35 research outputs found

    Osteochondral fragments in the metacarpo- and metatarsophalangeal joint and their clinical importance

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    The radiographic evaluation of the fetlock joint as part of a lameness or prepurchase examination often reveals osteochondral fragmentation. These fragments can either be causing lameness or have no clinical importance at the time of examination. However, they can cause lameness at a later stage. An appropriate analysis of the situation requires a correct assessment of the fragment type and an up-to-date knowledge of their possible clinical importance. In this overview, the most common types of fetlock fragments, such as dorsoproximal first phalanx (PI) and proximal synovial pad fragments, as well as fragmentation on the proximal palmar/plantar border of PI and of the sesamoid bones are discussed. A few cases of uncommon large fragmentation on the abaxial borders of P1 are included. Fetlock fractures, obviously causing lameness, such as dorsofrontal fractures of the proximal phalanx, distal metacarpal/metatarsal and sesamoid bone fractures, are not dealt with in this review

    Radiographic features of the dorsal condylar sagittal ridge of the third metacarpal and metatarsal bones in young Warmblood stallions

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    Objectives: To describe the radiographic appearance of the dorsoproximal aspect of the sagittal ridge of the third metacarpal/metatarsal bone in Warmblood horses. Methods: The lateromedial radiographic projections of the metacarpo-/metatarsophalangeal joints performed on horses as a part of stallion selection were used. The dorsal aspect of the distal third metacarpal/metatarsal bone was divided in two areas. The appearance of the bone surface in area I was classified as normal, irregular, notch, indentation and lucency. For area II, the categories were normal, irregular, depression or lucency and flattening of the sagittal ridge. Other abnormalities at the dorsal aspect were also noted. Results: In area I, 51.5% of the ridges appeared normal, 19.3% were irregular, 8.9% had a notch, 8.1% had a lucency, and 12.2% had an indentation. In 1.2% of the horses a fragment was present, and in 1.7% a fragment was suspected. In area II, 90.6% of the metacarpo-/metatarsophalangeal joints were normal, 6.2% were irregular, 2.9% showed a depression or lucency, and the sagittal ridge in 0.2% was flattened. A fragment was present in 0.3%, and suspected in 0.4%. Clinical significance: Morphological variation is present at the dorsal aspect of the metacarpo-/metatarsophalangeal joint in young Warmblood stallions. These various aspects should be recognised and described in horses presented for prepurchase examination. However, their clinical relevance in the individual horse is unclear and needs further investigation

    Acute instability of the nuchal ligament following cervical neuromuscular dysfunction in a dressage horse

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    A ten-year-old Warmblood dressage gelding was presented with acute instability of the nuchal ligament after paddock turnout. Based on the clinical signs, orthopedic and neurologic examination, diagnostic imaging and electromyography, cervical neuromuscular dysfunction of the M. obliquus capitis caudalis on the right side of the neck was diagnosed. Conservative treat-ment including steroidal anti-inflammatory medication in combination with oral supplementation with vitamin B1 and box rest resulted in complete recovery of the horse within six months
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