Sequels. - Either of the complications we have mentioned - as, for instance, Arthritis, Sand-crack, or Quittor - may persist and remain as sequels to the case. In addition to these, there may be left behind a cavity in the horn of the wall (see Fig. 109), or a loss of the horn-substance of the wall proper, as that depicted in Fig. 112, or described under the heading of False Quarter.

Fig. 112.   Hoof With A Cavity In The Substance Of The Wall Following Upon 'tread' To The Coronet

Fig. 112. - Hoof With A Cavity In The Substance Of The Wall Following Upon 'TREAD' To The Coronet.

The treatment of Arthritis, Sand-crack, Quittor, False Quarter, and Seedy-toe, will be found in the chapters devoted to their consideration.

2. Chronic.

Definition. - Coronitis in which, owing to the persistence of the cause, inflammatory phenomena continue, resulting in the growth of large fibrous tumours about the coronet.

Causes. - In many cases it is possible, of course, that abnormal large growths in this position may have an origin similar to that of neoplasms elsewhere - that is to say, an origin as yet undiscovered. There is no doubt, however, that the majority of the huge enlargements about the coronet have their starting-point in one or other of the diseases to which the foot is liable, in which the cause remains, and a low type of inflammation persists.

In chronic and neglected suppurating corn, in untreated quittor, and in long-standing complicated sand-crack, for instance, we have conditions in which pus and other septic matters find ready entrance into the sub-coronary tissues. Should either of these be neglected, or should the pus formation from the onset take on a slow but gradually spreading form (in other words, should either of these cases run a chronic rather than an acute course) then, with the persistence of the inflammatory phenomena so caused, is bound to result a steady and increasing growth of inflammatory fibrous connective tissue. This, as it grows, becomes in its turn penetrated by the ever-invading pus, and, under the stimulus thus caused, itself throws out new tissue. And so, constantly excited, the tumour-like mass tends to steady increase in size, until enlargements are formed which one may sometimes truly term enormous.

Symptoms. - The appearance of the growth is, of course, immediately evident. Usually these swellings are slow in forming, so that the size of the enlargement depends entirely upon its age. We may thus meet with growths of this description, varying in weight from 4 or 5 pounds to the almost incredible size of 33-1/2 pounds. In the majority of cases a discharging sore is to be found upon it - in some cases several. Explored, these sores reveal their true nature. Their lip-like openings, and the ready manner in which they may be searched by the probe, show them to be sinuses.

In a few cases, however, the outer surface of these tumours is intact. When this is the case, it is possible that the growth is a true fibroma - that is to say, a non-inflammatory new growth of fibrous connective tissue. On the other hand, it may have resulted from one or other of the causes we have enumerated, and its exact diagnosis have been impossible until operative measures had been proceeded with. In this case, small and encysted foci of inspissated pus scattered more or less throughout the growth indicate its true nature.

Pain as a rule is absent, and, unless the growth, on account of its size, interferes with progress, the animal walks perfectly sound. Here the patient may, without offending the dictates of humanity, be put to slow work.