Difference between revisions of "Equine Orthopaedics and Rheumatology Q&A 04"

From WikiVet English
Jump to navigation Jump to search
Line 24: Line 24:
 
|a3=The full extent of the sheath should be evaluated in these cases to identify any adhesions. However, this requires some experience as adhesions can be overdiagnosed ultrasonographically. <br><br>
 
|a3=The full extent of the sheath should be evaluated in these cases to identify any adhesions. However, this requires some experience as adhesions can be overdiagnosed ultrasonographically. <br><br>
 
Extra definition can be provided by prior distension of the sheath with, for example, a local analgesic agent following clinical examination, provided care is taken to prevent any air being iatrogenically introduced which will compromise the ultrasound image.
 
Extra definition can be provided by prior distension of the sheath with, for example, a local analgesic agent following clinical examination, provided care is taken to prevent any air being iatrogenically introduced which will compromise the ultrasound image.
|l3=
+
|l3=Tenosynovitis
 
|q4=What methods of treatment are available, and what is the prognosis?
 
|q4=What methods of treatment are available, and what is the prognosis?
 
|a4=
 
|a4=
Line 31: Line 31:
 
*The prognosis is related to the primary cause and the presence of adhesions. In those cases of primary desmitis or secondary desmitis associated with aseptic digital sheath tenosynovitis, a prognosis of 60–70% return to full exercise can be expected. <br><br>
 
*The prognosis is related to the primary cause and the presence of adhesions. In those cases of primary desmitis or secondary desmitis associated with aseptic digital sheath tenosynovitis, a prognosis of 60–70% return to full exercise can be expected. <br><br>
 
*Failure rate is thought to be related to the formation of adhesions. Intra-sheath hyaluronic acid can be used postoperatively to minimise this complication.
 
*Failure rate is thought to be related to the formation of adhesions. Intra-sheath hyaluronic acid can be used postoperatively to minimise this complication.
|l4=
+
|l4=Desmitis
 
</FlashCard>
 
</FlashCard>
  

Revision as of 15:55, 3 June 2011


Mansonlogo This question was provided by Manson Publishing as part of the OVAL Project. See more Equine Orthopaedic and Rheumatological questions




Equine Orthopaedics and Rheumatology Q&A 04.jpg



A nine-year-old pony mare has a left hindlimb lameness of two months duration. The lameness has not responded to rest. On clinical examination, the pony is only mildly lame but this is exacerbated by distal limb flexion. There is a digital sheath effusion and a ‘notch’ on the plantar aspect of the metatarsophalangeal joint.


Question Answer Article
Describe the ultrasonographic findings revealed in the image. Link to Article
What is the diagnosis? [[|Link to Article]]
What complications may be present? Link to Article
What methods of treatment are available, and what is the prognosis? Link to Article



Next questionNext Question.png