. Fig. 106.—'Curette,' or Volkmann's Spoon. before backwards, and pulled on by the assistant, so as to expose the plantar aponeurosis. Should this be found at all necrotic, it may be taken that purulent inflammation of the navicular bursa and of the navicular bone itself exists. The operator must then pro- ceed to resection of the tendon in order to treat the deeper structures thus affected. At its point of insertion into the semilunar crest the tendon is severed and afterwards re- flected. This exposes the inferior face of the navicular bone. Instead of the glistening and clear appearance it
. Fig. 106.—'Curette,' or Volkmann's Spoon. before backwards, and pulled on by the assistant, so as to expose the plantar aponeurosis. Should this be found at all necrotic, it may be taken that purulent inflammation of the navicular bursa and of the navicular bone itself exists. The operator must then pro- ceed to resection of the tendon in order to treat the deeper structures thus affected. At its point of insertion into the semilunar crest the tendon is severed and afterwards re- flected. This exposes the inferior face of the navicular bone. Instead of the glistening and clear appearance it ordinarily presents, its glenoid cartilage is found to be showing hemorrhagic or even purulent spots of necrosis. The terminal portion of the tendon must then be excised. To effect this a clean transverse incision is made at the extreme upper border of the navicular bone. Here we are in close contact with the pedal articulation, and great care
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Keywords: ., bookcentury1900, bookdecade1900, booksubjecthorses, bookyear1906
