Evaluation of a Tenoscopic Approach for Desmotomy of the Accessory Ligament of the Deep Digital Flexor Tendon in Horses

Caldwell, Fred; Waguespack, Richard W.

doi:10.1111/j.1532-950x.2011.00801.x

Cited by 12 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Decreased incisional morbidity and postoperative scarring have been outlined in various minimally invasive AL-DDFT desmotomy techniques. 8,9,17 Limited incisional size and a restricted soft tissue dissection in the present technique are expected to result in similar outcomes. Nevertheless, further evaluation in live horses and clinical patients is compulsory to determine if these benefits hold true, especially in cases where the AL-DDFT is injured or enlarged.…”

Section: Discussionmentioning

confidence: 90%

“…6,7,16 Minimally invasive procedures utilize ultrasonographic guidance aided by hemostats 8 or Desjardins forceps, 9 or a tenoscopic technique through the distal aspect of the carpal flexor sheath. 17 Limiting incisional size decreases incisional morbidity and excessive scar tissue formation. 8,9,15,[17][18][19] There has been a recent increase in the use of ultrasonographic visualization to aid interventional procedures involving the musculoskeletal system in humans.…”

Section: Introductionmentioning

confidence: 99%

“…17 Limiting incisional size decreases incisional morbidity and excessive scar tissue formation. 8,9,15,[17][18][19] There has been a recent increase in the use of ultrasonographic visualization to aid interventional procedures involving the musculoskeletal system in humans. 20 Ultrasonographic guidance facilitates accurate needle placement for injections, biopsies, and aspirations, allowing real-time maneuvering and adjustments in procedures.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ex‐vivo evaluation of a percutaneous looped thread desmotomy of the accessory ligament of the deep digital flexor tendon in horses

Orozco Lopez,

Mochal‐King,

Fontenot

et al. 2023

Veterinary Surgery

View full text Add to dashboard Cite

ObjectiveTo determine the ability to completely transect the equine accessory ligament of the deep digital flexor tendon (AL‐DDFT) via an ultrasonographically‐guided, percutaneous looped thread desmotomy using FiberWire suture as a cutting device.Study designEx‐vivo study.Sample populationA total of 24 normal equine distal forelimb specimens.MethodsUnder ultrasonographic guidance, a Jamshidi needle was placed between the suspensory ligament and the AL‐DDFT, and between the AL‐DDFT and the deep digital flexor tendon, through two stab incisions. FiberWire suture was fed through the needle and looped around the AL‐DDFT. Using a sawing motion, the ligament was transected, and the suture exited through the lateral incision. Surgical sites were dissected and assessed for completeness of transection, iatrogenic injuries, and suture remnants. Descriptive statistics were reported.ResultsThe procedure met the successful criteria in 18/24 (75%) of the limbs. The median surgical time was 11 min (range 7–25). No suture failure or suture remnants were noted in any of the specimens. Complications included iatrogenic injury to the medial and lateral neurovascular bundles in 4/24 and 1/24 specimens, respectively.ConclusionComplete transection of the AL‐DDFT was achieved in 22/24 (92%) of the specimens; however, the neurovascular bundles were injured in 5/24 (21%) of the specimens.Clinical significanceA percutaneous looped thread desmotomy of the AL‐DDFT can be studied as an alternative technique for use in equine models prior to its clinical use in patients. Additional studies are required to evaluate efficacy and safety in anesthetized or standing horses.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ex‐vivo evaluation of a percutaneous looped thread desmotomy of the accessory ligament of the deep digital flexor tendon in horses

Orozco Lopez,

Mochal‐King,

Fontenot

et al. 2023

Veterinary Surgery

View full text Add to dashboard Cite

show abstract

“…Tenoscopic evaluation of horses with tenosynovitis of the carpal sheath has also led to new diagnoses, including tearing of the radial head of the deep digital flexor tendon (DDFT) (Minshall and Wright, 2012b). Caldwell and Waguespack (2011) reported a tenoscopic approach for desmotomy of the accessory ligament of the DDFT in horses, illustrating use of synovial cavities for minimally invasive approaches to perithecal structures. Caldwell and Waguespack (2011) reported a tenoscopic approach for desmotomy of the accessory ligament of the DDFT in horses, illustrating use of synovial cavities for minimally invasive approaches to perithecal structures.…”

Section: Arthroscopic Surgery In the Horse-advances Since 2005mentioning

confidence: 99%

Introduction

McIlwraith¹,

Nixon²,

Wright³

2015

Diagnostic and Surgical Arthroscopy in the Horse

View full text Add to dashboard Cite

“…In the past 10 years, surgical techniques, equipment used, and knowledge about carpal sheath pathologies and treatment have evolved considerably . However, carpal sheath tenoscopy remains exclusively performed under general anesthesia because of the size and temperament of horses and the required limb angle to carry out carpal sheath tenoscopy.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic tenoscopy of the carpal sheath with a needle arthroscope in standing sedated horses

Miagkoff

Bonilla

2020

Veterinary Surgery

View full text Add to dashboard Cite

Objective To investigate the use of a needle arthroscope for diagnostic tenoscopy of the carpal sheath in standing horses. Study design Experimental study. Sample population Six forelimbs for the cadaveric part of the study and six horses for the in vivo part of the study. Methods Six cadaveric limbs were used to perform carpal sheath tenoscopy with a 1.2‐mm‐diameter needle arthroscope (65 and 100 mm long), followed by tenoscopy with a 4‐mm arthroscope through a standard proximolateral approach. Then, unilateral standing carpal sheath tenoscopy was performed in six healthy sedated horses with a 65‐mm‐long needle arthroscope. Limbs were maintained in flexion during the procedure by using a custom‐made splint and base. Degree of tenoscopic evaluation, safety, horse tolerance, and complications were recorded. Results Visibility at the most distal aspect of the sheath was absent for the needle arthroscopes vs a standard arthroscope. The maneuverability with a 65‐mm needle arthroscope was excellent and allowed exhaustive visualization of the proximal region of the carpal sheath in cadaveric limbs and standing horses (six of six). However, visualization of the intertendinous recess was partial in most horses (four of six) vs cadavers (complete in six of six) because of remaining flexor tendon tension in standing horses. No major complications were encountered. Conclusion Standing carpal sheath tenoscopy allowed a safe and thorough evaluation of most structures in the proximal region of the sheath and offers an alternative diagnostic technique. Clinical significance Horses with unrewarding results after traditional imaging or that require an accurate diagnosis before treatment may benefit from this alternative procedure.

show abstract

Evaluation of a Tenoscopic Approach for Desmotomy of the Accessory Ligament of the Deep Digital Flexor Tendon in Horses

Abstract: A tenoscopic approach through the carpal flexor sheath provided adequate access for desmotomy of the AL-DDFT.

Cited by 12 publications

References 12 publications

Ex‐vivo evaluation of a percutaneous looped thread desmotomy of the accessory ligament of the deep digital flexor tendon in horses

Ex‐vivo evaluation of a percutaneous looped thread desmotomy of the accessory ligament of the deep digital flexor tendon in horses

Introduction

Diagnostic tenoscopy of the carpal sheath with a needle arthroscope in standing sedated horses

Contact Info

Product

Resources

About