Ortho Exam

Question 1

How can you differentiate between joint and soft injury at exercise?

Answer 1

Soft tissue problem - gets worse with exercise

Joint injury - warms out with exercise

Question 2

What a does toe out conformation predispose to?

Answer 2

Lateral splints
Lateral branch suspensory ligament desmitis
Disease on the lateral aspect of the fetlock

Question 3

What does straight hocked conformation predispose to?

Answer 3

Suspensory ligament desmitis
Upwards fixation of the patella
Fetlock OA

Question 4

How can you differentiate between carpal sheath effusion and carpal joint effusion?

Answer 4

Carpal sheath effusion - vertical
- runs on the medial aspect of the carpus to the proximal 1/4 of the metacarpus

Carpal joint effusion - horizontal

Question 5

What finding is associated with OA of the tarsus?

Answer 5

New bone formation on the Dorsomedial distal aspect of the tarsus

Question 6

What joint in the tarsus has the highest motion?

Answer 6

Tarsocrural joint

Question 7

What does a stab by gait behind indicate?

Answer 7

Hock pain

Question 8

Assessing for placement

Answer 8

Lateral wall first - lateral to medial foot imbalance
Toe first - Palmar foot pain
Heel first - abscess / laminitis

Question 9

How can you grade tendons lesions using ultrasound?

Answer 9

Grade 0 - normal

Grade 1 - mostly echogenic with a diffuse decrease in echogenicity

Grade 2 - half echoic, half anechoic, some collagen fibre production

Grade 3 - mostly anechoic, partial disruption of collagen fibres

Grade 4 - completely anechoic, haemorrhage and fluid