Outcome of palmar/plantar digital neurectomy in horses with foot pain evaluated with magnetic resonance imaging: 50 cases (2005–2011)

Gutierrez‐Nibeyro, Santiago D.; Werpy, Natasha M.; White, Nathaniel A.; Mitchell, Mark A.; Edwards, Ryland B.; Mitchell, Richard; Gold, Sarah J.; Allen, A. K.

doi:10.1111/evj.12262

Cited by 24 publications

(31 citation statements)

References 23 publications

(33 reference statements)

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“…Different factors, such as horse occupation, lameness duration, and injury type, among others, have been reported to affect the prognosis for certain foot injuries 6,8,10‐15 . A previous study of mainly Warmblood horses found an association between chronic lameness and deep digital flexor (DDF) tendinopathy 13 .…”

Section: Introductionmentioning

confidence: 99%

Standing MRI lesions of the distal interphalangeal joint and podotrochlear apparatus occur with a high frequency in warmblood horses

Gutierrez‐Nibeyro

Werpy²,

Gold³

et al. 2020

Vet Radiology Ultrasound

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Foot pain is a common presenting complaint in Warmblood horses. The aim of this retrospective, cross-sectional study was to determine the spectrum of foot lesions detected by magnetic resonance imaging (MRI) in Warmblood horses used for dressage, jumping, and eventing. The medical records of 550 Warmblood horses with foot pain that were scanned using standing MRI were reviewed and the following data were recorded: signalment, occupation, lameness, diagnostic analgesia, imaging results, treatments, and follow-up assessments. Associations between standing MRI lesions and chronic lameness following treatment were tested. Abnormalities of the navicular bone (409 horses, 74%), distal interphalangeal joint (362 horses, 65%), and deep digital flexor (DDF) tendon (260 horses, 47%) occurred with the highest frequency. The following abnormalities were significantly associated (P < .05) with chronic lameness following conservative therapy: moderate to severe MRI lesions in the trabecular bone of the navicular bone, mild or severe erosions of the flexor surface of the navicular bone, moderate sagittal/parasagittal DDF tendinopathies, and moderate collateral sesamoidean desmopathies. Also, identification of concurrent lesions of the DDF tendon, navicular bone, navicular bursa, and distal sesamoidean impar ligament was associated with chronic lameness after conservative therapy. Development of effective treatment options for foot lesions that respond poorly to conservative therapy is necessary.

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Section: Introductionmentioning

confidence: 99%

Standing MRI lesions of the distal interphalangeal joint and podotrochlear apparatus occur with a high frequency in warmblood horses

Gutierrez‐Nibeyro

Werpy²,

Gold³

et al. 2020

Vet Radiology Ultrasound

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show abstract

“…; Gutierrez‐Nibeyro et al . ). Although catastrophic complications are not common, severe and potentially fatal outcomes such as DDFT rupture can occur and should be considered prior to electing the procedure (Jackman et al .…”

Section: Specific Conditionsmentioning

confidence: 97%

“…Moderate to severe DDFT injuries are generally a contraindication for palmar neurectomies, both as the risk of progressive injury and even rupture is higher and horses with more advanced DDFT lesions have been reported to have a less successful outcome in eliminating lameness (Gutierrez‐Nibeyro et al . ). Conversely, horses with injuries primarily affecting the navicular bone can have a good outcome following this surgery.…”

Section: Specific Conditionsmentioning

confidence: 97%

A review of how magnetic resonance imaging can aid in case management of common pathological conditions of the equine foot

Barrett

Frisbie

King

et al. 2016

Equine Veterinary Education

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SummaryMagnetic resonance imaging (MRI) has become a valuable tool for the diagnosis of a multitude of conditions previously grouped into the vague diagnosis of palmar heel pain based on the response to palmar digital nerve diagnostic analgesia. The use of MRI not only determines a specific pathological diagnosis of the numerous structures within the foot but also the findings of the MRI help direct treatment and rehabilitation protocols, as well as providing prognostic information. Common injuries include damage to the navicular apparatus, deep digital flexor tendon, arthropathy of the distal interphalangeal joint and desmopathy of the collateral ligaments of the distal interphalangeal joint. This article reviews common MRI abnormalities in the equine foot and how treatment can be directed by the findings. Medical and surgical treatment options, as well as shoeing and rehabilitation protocols, are also discussed in relation to MRI findings. Using MRI can help create a more individually tailored and case-specific treatment regimen, which can, in turn, promote a more positive outcome in equine cases.

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“…; Mair and Kinns ), abnormal conformation (Schramme ) and previous neurectomy of the palmar digital nerves (Gutierrez‐Nibeyro et al . ).…”

Section: Introductionmentioning

confidence: 97%

Desmotomy of the accessory ligament of the deep digital flexor tendon for treatment of chronic deep digital flexor tendinopathy in three Quarter Horses

Humbach

Gutierrez‐Nibeyro

2017

Equine Veterinary Education

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Summary Effective treatments for horses diagnosed with severe deep digital flexor (DDF) tendinopathy are limited. In this study, three Quarter Horses diagnosed with severe bilateral DDF tendinopathy underwent bilateral desmotomy of the accessory ligament of the DDF tendon after failing to respond to conservative therapy. Lameness markedly improved in all three horses. Given that severe DDF tendinopathy is typically associated with persistent or recurrent lameness, desmotomy of the accessory ligament of the DDF tendon might be a treatment option to alleviate lameness in horses with DDF tendinopathy. This treatment option appears promising; however, a larger number of cases is necessary to support the results in these three horses.

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Outcome of palmar/plantar digital neurectomy in horses with foot pain evaluated with magnetic resonance imaging: 50 cases (2005–2011)

Cited by 24 publications

References 23 publications

Standing MRI lesions of the distal interphalangeal joint and podotrochlear apparatus occur with a high frequency in warmblood horses

Standing MRI lesions of the distal interphalangeal joint and podotrochlear apparatus occur with a high frequency in warmblood horses

A review of how magnetic resonance imaging can aid in case management of common pathological conditions of the equine foot

Desmotomy of the accessory ligament of the deep digital flexor tendon for treatment of chronic deep digital flexor tendinopathy in three Quarter Horses

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