Test 1: lecture 2 +3: lameness exam Flashcards
baseline lameness
the gait abnormality recognized
when the horse is examined at a walk or trot in hand, before flexion or manipulative tests are used.
Induced lameness
lameness observed after
manipulative tests.
thoroughbred racehorse will have what type of lameness
more frontleg then hindleg
standardbred racehorses will have what type of lameness distribution
hindlimb= forelimb
Forelimb lameness – 95% of lameness problems occur at the level of —
or distal to the carpus
0/5 lameness scale
Lameness not perceptible under any circumstances.
1/5 lameness scale
Lameness is difficult to observe and is inconsistent, regardless of circumstances (e.g. under saddle, circling, hard surface, etc.).
2/5 lameness scale
Lameness is difficult to observe or inconsistent when trotting in a straight line but consistent under stressed circumstances (e.g. under saddle, circling, hard surface, etc.).
3/5 lameness scale
Lameness is consistently observable at a trot on a straight line in hand with no stress tests.
4/5 lameness scale
Lameness is obvious at a walk.
5/5 lameness scale
Lameness produces minimal weight bearing.
exams can be limited by
weather
handler
rider
training
location
can’t do an exam on a angry horse
what are some questions to ask in history about why appointment was made
Current lameness
Poor performance – can be very subtle!
History of trauma
Duration of lameness
Deterioration or improvement of lameness – circumstances?
Effects of exercise: worsening or improvement in lameness
head and neck nod
pelvic hike/drop
will lift its head when lame to try to get off lame leg- pain when placing leg
shortening of the cranial phase of the stride tells you
pain when moving leg- will be a hop when in forelimb
if a horse drifts when walking which direction
will drift away from lame limb
fetlock drop
can be exacerbated in the sound leg that is absorbing more weight OR in a leg with progressive suspensory ligament degeneration.
down on sound
horse will lift its head when putting weight on bad leg
forelimb lameness
how to do flexion stress test
hold limb flexed for long period then have horse jog, will show lameness better
not effective test in sport horses
what are some additional stress tests
longing
riding
driving
footing (hard, soft)
what analgesia do you use for blocking horses
mepivicaine
bupivicaine- in angry horses, last longer- sedate, give shot then wake them up and see if they are still lame
what is stringhalt
a neuromuscular condition that causes a gait abnormality characterized by involuntary, exaggerated upward movement of one or both of the hindlimbs.
caused by ingestion of weed or idiopathic
what is wrong
peroneus tertius injury
should not be able to extend hock this way
horse with fibrotic myopathy will walk
fibrosis/calcification of semimembranosis/tendinosis
try to extend leg forward but it stops and sorta springs backwards