Foot pain Flashcards
Pedal bone fractures are common due to kicking and blunt trauma. How do they heal if left for conservative management?
Fibrous union
What type of pedal bone fracture can be treated with a PD neurectomy?
Non-healing wing fractures
Pedal osteitis is a vague term for radiographic changes in a horses pedal bone. What is it often associated with?
Foot imbalance
What is the treatment for pedal osteitis?
Correct foot imbalance
Reduce abnormal stresses through foot
Navicular bone fractures are uncommon and due to trauma. How are they treated?
Conservative - heal by fibrous union
difficult to surgically repair
What is the most important cause of chronic, bilateral forelimb lameness?
Navicular disease
Navicular disease is associated with what conformation? When is it worsened on clinical exam?
Low heel, long toe conformation
Exacerbated on hard surface and in circle - land toe first
What is the most important treatment for navicular disease?
Farriery - correct long toe, low heel
What is the medical treatment for navicular disease?
NSAIDs
Intra-articular/intrabursal medication
Biphosphonates - tiludronate
What is the surgical treatment for navicular disease?
Neurectomy
How do most DDFT lesions of the foot present - severity, length, uni/bilateral?
Vary from mild to severe
Acute onset
Unilateral lameness
DDFT lesions causing foot pain can be treated conservatively with shoeing and rest, or surgery. What is the surgical treatment?
Debridment of lesion
Via navicular bursa
How is synovitis, OA, or OC fragmentation of the DIP joint treated?
Intra-articular medication
NSAIDs
(Fragment removal)
How is joint trauma or subchondral bone pain of the DIPJ treated?
Rest
NSAIDs
How is collateral ligament desmitis of the DIPJ treated?
Rest
Farrier/shoeing
Shockwaves
Intra-articular medication
