluid, called synovia, which is secreted by a special membrane inclosing the joints.

The fetlock joint is made by the union of the lower end of the cannon and the upper end of the large pastern bones, supplemented by the two sesamoids, so placed behind the upper end of the pastern that the joint is capable of a very extensive motion. These bones are held together by ligaments, only one of which--the suspensory--demands special mention.

The suspensory ligament of the fetlock starts from the knee, extends down behind the cannon, lying behind the two splint bones, until near the fetlock, where it divides and sends a branch on each side of the joint, downward and forward, to become attached on the sides of the extensor tendon at the lower end of the pastern bone. As it crosses the sesamoids, on the posterior borders of the fetlock, it throws out fibers which hold it fast to these bones. (Plate x.x.xIV, fig. 2.)

The pastern joint is made by the union of the two pastern bones.

The coffin joint is made by the union of the small pastern, coffin, and small sesamoid, or navicular bones, the latter being set behind and beneath the joint surface of the coffin bone in such way as to receive largely the weight of the small pastern.

Three tendons serve to move the bones of the foot one on another. Two of these flex, or bend, the joints, while the other extends, or straightens, the column of bones. (Plate x.x.xIII, fig. 5.)

The flexor pedis perforans, or deep flexor of the foot, pa.s.ses down behind the cannon bone, lying against the suspensory ligament in front, crosses the fetlock joint in the groove made by the union of the two sesamoids, and is attached to the bottom on the coffin bone, after covering the navicular, by a wide expansion of its fibers. It is the function of this tendon to flex the coffin bone and, with it, the h.o.r.n.y box.

The flexor pedis perforatus, or superficial flexor of the foot, follows the course of the preceding tendon and is attached to the middle of the ankle. The function of this tendon is to flex the foot at the fetlock.

The extensor pedis runs down in front of the leg, is attached on the most prominent point of the coffin bone, and has for function the straightening of the bones of the ankle and foot.

The bones, ligaments, and tendons are covered by a loose connective tissue, which gives a symmetry to the parts by filling up and rounding off, and all are protected by the skin and hoof.

The skin of the fetlock and ankle is generally characterized by its thickness and the length of its hairs, especially around the hind parts of the fetlock joint in certain breeds of horses. The most important part of this envelope is that known as the coronary band.

The coronary band is that portion of the skin which secretes the horn of which the wall of the hoof is made. This horn much resembles the nail which grows on the fingers and toes of man. It is composed of cylindrical tubes, which are held together by a tenacious, opaque matter. The horn extends from the coronary band to the lower border of the hoof. (Plate x.x.xII, fig. 1.)

The hoof is a box of horn, consisting of a wall, sole, and frog, and contains, besides the coffin, navicular, and part of the small pastern bones, the sensitive laminae, plantar cushion, and the lateral cartilages. (Plate x.x.xIII, fig. 4.)

The sole of the foot incloses the box on the ground surface, is shaped like the circ.u.mference of the foot, except that a V-shaped opening is left behind for the reception of the frog, and is concave on the lower surface. The sole is produced by the velvety tissue, a thin membrane covering the plantar cushion and other soft tissues beneath the coffin bone. The horn of the sole differs from the horn of the wall in that its tubes are not straight and from the fact that it scales off in pieces over the whole surface.

The frog is a triangular-shaped body, divided into two equal parts by a deep fissure, extending from its apex in front to the base. It fills the triangular s.p.a.ce in the sole, to which it is intimately attached by its borders. The horn of the frog is produced in the same manner as the sole; but it differs from both the wall and sole in that the horn is soft, moist, and elastic to a remarkable degree. It is the function of the frog to destroy shock and to prevent slipping.

The sensitive laminae are thin plates of soft tissue covering the entire anterior surface of the coffin bone. They are present in great numbers, and by fitting into corresponding grooves on the inner surface of the horn of the wall the union of the soft and h.o.r.n.y tissues is made complete. (Plate x.x.xII, fig. 1.)

