Lame - equine chronic foot problems Flashcards
What has allowed better diagnosis of chronic lameness cases in horses?
MRI
What are the main causes of chronic lameness?
Soft tissue lesions
Osteoarthritis
Navicular syndrome
Chronic infections - thrush, canker, quittor
Keratoma
What do soft tissue injuries in the foot tend to be in horses?
Strains and sprains to ligaments and tendons
What tendons and ligaments can be strained in equine feet?
Collateral ligaments of DIP joint
Distal DDFT
Impar ligament of navicular bone
Where abouts are enthesiophytes seen in horse feet with osteoarthritis?
At the joint capsule insertion of DIP joint - mid distal P2
Where abouts are osteophytes seen in horse feet with osteoarthritis of DIP joint?
At the pericartilagenous tissues - on P3 and navicular bone
What type of horses get osteoarthritis of PIP (pastern) joint?
Heavy horses
How do you treat subchondral bone cysts in equine hoof?
Trans lesional screw from dorsal aspect
What type of nerve block will navicular syndrome have a good positive response to?
Palmar digital nerve block
What does navicular bone syndrome look like on radiograph?
Lucent lesion in the flexor cortex or medulla of the bone
Change in thickness or opacity of flexor cortex
How do you treat navicular disease?
Egg bar shoe with heel cushioning
NSAIDs
Bisphosphonates
Surgery
What are the surgical treatments for navicular disease?
Navicular suspensory desmotomy - cut ligament
Palmar digital neurectomy - de-nerve the foot
What does the owner need to do for horses that have had palmar digital neurectomy surgery?
Palpate digital pulses daily - wont get lame from abcesses etc.
What is a keratoma?
A benign tumour with space occupying lesion effect
Tubular running from white line to coronary band
What can keratomas increase the chance of developing?
Recurrent abcesses - white line is damaged allowing bacteria in