26.5.1: Forelimb lameness - anatomy Flashcards
What cardinal signs of disease mught you detect on palpation?
- Heat
- Pain
- Swelling (including synovial effusion)
The antebrachiocarpal joint is a high/low motion joint?
High motion joint
The carpometacarpal joint is high/low motion joint?
Low motion joint
The proximal interphalangeal joint is a high/low motion joint?
Low motion joint
Which ligament, present in the forelimb, is sometimes not present in the hindlimbs?
ALDDFT
Some horses do not have ALDDFT in hindlimbs; others do but it is hard to identify.
1
Common digital extensor
2
Lateral digital extensor
3
3rd interosseous / suspensory ligament
These names are interchangeable. Note to self - check label accurate.
4
Deep digital flexor tendon
5
Superficial digital flexor tendon
This is a transverse section from the level of the proximal metacarpus.
What is A?
SDFT
This is a transverse section from the level of the proximal metacarpus.
What is B?
DDFT
This is a transverse section from the level of the proximal metacarpus.
What is C?
ALDDFT
This is a transverse section from the level of the proximal metacarpus.
What is D?
Suspensory / interosseous ligament
This is a transverse section from the level of the proximal metacarpus.
What is E?
Metacarpal bone
This is an ultrasound image from the level of the proximal metacarpus.
What is A?
SDFT
This is an ultrasound image from the level of the proximal metacarpus.
What is B?
DDFT
This is an ultrasound image from the level of the proximal metacarpus.
What is C?
ALDDFT
This is an ultrasound image from the level of the proximal metacarpus.
What is D?
Interosseous / suspensory ligament
This is an ultrasound image from the level of the proximal metacarpus.
What is E?
Metacarpal bone
This is a transverse section from the level of the distal metacarpus.
What is A?
SDFT
This is a transverse section from the level of the distal metacarpus.
What is B?
DDFT
This is a transverse section from the level of the distal metacarpus.
What is C?
Interosseous / suspensory ligament
This is a transverse section from the level of the distal metacarpus.
What is D?
Metacarpal bone
This is a transverse section from the level of the distal metacarpus.
What tendon can’t we see here and why?
Can’t see the ALDDFT at this levels because it has by now merged with the DDFT
This is a transverse ultrasound image from the level of the distal metacarpus. What can you see that is abnormal?
- The SDFT (A) is slightly enlarged on one side and should normally be more symmetrical
- This image was taken from a racehorse with a SDFT injury
This is a transverse ultrasound image from the level of the distal metacarpus.
What is A?
SDFT
This is a transverse ultrasound image from the level of the distal metacarpus.
What is B?
DDFT
This is a transverse ultrasound image from the level of the distal metacarpus.
What is C?
Interosseous / suspensory ligament
1
SDFT
2
DDFT
3
ALDDFT
4
Interosseous / suspensory ligament
This is a transverse section from the level of the fetlock.
What is A?
SDFT
This is a transverse section from the level of the fetlock.
What is B?
DDFT
This is a transverse section from the level of the fetlock.
What is C?
Intersesamoidean ligament
This is a transverse section from the level of the fetlock.
What is D?
Proximal sesamoids
This is a transverse section from the level of the fetlock.
What is E?
Third metacarpal bone
This is a transverse ultrasound image from the level of the fetlock.
What is A?
SDFT
This is a transverse ultrasound image from the level of the fetlock.
What is B?
DDFT
This is a transverse ultrasound image from the level of the fetlock.
What is C?
Intersesamoidean ligament
This is a transverse ultrasound image from the level of the fetlock.
What is D?
Proximal sesamoids
This is a transverse section from the level of pastern region.
What is A?
SDFT
Note the ‘spaniel ear’ appearance at this level.
This is a transverse section from the level of pastern region.
What is B?
DDFT
It has a bi-lobed appearance at this level.
This is a transverse section from the level of pastern region.
What is C?
Middle sesamoidean ligament
This is a transverse section from the level of pastern region.
What is D?
Oblique sesamoidean ligament
This is a transverse ultrasound image from the level of the pastern.
What is A?
SDFT
This is a transverse ultrasound image from the level of the pastern.
What is B?
DDFT
This is a transverse ultrasound image from the level of the pastern.
What is C?
Middle sesamoidean ligament
This is a transverse ultrasound image from the level of the pastern.
What is D?
Oblique sesamoidean ligament
This is a longitudinal ultrasound image. What abnormality can you see here?
- The SDFT is slightly enlarged and reduced in echogenicity (darker than normal)
- This is from a racehorse with a SDFT injury
This is a longitudinal ultrasound image of the distal limb.
What is A?
SDFT
This is a longitudinal ultrasound image of the distal limb.
What is B?
DDFT
This is a longitudinal ultrasound image of the distal limb.
What is C?
ALDDFT
This is a longitudinal ultrasound image of the distal limb.
What is D?
Interosseous / suspensory ligament
Note the “messy” appearance; in other species this is a muscle with fat embedded within. This explains why it doesn’t appear very homogenous on ultrasound.