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Equine Orthopaedics and Rheumatology Q&A 07 (view source)
Revision as of 22:47, 3 August 2011
, 22:47, 3 August 2011no edit summary
*Previous penetrating wounds into the sheath, may be contributing factors. <br><br>
*Previous penetrating wounds into the sheath, may be contributing factors. <br><br>
But in view of the poor foot conformation, a foot problem should also be considered as the cause of the lameness, since these digital sheath swellings are not always painful.
But in view of the poor foot conformation, a foot problem should also be considered as the cause of the lameness, since these digital sheath swellings are not always painful.
|l2=Lameness - Horse
|l2=Annular Ligament Syndrome
|q3=What further tests would you perform to confirm your diagnosis?
|q3=What further tests would you perform to confirm your diagnosis?
|a3= Intrasynovial analgesia of the digital sheath will not always abolish the lameness, presumably because of adhesions or the mechanical influence of the constricted annular ligament.
|a3= Intrasynovial analgesia of the digital sheath will not always abolish the lameness, presumably because of adhesions or the mechanical influence of the constricted annular ligament.
*Ultrasonography is important for evaluation of the annular ligament and the flexor tendons, and may indicate the presence of adhesions.
*Ultrasonography is important for evaluation of the annular ligament and the flexor tendons, and may indicate the presence of adhesions.
*Regional analgesia of the foot should be performed to ensure that foot pain is not involved.
*Regional analgesia of the foot should be performed to ensure that foot pain is not involved.
|l3=Specific Nerve Blocks
|l3=Lameness - Horse
|q4= How would you treat this case?
|q4= How would you treat this case?
|a4= Acute cases should be treated with rest, possibly combined with both topical and systemic anti-inflammatory drug therapy. If this fails, an annular ligament desmotomy is indicated.
|a4= Acute cases should be treated with rest, possibly combined with both topical and systemic anti-inflammatory drug therapy. If this fails, an annular ligament desmotomy is indicated.
|l4=NSAIDs
|l4=Annular Ligament Syndrome
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