Veterinary treatment of tendon and ligament injuries in horses Flashcards
In the inflammatory phase of tendon injury describe first aid treatment
NSAIDs
Steroid
external support
cold therapy
confinement
What are the aims of first aid in cases of soft tissue injury
prevent the injury becoming worse
reduce pain
reduce inflammation, provide stability and reduce tendon loading
what are intralesional therapies
Therapy is injected into lesion under ultrasound guidance
aim to improve speed and quality of healing
when are intralesional therapies used
at start of repair phase
Suitable only when a hole / space is present in the tendon
what is intralesional therapies not a substitute for
long term rest and controlled exercise
describe stem cell therapy
Autologous graft of mesenchymal stem cells
Collected from bone marrow or fat- then cultured in lab ( 3 weeks)-
EXPENSIVE
what happens when stem cells are injected into tendon/ligaments
Differentiate into tenocytes to promote healing
what is platlet rich plasma
Autologous graft of platelets suspended in plasma.
Collected from blood by filtration or centrifugation.
How does platelet rich plasma used to treat soft tissue injuries
Injected into the tendon/ ligament
Stimulate angiogenesis and proliferation & differentiation of tissues.
Describe bone marrow aspirate concentrate
Autologous graft of fluid & cells from within bone marrow.
Collected from sternum or tuber coxae.
what does bone marrow aspirate concentrate contain
mesenchymal stem cells. plateletes and growth factors
How can bone marrow aspirate concentrate help treat soft tissue injuries
Injected in lesion under ultrasound guidance.
Fewer stem cells/platelets than stem cell therapy/PRP.
Single stage procedure.
How are exposed fibres best treated
arthroscopic removal
which soft tissue injuries heal poorly by medical management
injuries to tendon sheaths or joints
List 4 soft tissue injuries which are ameanable to surgical therapies
palmar/plantar annular ligament desmitis
SDFT tendonitis
Manica flexor tear
DDFT tear
