Musculoskeletal Pt 3 Flashcards

1
Q

What are the six types of fracture

A

Chip, complete, compound, displaced, nondisplaced, stress

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2
Q

How do you diagnose a fracture

A

Radiographs or scintigraphy (for nondisplaced/stress)

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3
Q

How do you treat a fracture

A

Complete/displaced = surgery (plates, screws)
Chips removed (arthroscopic surgery)
Stress/stable nondisplaced = rest

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4
Q

What is the complication of a fracture

A

Osteoarthritis (bone/joint inflammation)

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5
Q

What is degenerative joint disease

A

Progressive deterioration of the joint due to mechanical stresses that damage cartilage, can lead to osteoarthritis

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6
Q

Put the following in order (with respect to DJD):
1. Cartilage damage
2. inflamed synovium
3. formation of osteophytes
4. mechanical stress
5. osteoarthritis

A

Mechanical stress -> inflamed synovium -> cartilage damage (DJD) -> formation of osteophytes -> osteoarthritis

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7
Q

What are osteophytes

A

Bony outgrowths that occur when cartilage is damaged

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8
Q

What is ringbone

A

DJD in the pastern join

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9
Q

What is bone spavin

A

DJD in the hock joint

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10
Q

How do you diagnose DJD

A

Lameness, decrease ROM, fluid build up, stress tests, blocks, radiographs, scintigraphy, MRI, ultrasound

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11
Q

How do you treat DJD

A

NSAIDs, joint inject SAIDs, oral supplement (glucosamine/chondroitin), arthrodesis (surgery) achieving ankylosis

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12
Q

What is ankylosis

A

Stiffening/immobility due to fusion of bones

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13
Q

How serious of an issue is DJD

A

One of the most important performance limiting problems in horses, can progress to chronic lameness

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14
Q

What is a complication of DJD

A

joint infection

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15
Q

What is osteochondrosis

A

Abnormality in joint development resulting in abnormal bone and cartilage on the surface of the joint or in the form of bone cysts just below the surface

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16
Q

What is osteochondrosis dessicans

A

When osteochondrosis results in a loose flap of cartilage and bone at the surface of a joint

17
Q

Where does osteochondrosis most commonly occur

A

Stifle, hock, fetlock, shoulder

18
Q

What causes osteochondrosis

A

Heredity (WB, STB), nutrition (high-energy feeds), trauma. Body grows too fast, skeletal system messed up

19
Q

How is osteochondrosis diagnosed

A

Lameness in young horse, joint inflammation, radiographs

20
Q

How would you conservatively treat osteochondrosis

A

NSAIDs, joint injection of SAIDs, oral supplement (glucosamine/chondroitin)

21
Q

How would you aggressively treat osteochondrosis

A

Surgery to remove bone fragment/cartilage, pinning with absorbable pins

22
Q

How serious is osteochondrosis

A

Depends on location; minimal to life threatening

23
Q

Complications of osteochondrosis?

A

DJD may develop

24
Q

When a horse injures a tendon in the lower leg (commonly the superficial/deep digital flexor tendon) what is this called (2 names)

A

Tendonitis or bowed tendon

25
Q

What causes the “bow” in the tendon

A

The swelling

26
Q

How do you diagnose tendonitis

A

Visible/palpable swelling, lameness, blocks, ultrasound

27
Q

How do you treat acute tendonitis

A

Ice, rest, NSAIDs

28
Q

How do you treat chronic tendonitis

A

Rehab, extracorporeal shockwave

29
Q

How serious is tendonitis?

A

Varies, can be normal in a couple months or can re-injure

30
Q

What are the complications of tendonitis

A

Annular ligament constriction (tendon swells under the ligament putting pressure on it)
Tenosynovitis
Chronic lameness

31
Q

A horse has poor performance, low-grade hind limb lameness, is dragging one of its hindlimbs and is resisting work. There is asymmetry in their hindquarters, what could it be?

A

Sacroilic Desmitis or Sacroiliac Osteoarthritis

32
Q

What is sacroiliac desmitis

A

Inflammation of the sacroiliac ligament

33
Q

What is sacroiliac osteoarthritis

A

Inflammation of the flat, immobile sacroiliac joints

34
Q

How do you diagnose sacroiliac

A

Hard
Scintigraphy
Blocks (difficult)
Ultrasound
Visible asymmetry

35
Q

how do you treat sacroiliac

A

Frustrating, use joint injections (SAIDs), alternative therapies like acupuncture, chiropractor

36
Q

How serious is sacroiliac disease

A

Chronic, frustrating
Serious impact on long-term performance