The plantar cushion is a thick pad of fibrous tissue placed behind and under the navicular and coffin bones and resting on the sole and frog, for the purpose of receiving the downward pressure of the column of bones and to destroy shock. (Plate x.x.xII, fig. 4.)

The lateral cartilages are attached, one on each side, to the wings of the coffin bone by their inferior borders. They are thin plates of fibro-cartilage, and their function is to a.s.sist the frog and adjacent structures to regain their proper position after having been displaced by the weight of the body while the foot rested on the ground. (Plate x.x.xII, fig. 2.)

FAULTS OF CONFORMATION.

A large percentage of horses have feet which are not perfect in conformation, and as a consequence they are especially predisposed to certain injuries and diseases.

_Flatfoot_ is that condition in which the sole has little or no convexity. It is a peculiarity common to some breeds, especially heavy, lymphatic animals raised on low, marshy soils. It is confined to the fore feet, which are generally broad, low-heeled, and with a wall less upright than is seen in the perfect foot.

In flatfoot there can be little or no elasticity in the sole, for the reason that it has no arch, and the weight of the animal is received on he entire plantar surface, as it rests upon the ground instead of on the wall. For these reasons such feet are particularly liable to bruises of the sole, corns, pumiced sole, and excessive suppuration when the process is once established. Horses with flatfoot should be shod with a shoe having a wide web, pressing on the wall only, while the heels and frog are never to be pared. Flatfoot generally has weak walls, and as a consequence the nails of the shoe are readily loosened and the shoe cast.

_Clubfoot_ is a term applied to such feet as have the walls set nearly perpendicular. When this condition is present the heels are high, the fetlock joint is thrown forward, or knuckles, and the weight of the animal is received on the toes. Many mules are clubfooted, especially behind, where it seems to cause little or no inconvenience. Severe cases of clubfoot may be cured by cutting the tendons, but as a rule special shoeing is the only measure of relief that can be adopted. The toe should not be pared, but the heels are to be lowered as much as possible and a shoe put on with a long, projecting toe piece, slightly turned up, while the heels of the shoe are to be made thin.

_Crookedfoot_ is that condition in which one side of the wall is higher than the other. If the inside wall is the higher, the ankle is thrown outward, so that the fetlock joints are abnormally wide apart and the toes close together. Animals with this deformity are "pigeon-toed," and are p.r.o.ne to interfere, the inside toe striking the opposite fetlock. If but one foot is affected, the liability to interfere is still greater, for the reason that the fetlock of the perfect leg is nearer the center plane.

When the outside heel is the higher the ankle is thrown in and the toe turns out. Horses with such feet interfere with the heel. If but one foot is so affected, the liability to interfere is less than when both feet are affected, for the reason that the ankle of the perfect leg is not so near to the center plane. Such animals are especially liable to stumbling and to lameness from injury to the ligaments of the fetlock joints. This deformity is to be overcome by such shoeing as will equalize the disparity in length of walls, and by proper boots to protect the fetlocks from interfering.

INTERFERING.

An animal is said to interfere when one foot strikes the opposite leg, as it pa.s.ses by, during locomotion. The inner surface of the fetlock joint is the part most subject to this injury, although, under certain conditions, it may happen to any part of the ankle. It is seen more often in the hind than in the fore legs. Interfering causes a bruise of the skin and deeper tissues, generally accompanied with an abrasion of the surface. It may cause lameness, dangerous tripping, and thickening of the injured parts. (See also p. 387.)

_Causes._--Faulty conformation is the most prolific cause of interfering. When the bones of the leg are so united that the toe of the foot turns in (pigeon-toed), or when the fetlock joints are close together and the toe turns out, when the leg is so deformed that the whole foot and ankle turn either in or out, interfering is almost sure to follow. It may happen, also, when the feet grow too long, from defective shoeing, rough or slippery roads, from the exhaustion of labor or sickness, swelling of the leg, high knee action, fast work, and because the chest or hips are too narrow.

