Tendonitis, Tendon Laceration, Joint Disease, Neurectomy, Sweeny Flashcards

1
Q

What are the two mechanisms by which overstrain can occur?

A

sudden overload or strain induced (more common)

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2
Q

Where do we most commonly see tendonitis in the horse?

A

superficial digital flexor (SDF) tendon

8-43% incidence in TB

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3
Q

What is the recommended treatment for Stringhalt?

A

Lateral digital extensor tenotomy

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4
Q

How do you test for rupture of common calcanean tendon?

A

try to flex the hock without flexing the stifle

If you’re able to, there is a rupture. This can not happen in normal animals

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5
Q

Concerning the function of hyaluronic acid which statement is most accurate?

  • It is responsible for the greatest proportion of resistance to joint motion
  • It is a boundary lubricant of synovial membrane
  • It stimulates fibroblast proliferation
  • It is a lubricant of the articular cartilage
A

It is a boundary lubricant of synovial membrane

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6
Q

What are some complications associated with palmar digital neurectomy?

A
  • Painful neuroma
  • Reinnervation
  • Persistence of sensation
  • Loss of the hoof wall
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7
Q

What is the best tool for diagnosis of tendonitis?

A

ultrasound

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8
Q

What is the definition of tendonitis?

A

inflammation of a tendon, most commonly from overuse but can be from infection or traumatic injury

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9
Q

How do you treat a ruptured peroneus tertius?

A

stall rest for 2 months

scar tissue will form between the ruptured ends

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10
Q

Sweeny is paralysis of the __________ nerve that results in atrophy of the supraspinatus and infraspinatus muscles

A

Sweeny is paralysis of the suprascapular nerve results in atrophy of the supraspinatus and infraspinatus muscles

caused by direct trauma to the nerve clinically an outward movement of the scapula is seen during weight bearing muscle atrophy is seen in 7 to 14 days electromyography can be used to confirm the diagnosis

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11
Q

T/F: Most horses with common and long digital extensor tendon laceration return to athletic activities

A

True

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12
Q

When performing a palmar digital neurectomy in a horse, it should be remembered that the correct orientation of structures in the neurovascular bundle from dorsal to palmar is:

  • Vein, artery, nerve
  • Nerve, artery, vein
  • Artery, nerve, vein
  • Nerve, vein, artery
  • Vein, nerve, artery
A

Vein, artery, nerve​

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13
Q

Based on this video, what is your diagnosis?

A

ruptured peroneus tertius

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14
Q

Tendons can extend ~___ - ___% before rupture

A

Tendons can extend ~12-20% before rupture

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15
Q

The fetlock is dropped, but the toe is still pointed down. What structure(s) could be affected?

A

superficial digital flexor (SDF), suspensory ligament

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16
Q

What structure is indicated by the number 4?

A

suspensory ligament

17
Q

What are the cardinal signs of inflammation in horses?

A

pain, swelling, heat, lameness

18
Q

What structure is indicated by the number 1?

A

superficial digital flexor tendon

19
Q

T/F: The most common complicaton of palmar digital neurectomy is infection of the navicular bursa

A

False

20
Q

Dorsal to palmar, which of the following accurately lists the orientation of the tendons & ligaments in the proximal metacarpus?

  • SDF tendon, DDF tendon, distal check ligament, suspensory ligament
  • SDF tendon, DDF tendon, suspensory ligament
  • SDF tendon, DDF tendon, suspensory ligament, distal check ligament
  • Suspensory ligament, DDF tendon, distal check ligament, SDF tendon
  • DDF tendon, SDF tendon
A

Suspensory ligament, DDF tendon, distal check ligament, SDF tendon

21
Q

This horse pulled up lame after a cross-country event. Ultrasound was performed at the mid-metacarpal region. What is the diagnosis?

A

Core lesion in the superficial digital flexor (SDF) tendon

22
Q

What structure is indicated by the number 2?

A

deep digital flexor tendon

23
Q

What structure is indicated by the number 5?

A

extensor ligament

24
Q

Note the bowing in the left limb in this picture. What is the most likely diagnosis?

A

superficial digital flexor (SDF) tendonitis

25
Q

T/F: The deep digital flexor (DDF) tendon is most prone to tendonitis

A

False

The superficial digital flexor (SDF) and the suspensory ligament (SL) are most prone to injury because they endure the most load during heel strike. Load on the DDF happens later

26
Q

T/F: All treatments for tendonitis include rest and a controlled exercise program

A

True

27
Q

◦Inflammation of the synovial membranes of the tendon sheath is termed

A

tenosynovitis

28
Q

Where is the lesion?

A

periphery of the SDF

29
Q

This presentation (toe pointed up) is seen with rupture of the _______

A

deep digital flexor (DDF) tendon

30
Q

T/F: Palmar digital neurectomy may be indicated in the treatment of some fractures involving the palmar process of the distal phalanx

A

True

31
Q

Up to ____% of the tendon can be lacerated and still provide full tendon function at the walk.

A

50%

32
Q

Overall, tendons have limited intrinsic repair. Scar tissue formation produces Type ___ collagen, resulting in a less elastic tendon

A

Type III

33
Q

Tendons are made out of what type of collagen?

A

Type 1

II, III, IV and V also present in smaller amounts

34
Q

Shown below is a tendon stress-strain curve. What point signifies the failure point?

A
35
Q

What structure is indicated by the number 3?

A

accessory ligament of the DDFT