Angular Limb Deformities, Flexural Deformities Flashcards
Lateral deformity = ___
Medial deformity = ___
Valgus
Varus
T/F: Valgus deformity involves an outward rotation of the hoof.
F!
Causes of Angular Limb Deformities
1. 2. 3. 4. 5. 6.
- Periarticular laxity
- Incomplete ossification of carpal bones
- Hypothyroidism
- Limb conformation (overloading or physeal trauma/infection)
- Multifactural
- Twins
Best ways to diagnose a angular limb deformity?
1.
2.
3.
- Observation
- Limb manipulation
- Radiographs (long, narrow cassettes)
How to manually determine the extent of laxity in a joint?
Place one had medially, and one on fetlock. Put pressure on both.
Ideal radiographic view to examine foal carpus?
dorsopalmer
Why is a foal carpus more prone to angular limb deformities?
thick cartilage, round carpal bones
Regions most likely to have angular limb deformities in a foal:
1.
2.
3.
- Carpus
- Tarsus
- Metacarpo- or metatarsophalangeal
Two possible places a pivot point can be located:
1.
2.
- Growth plate
2. Joint space
Best way to find a pivot point?
Geometric analysis using cellulose acetate overlay
Steps of using Cellulose acetate overlay to find a pivot point:
1.
2.
3. ________ or ______
4.
- radiograph
- trace bone outlines
- bisect long bone axis OR place lines through joint space
- measure angle
Conservative Treatment options for angular limb deformities:
1.
2.
3.
- Stall rest
- Hoof trimming
- External support via splint or cast
Three options for surgical treatment of angular limb deformities:
1.
2.
3.
- Hemicircumferential periostal transection and elevation
- Growth retardation via screws + wires, or staples
- Corrective osteotomy
T/F: The idea behind Hemicircumferential periostal transection and elevation is growth retardation
F, it’s growth acceleration. You cut the periosteum to allow increased longitudinal growth
Growth retardation via screws + wires, or staples as tx for angular limb deformities:
Monitor for how long?
If successfull growth retardation, remove when?
- 2-3 weeks
2. 3-6 weeks later when it’s straightened out.
Corrective Ostectomy/osteotomy
two techniques:
1.
2.
- Closing wedge ostectomy
2. Step ostectomy in sagital OR frontal plane
T/F: Corrective osteoectomy is not an emergency surgery,
T
T/F: A closing wedge osteoectomy involves taking a cut in the sagittal plane and again on the other side to remove a wedge.
F, that’s a step osteoectomy