Foundational Tendon and Ligament Injuries Flashcards

1
Q

what is the prevalence of SDF tendinopathy in racing thoroughbreds?

A

11-30%

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2
Q

what percentage of competitive horses become lame each year?

A

33%

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3
Q

what are the clinical signs of soft tissue trauma?

A

pain
heat
swelling

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4
Q

what percentage of tendon injuries in horses occur in the superficial digital flexor tendinopathy?

A

75-95%

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5
Q

how can superficial digital flexor tendinopathy be diagnosed?

A

clinical signs
careful palpation
ultrasonography

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6
Q

what is a big factor in tendon damage response?

A

imbalance of normal cellular activity, matrix formation, nerve and blood supply

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7
Q

how does immobilization help in the subacute phase?

A

decreases pain
prevents additional injury
hastens dissipation of inflammatory mediators

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8
Q

what is a surgical option for superficial digital flexor tendinopathy?

A

superior check ligament transection
palmar annular ligament desmotomy

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9
Q

how emergent are flexor tendon lacerations?

A

medical emergencies

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10
Q

what is a conservative treatment option for flexor tendon lacerations?

A

partial lacerations of the SDFT
wound care, bandaging, stall rest, antibiotics, NSAIDs

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11
Q

what makes up the peritenon (sheath)?

A

epitenon
paratenon

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12
Q

how can repetitive trauma to soft tissues be prevented?

A

only solution currently is do not do

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13
Q

what are the causes of pain in soft tissue repetitive trauma injuries?

A

matrix changes
vascular changes
tenocyte changes
biochemical changes
ion channel changes

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14
Q

what are the clinical signs of superficial digital flexor tendinopathy?

A

lameness- variable
tendon has curved profile
acutely warm and painful upon palpation

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15
Q

what is a big factor in tendon damage response?

A

imbalance of normal cellular activity, matrix formation, nerve and blood supply

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16
Q

why is vasoconstriction good in the sub-acute phase?

A

decreases enzymatic activity, reduces formation of inflammatory mediators, and slows down nerve conduction

17
Q

what are the positives of doing a superior check ligament transection for superficial digital flexor tendinopathy?

A

70% returned to racing
convalescent times shorter
longer racing careers

18
Q

how long is the convalescent period for superficial digital flexor tendinopathy?

A

one year

19
Q

are extensor tendon lacerations medical emergencies?

A

no

20
Q

are flexor tendon lacerations medical emergencies?

A

yes