Equine Limb blocks

Question 1

Palmar digital block

Blocks:

Answer 1

• Anesthetizes the palmar/plantar digital nerves innervating the palmar/plantar ( heel) aspect of the foot
• so not the whole foot ( just the caudal heel )

Question 2

Abaxial sesamoidean block

Blocks:

Answer 2

• Blocks: Pastern and entire foot

Question 3

Fetlock ( low Palmar ) block

Blocks:

Answer 3

• Blocks: fetlock joint and below ( blocks medial and lateral palmar nerves, medial and lateral palmar metacarpal nerves, cutaneous sensation )

Question 4

Metacarpal ( High 4 pt ) block

Blocks:

Answer 4

metacarpal region….. EXCEPT FOR: the origin of the suspensory ligament, inferior check ligament of DDF and the proximal splints and cannon

Question 5

Metacarpal ( High 4 pt ) block

Injection site:

Answer 5

Palmar - on the sides of the flexor tenons

MC - in the junction between the cannon bone and splints

Question 6

Fetlock ( low Palmar ) block

Injection site:

Answer 6

• injection site: 4 inches above the fetlock, under the buttons of the splints

Question 7

Fetlock ( low Palmar ) block

Uses:

Answer 7

• uses: fetlock joint, collateral ligament strain, sesamoiditis, proximal sesamoid fracture, p1 fx, condylar fx (MC3 - cannon bone)

Question 8

Abaxial sesamoidean block

Injection site:

Answer 8

• Injection site: abaxial sides at distal end of proximal sesamoids

Question 9

Abaxial sesamoidean block

Uses:

Answer 9

• Uses: pastern joint ( synovitis, DJD), Pastern area lesion, coffin joint lesion, toe of foot lesion, heel lesion

Question 10

Palmar digital block

Injection site:

Answer 10

• injection site - level of the pastern joint (btwn P1 + P2) , above the ungual cartilage

Question 11

Palmar digital block

Uses:

Answer 11

• Uses: shoeing, sole bruising, thrush- infection of the central and lateral sulcus of the frog, navicular disease/ fx, palmar fracture (p3), coffin joint problems