Chapter 100 - Tibia Flashcards
What are the osseous structures of the gaskin region in horses?
A. Tibia and Fibula
B. Femur and Patella
C. Radius and Ulna
D. Humerus and Scapula
A. Tibia and Fibula
What is the primary role of the tibia in horses?
Transfers weight from the femur to the talus
What is the shape of the proximal articular surface of the tibia?
Triangular
What does the tibial tuberosity receive in horses?
The three patellar ligaments
What is the function of the fibula in horses?
Rudimentary and variable in shape
Which artery is located on the cranial lateral aspect of the tibia?
Cranial tibial artery
What is the recommended rest period for racehorses with enostosis-like lesions?
A. 6 weeks
B. 8 weeks
C. 10 week
sD. 12 weeks
D. 12 weeks
what caractherizes enostosis like lesions in tibia?
focal or multifocal sclerotic lesions within the medullary cavity of long bones
Enostosis can appear where beside the tibia?
radius and humerus
enostosis gives lameness which severity is associated with
intensity of radiopharmaceutical uptake.
Where is the focal or multifocal sclerotic lesion found?
Medullary cavity of long bones
also diagnosed in the radius and humerus
what is the treatment for enostosis like lesions?
Treatment is conservative with an average rest period of 12 weeks for
racehorses and 8 weeks for Warmbloods in the study cited
above
What is the treatment approach for tibial stress fractures in horses?
Stall rest and gradual return to exercise
tibial stress fractures is common in which breed?
THO
Figure 100-2. A craniolateral-caudomedial oblique radiographic view of a tibia with a midtibial stress fracture. The stress fracture can actually be seen in this horse (arrow), which is unusual because callus normally obscures the fracture.
Figure 100-1. A craniolateral–caudomedial oblique radiographic view of the tibia showing the periosteal and endosteal callus (arrow) that accompanies a caudolateral tibial stress fracture.
Figure 100-3. A craniolateral–caudomedial oblique radiographic view of the proximal tibia, which shows a chronic stress fracture of the proximal caudal tibia with associated callus (arrow).
Figure 100-7. (A) A caudocranial intraoperative fluoroscopic view of a proximal tibial physeal fracture repaired with a four-hole T-plate. This fracture was more severe than a routine proximal tibial physeal fracture and required a more involved fixation. The metaphyseal component is comminuted and extends more than half the width of the bone. In addition, there is only one screw that is anchored in healthy bone distal to the comminuted fracture. This fracture probably required two implants and more distal fixation to resist the biomechanical instability the comminution created. (B) The caudocranial follow-up radiograph taken the next day because the foal was non–weight bearing on the limb. A catastrophic bone failure occurred during the night. The fracture initiated at the distal end of the original fracture and spiraled distally, leading to catastrophic failure of the bone. The owner did not want to proceed with treatment and the foal was humanely destroyed.
Should you give NSAIDS in the treatment along with walks and paddock in tibial stress fractures?
stall rest with hand walkings allowed until the horse can trot sound in hand.
Then it’s safe to allow paddock exercise.
The use of** anti-inflammatory medication greatly increases the chances of complete fracture **and should be avoided
The healing time for stress tibial fractures is:
A. 4 months
B. 2 months
C. 6 months
D. 3 months
B. 2 months
What is the prognosis of stress fissure of the tibia in young THO?
Good