Soft tissue injuries within the hoof Flashcards
Describe the clinical findings seen on static exam with soft tissue injuries within the hoof
palpation unremarkable in many cases
Sometimes sensitivity to hoof testers in heel region – unreliable!
describe the clinical findings seen on dynamic exam with soft tissue injuries within the hoof
Usually worse on hard surface
Usually worse on the inside of a circle
Not usually positive to distal limb flexion- Collateral ligaments are exceptions
what changes can be seen on radiography with DDFT disease
sometimes see navicular bone changes
what can you sometimes see on radiographs with collateral ligament disease
ossified collateral cartilages
what are enthesious changes
changes to bone surface where soft tissue attaches)
what is transcuneal ultrasound
Small window through the frog to visualise a section of the DDFT and DSIL
Requires careful foot preparation and overnight soaking
Proximal navicular bursa visible between heel bulbs
what is the gold standard for imaging soft tissue within the hoof
MRI
List 4 benefits of MRI when looking at soft tissues in foot
likely definitive diagnosis
more accurate prognostication
Guided specific medical treatments
Specific indications for farriery
Name 3 different types of DDFT pathologies
Core lesion
dorsal border lesion
Sagittal splits
Where are core lesions found on DDFT
Found at different locations along the length of the tendon
can propagate proximally/ diatally with time
where are sagittal splits often seen in DDFT
at level of the navicular bone
what can dorsal border lesions in DDFT often cause
bursitis and adhesion formation
where do dorsal border lesions of the DDFT often occur
at level of the navicular bone
when is navicular bursoscopy indicated
Indicated for all lesions seen to communicate with the bursa
Sagittal splits and dorsal fibrillation particularly
Name 2 specific treatments for the soft tissue injuries in the hoof
intrabursal medications
navicular bursoscopy