_Symptoms._--Generally, the evidences of interfering are easily detected, for the parts are tender, swollen, and the skin broken. But very often, especially in trotters, the flat surface of the hoof strikes the fetlock without evident injury, and attention is directed to these parts only by the occasional tripping and unsteady gait. In such cases proof of the cause may be had by walking and trotting the animal, after first painting the inside toe and quarter of the suspected foot with a thin coating of chalk, charcoal, mud, or paint.

_Treatment._--When the trouble is due to deformity or faulty conformation it may not be possible to overcome the defect.

In such cases, and as well in those due to exhaustion or fatigue, the fetlock or ankle boot must be used. In many instances interfering may be prevented by proper shoeing. The outside heel and quarter of the foot on the injured leg should be lowered sufficiently to change the relative position of the fetlock joint by bringing it farther away from the center plane of the body, thereby permitting the other foot to pa.s.s by without striking.

A very slight change is often sufficient to effect this result. At the same time the offending foot should be so shod that the shoe may set well under the hoof at the point responsible for the injury. The shoe should be reset every three or four weeks.

When the cause has been removed, cold-water bandages to the injured parts will soon remove the soreness and swelling, especially in recent cases. If, however, the fetlock has become calloused from long-continued bruising, a Spanish-fly blister over the parts, repeated in two or three weeks if necessary, will aid in reducing the leg to its natural condition.

KNUCKLING, OR c.o.c.kED ANKLES.

Knuckling is a partial dislocation of the fetlock joint, in which the relative position of the pastern bone to the cannon and coronet bones is changed, the pastern becoming more nearly perpendicular, with the lower end of the cannon bone resting behind the center line of the large pastern, while the lower end of this bone rests behind the center line of the coronet. While knuckling is not always an unsoundness, it nevertheless predisposes to stumbling and to fracture of the pastern.

_Causes._--Young foals are quite subject to this condition, but in the great majority of cases it is only temporary. It is largely due to the fact that before birth the legs were flexed, and time is required after birth for the ligaments, tendons, and muscles to adapt themselves to the function of sustaining the weight of the body.

As they grow old, horses with erect pasterns are very p.r.o.ne to knuckle, especially in the hind legs. All kinds of heavy work, particularly in hilly districts, and fast work on hard race tracks or roads are exciting causes of knuckling. It is also commonly seen as an accompaniment of that faulty conformation called clubfoot, in which the toe of the wall is perpendicular and short, and the heels high--a condition most often seen in the mule, especially in the hind feet.

[Ill.u.s.tration: PLATE x.x.xII.

ANATOMY OF FOOT.]

[Ill.u.s.tration: PLATE x.x.xIII.

ANATOMY OF FOOT.]

[Ill.u.s.tration: PLATE x.x.xIV.

ANATOMY AND DISEASES OF THE FOOT.]

[Ill.u.s.tration: PLATE x.x.xV.

SOUND AND CONTRACTED FEET.]

Lastly, knuckling is produced by disease of the suspensory ligament or of the flexor tendons, whereby they are shortened, and by disease of the fetlock joints. (See p. 372.)

_Treatment._--In young foals no treatment is necessary, unless there is some deformity present, since the legs straighten up without interference in the course of a few weeks. When knuckling has commenced, the indications are to relieve the tendons and ligaments by proper shoeing. The foot is to be prepared for the shoe by shortening the toe as much as possible, leaving the heels high; or if the foot is prepared in the usual way the shoe should be thin in front, with thick heels or high calks. For the hind feet a long-heeled shoe with calks seems to do best. Of course, when possible, the causes of knuckling are to be removed; since this can not always be done, however, the time may come when the patient can no longer perform any service, particularly in those cases in which both fore legs are affected, and it becomes necessary either to destroy the animal or obtain relief by surgical interference. In such cases the tendons between the fetlock and knee may be divided for the purpose of obtaining temporary relief. Firing and blistering the parts responsible for the knuckling may, in some instances, effect a cure; but a consideration of these measures belongs properly to the treatment of the disease in which knuckling appears simply as a sequel.