Lameness of the Proximal Limb

Kawcak, Chris E.; Hubert, J; Redding, W. R.; Baxter, Gary M.; Sullins, K. E.; Ernst, Nicolas S.; Trumble, Troy N.

doi:10.1002/9781119276715.ch5

Cited by 3 publications

(6 citation statements)

References 462 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ruhe und kontrollierte Bewegung , ggf. ergänzt durch Behandlung mit nicht-steroidalen Antiphlogistika , sind unspezifische Maßnahmen, die insbesondere bei jungen, lahmfreien Pferden mit kleinen SCL 34 , 35 als initiale Therapie eingesetzt werden. Die Erfolgsaussichten sind hierbei allerdings variabel 3 , 36 und Rezidive häufig 8 .…”

Section: Therapieunclassified

See 1 more Smart Citation

Subchondrale Knochenzysten – Von der Diagnostik zur Therapie

Mählmann¹

2022

pferde spiegel

View full text Add to dashboard Cite

Section: Therapieunclassified

“…Die Erfolgsaussichten sind hierbei allerdings variabel 3 , 36 und Rezidive häufig 8 . In jedem Fall sollte ein engmaschiges, klinisches und radiologisches Monitoring stattfinden, um bei Verschlechterung alsbald ein chirurgisches Verfahren anzuwenden 34 .…”

Section: Therapieunclassified

Subchondrale Knochenzysten – Von der Diagnostik zur Therapie

Mählmann¹

2022

pferde spiegel

View full text Add to dashboard Cite

“…Assessment of the response to tibial perineural analgesia has been recommended between 10 min and 1 h following injection (Bassage & Ross, 2010;Denoix et al, 2020). The potentially prolonged time required for adequate tibial perineural analgesia has been attributed anecdotally to the topography and large size of this nerve which may require a longer period of time for diffusion of the local anaesthetic agent (Denoix et al, 2020;Kawcak et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Tibial perineural analgesia is a valuable aid in the diagnosis of musculoskeletal pathology of the hindlimb during lameness examination of the horse, allowing the clinician to identify sources of lameness originating from the distal crus, plantar tarsus or the more distal limb (Bassage & Ross, 2010; Kawcak et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound‐guided perineural injection of the tibial nerve in the horse versus a ‘blind’ technique

Bellitto

Voûte

Reardon³

et al. 2023

Equine Veterinary Education

View full text Add to dashboard Cite

SummaryBackgroundTibial perineural analgesia has often been reported to fail to achieve nerve desensitisation in horses. Ultrasound‐guided (US‐guided) techniques have recently been described to improve tibial perineural desensitisation.ObjectivesTo compare US‐guided and ‘blind’ tibial perineural analgesia techniques in lameness investigation.Study designRandomised clinical trial.MethodsHorses presenting for lameness investigation, which required tibial perineural analgesia, were randomly assigned either to a US‐guided or blind injection group. The efficacy of perineural analgesia was assessed by testing the loss of skin sensation at the medial and lateral heel bulbs. Skin sensation was assessed, prior to injection and then at four intervals post‐injection (10–15, 20–25, 30–35 and 40–45 min) using a hand‐held digital algometer with a 1 mm diameter pin; a value of 25 N was defined as indicative of skin desensitisation. The time taken to perform each injection technique and any adverse reactions were recorded. Summary statistics were performed to examine differences between groups. The frequency of skin desensitisation was compared between groups using a Fisher's exact test and the length of time taken to perform injections was compared using a Mann–Whitney U test.ResultsSixteen US‐guided and 11 blind injections were included in the study. All cases undergoing US‐guided injection lost skin sensation, whereas this occurred in only one case receiving the blind injection. The US‐guided group had a significantly higher probability of skin sensation loss (p < 0.001), although the injection technique took significantly longer to complete compared to the blind group (p < 0.001). No adverse reactions were noted with either perineural injection technique.Main limitationsLimited number of cases for each injection group.ConclusionsThese findings suggest that US‐guided tibial perineural injection is more likely to result in adequate and prompt tibial perineural analgesia compared to the blind injection technique, although it takes longer to complete.

show abstract

“…Another proposed aetiology is a result of being trapped in a ‘nutcracker’ between the third metacarpus and the radius, for example after a fall (Radue, 1981). Fractures usually occur in a vertical plane along the groove formed by the long tendon of the ulnaris lateralis muscle and may be simple or comminuted in nature (Barr et al, 1990; Easley & Schneider, 1981; Kawcak, 2020; Ross, 2011; Wyburn & Goulden, 1974). Rarely, ACB fractures have also been described in a horizontal fracture configuration (Carson, 1990; Roberts, 1964).…”

Section: Introductionmentioning

confidence: 99%

Standing osteosynthesis of an accessory carpal bone fracture in a Warmblood mare with a 6‐hole 3.5 talonavicular fusion plate and 3.5‐mm screws

Aßmann

Fürst

Bischofberger

2022

Equine Veterinary Education

View full text Add to dashboard Cite

A 9-year-old Warmblood, high-level showjumping mare sustained an acute, closed, vertical, comminuted fracture of the left accessory carpal bone (ACB) during a fall. The fracture was repaired under standing sedation and local anaesthesia, using a 6-hole APTUS® 3.5 TFP and 5 × 3.5-mm selftapping TriLock© screws. The mare recovered from surgery without complications. Upon follow-up examination 9 months post-operatively the mare was sound in all gaits and back to full athletic activity. The ACB fracture had completely healed. The displaced dorsoproximal fracture fragment was in a stationary position and there was evidence of mild nonprogressive osteoarthritis of the antebrachiocarpal joint.

show abstract

Lameness of the Proximal Limb

Cited by 3 publications

References 462 publications

Subchondrale Knochenzysten – Von der Diagnostik zur Therapie

Subchondrale Knochenzysten – Von der Diagnostik zur Therapie

Ultrasound‐guided perineural injection of the tibial nerve in the horse versus a ‘blind’ technique

Standing osteosynthesis of an accessory carpal bone fracture in a Warmblood mare with a 6‐hole 3.5 talonavicular fusion plate and 3.5‐mm screws

Contact Info

Product

Resources

About