Hindlimb lameness

Question 1

what are we looking for with distant exam when investigating lameness

Answer 1

standing square
both sides
conformation
asymmetry
muscle wastage
swelling

Question 2

What is perineural block

Answer 2

need to work sequentially from distal to proximal
Each block adds additional areas of desensitization to the previous one

Question 3

what is intra-synovial blocks

Answer 3

much more specific to the structure injected
Can return to block more distal structures

Question 4

List 4 ways to restrain horse when placing nerve blocks in hindlimb of horse

Answer 4

Capable handler
Nose twitch?
Chemical restraint
Lift ipsilateral forelimb limb

Question 5

should we clip for joint injections?

Answer 5

Evidence would suggest that we should only clip if it makes palpation of landmarks easier
Clipping unnecessarily may increase skin contamination

Question 6

where is the most likely sites of forelimb lameness

Answer 6

Vast majority of forelimb lameness is localised to the distal limb- within the hoof

Question 7

Where is the most likely sites of hindlimb lameness

Answer 7

Vast majority of hindlimb lameness is localised outside of the distal limb (fetlock region, tarsal region, stifle)

Question 8

If we see Acute lameness, positive to proximal limb flexion (unilateral), effusion of the medial femorotibial joint
Where do we start investigations

Answer 8

Blocking the stifle

Question 9

If we see:
Chronic bilateral lameness in a sports horse, mild-moderate positive to proximal flexion
Where do we start investigations

Answer 9

Tarsal region – small tarsal joints or proximal suspensory ligaments

Question 10

If we see:
Acute unilateral lameness in a native pony with marked digital flexor tendon sheath effusion
Where do we start investigations

Answer 10

DFTS

Question 11

What does a DBLPN ( Deep branch of the lateral plantar nerve block) do

Answer 11

A fairly specific block for the proximal suspensory ligament