Misc Equine Orthopedics Flashcards
How is P3 affected by laminits?
Rotates w/inflammation and degeneration of lamina
What are factors that predispose to laminitis?
Systemic disease, high carb diet, excessive weight bearing, steroids
How do you dx laminitis?
Palmar digital block, change in angulation on P3 rads
How do you treat laminitis?
Phenoxybenzamine
What is the MoA of phenoxybenzamine?
Alpha antagonist promotine vasodilation and blood flow to the digit
Inflammation of the growth plates of long bones in young horses
Physitis
What can physitis cause?
Conformational defects, malnutrition, growth plate compression
Tearing of ligamentous attachments to the sesamoids
Sesamoiditis
What causes sesamoiditis?
Strenuous exercise
What will you see on radiographs of sesamoiditis?
New bone formation, radiolucent lines
How do you treat sesamoiditis?
Long-term rest and NSAIDs
What is the prognosis of sesamoiditis?
Guarded to poor
What fracture is suspensory ligament desmitis assoc. w/?
Apical fracture of prox sesamoid bone
How long does it take a suspensory ligament desmitis to heal?
7-9mo
What % of horses with suspensory lig desmitis return to normal use?
55%
What is splints?
Intraosseous desmitis
Inflammation of intraosseous lig between MC3/MT3 and splint bones
Splints (intraosseous desmitits)
What causes intraosseous desmitits (splints)?
Repetitive concussion, excessive training, improper shoeing
How do you treat intraosseous desmitits (splints)?
Rest and NSAIDs
In which bone is a carpal chip fracture located?
Radius
In which bone is a carpal slab fracture located?
3rd metacarpal
How do you treat a carpal (chip or slab) fracture?
Arthroscopic repair
Immediate swelling and severe lameness are clinical signs of what?
Carpal fracture
Usually a non-reconstructable comminuted fracture that carries a grave prognosis for return to function
Tibial fracture
Why are tibial fractures usually so bad for horses?
Lack of soft tissue coverage, highly susceptible to infection
What is a prognostic indicator for a P3 fracture?
As long as articular surface is not involved, px is good
How do you repair a non-comminuted P1 fracture?
Lag screws
How do you treat an ulnar fracture?
Bone plates
What is the prognosis for an ulnar fracture?
Good, 70% return to function
Defect in endochondral ossification that leads to a cartilage flap
Osteochondrosis
What is osteochondrosis assoc. w/in young horses?
Dietary Ca and Vit D
When are horses most commonly diagnosed with osteochondrosis?
When young horses start to train
What is a carpal hygroma?
Fluid filled swelling at the carpus
What causes navicular syndrome?
Problems w/navicular bone, navicular suspensory lig, navicular bursa, or DDFT
Which nerve block provides relief for navicular syndrome?
Palmar digital
What will you see on rads of navicular syndrome?
Bone remodeling, osteophytes
Why won’t you see osteolysis on rads of navicular syndrome?
Not chronic degenerative condition
What causes a carpal hygroma?
Repeated trauma leading to local bursitis
What are clinical signs of a carpal hygroma?
Decr. ROM but NOT lame
What is quittor?
Chronic infection of P3 cartilage
How do you treat a subsolar abscess?
Disinfectants, drainage
How soon will you see draining lesions at the coronary band assoc. w/a subsolar abscess if you leave it untreated?
2-3wk
What causes club foot?
DDFT contracture
What controls the stretch of the long tendon of the DDF?
Distal check ligament
What can cause club foot?
Rapid bone growth, excessive feeding, poor nutrition, lack of exercise
How do you treat club foot?
Distal check desmotomy for DDF contracture
Prox check dsmotomy for SDF contracture
What will tendonitis lead to?
Bowed tendon
What is a clinical sign of tendonitis?
Intermittent lameness that resolved after working the horse
How long does it take for a tendon to heal?
8-11mo
How can you dx tendonitis w/ultrasound?
Anechoic regions within the tendon
What is the most commonly injured tendon in a horse?
SDFT
What is curb?
Thickening of the tarsal ligament d/t strain
What is sweeny?
Supraspinatus contracture
What is stringhalt?
Myoclonic dz of one or both pelvic limbs
What poisoning causes stringhalt?
Sweet pea
What are clinical signs of stringhalt?
Hyperflexion of leg with each step
How do you treat stringhalt?
Lateral digital extensor tenectomy
What is bone spavin?
OA of the hock
What is bog spavin?
Tarsal hydrarthrosis
Chronic synovitis of tibiotarsal joint w/distention of the joint capsule d/t incr. synovial fluid production
Bog spavin
What causes bog spavin?
Poor conformation (usually affects both limbs)
What is ringbone?
OA of phalanges
How do you treat ringbone?
Sx arthrodesis of pastern joint, complete rest
If a horse can extend its hock and flex its stifle simultaneously, what is the problem?
Peroneus tertius rupture
Inflammation of the structures of the feet assoc. w/demineralization of P3
Pedal osteitis
This disease is seen in performance horses and is assoc. w/working on hard surfaces
Pedal osteitis
How do you treat pedal osteitis?
Prolonged rest, NSAIDs, corrective shoeing
Which horses are most predisposed to angular limb deformities?
Premature foals (born prior to 320d gestation)
How can you tell if a foal is premature on rads?
Incomplete ossification of carpal/tarsal bones
What is valgus?
Lateral deviation
What is varus?
Medial deviation
How do you treat an angular limb deformity?
Periosteal stripping of concave side of growth plate
What are clinical signs of premature birth in foals?
Silky haircoat, floppy ears, flexor tendon laxity