Procedure for the Transrectal and Transcutaneous Ultrasonographic Diagnosis of Pelvic Fractures in the Horse

Walker, Wade T.; Werpy, Natasha M.; Goodrich, Laurie R.

doi:10.1016/j.jevs.2011.09.067

Cited by 6 publications

(18 citation statements)

References 17 publications

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“…In equine, hind limb lameness caused by pelvic injuries or infections (bone fractures and/or ligament damage) is far more common than previously thought (WALKER et al, 2012;WHITCOMB, 2012). Ultrasound has been used for pelvic examination in recent years.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the equipment is highly expensive, thus it is not suitable for all veterinary hospitals (ERICHSEN and BERGER, 2001; DAVENPORT-GOODALL, and ROSS, 2004;BUTLER et al, 2008). Ultrasonography has been used recently for pelvic examination (WALKER et al 2012;WHITCOMB, 2012). It can give diagnostic information about the bone surfaces, pelvic joints and soft tissue.…”

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confidence: 99%

“…Several reports have described the normal and abnormal ultrasonographic appearance of the horse's pelvis (TOMLINSON et al, 2001;KERSTEN and EDINGER, 2004;ENGELI et al, 2006;WALKER et al, 2012;WHITCOMB, 2012). According to our knowledge, there is no available data concerning the normal ultrasonographic characterization of a donkey's pelvis despite their wide distribution all over the world.…”

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confidence: 99%

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Comparative ultrasonographic characterization of the pelvis in clinically normal horses and donkeys

et al. 2018

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This study was conducted to provide detailed a comparative ultrasonographic description of the pelvis in clinically normal horses and donkeys. It was carried out on 48 mature animals (30 horses and 18 donkeys). Evaluation of the pelvis was performed using transcutaneous and transrectal techniques. The following structures were examined: the tubera sacrales (the shape and distance between them and the distance between each of them and the first sacral spinous process), the ilial wing, the tuber coxae, the ilial body, the hip joint, the tuber ischii, the third trochanter, the appearance and measurements of the dorsal and lateral parts of the dorsal sacroiliac ligament and the thoracolumbar fascia, the ischiatic table, the obturator foramen and its contents, the pubis, the medial aspect of the acetabulum and the ilial body, the sacroiliac joint and the ventral aspect of the sacrum. For each evaluated structure, the results obtained were compared between horses and donkeys. A high correspondence was found between the pelvises of horses and donkeys concerning their ultrasonographic appearance and measurements, except for the cross sectional area of both dorsal parts of the dorsal sacroiliac ligament-thoracolumbar fascia combination, and the sacroiliac joint width, where there were significant differences between them. key words: donkey; horse; pelvic ultrasonography; transcutaneous; transrectal ________________________________________________________________________________________ introduction Infections and injuries of the pelvis are common in equine species. They are one of the major causes of hind limb lameness that greatly affects animal performance and may lead to its culling (ALMANZA and WHITCOMB, 2003; PILSWORTH, 2003; BERTONI

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Comparative ultrasonographic characterization of the pelvis in clinically normal horses and donkeys

et al. 2018

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“…The use of ultrasound to diagnose equine pelvic and coxofemoral disorders is increasingly utilized in the hospital and ambulatory setting. [6][7][8][9][10][11][12][13][14][15] Multiple authors have reported on the ultrasonographic features of coxofemoral osteoarthritis, subluxation, luxation, and acetabular rim fractures. [6][7][8][10][11][12][13]15 Radiography and nuclear scintigraphy are often considered first in horses suspicious for pelvic disorders.…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9][10][11][12][13][14][15] Multiple authors have reported on the ultrasonographic features of coxofemoral osteoarthritis, subluxation, luxation, and acetabular rim fractures. [6][7][8][10][11][12][13]15 Radiography and nuclear scintigraphy are often considered first in horses suspicious for pelvic disorders. [16][17][18][19][20][21][22][23][24] More recently, ultrasound has been recommended as the initial diagnostic modality in horses with suspect pelvic injury based on strong agreement between ultrasonography and standing radiography.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound‐guided Injections in Horses With Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach

Whitcomb

Vaughan

Katzman

et al. 2016

Vet Radiology Ultrasound

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Intrasynovial access to the equine coxofemoral joint (CFJ) is inherently challenging. Blind injection techniques rely upon inconsistently palpable landmarks, and ultrasound guidance requires expertise for needle placement into the coxofemoral articulation. Aspiration is recommended to confirm intrasynovial placement and avoid sciatic nerve anesthesia. The aim of this observational, descriptive, retrospective study was to evaluate the feasibility for an alternative ultrasound-guided approach in horses with cranioventral distention of the CFJ identified during pelvic ultrasound. Thirteen horses with cranioventral CFJ distention, including 12 with severe pathology, were recruited from 2009 to 2014. Seven were excluded as they were not injected or underwent ultrasound-guided injection using a dorsal approach. The remaining six horses underwent a total of nine injections into the cranioventral recess. With the exception of one foal, all were aged horses (15-29 years) of varying breeds and uses, with prominent lameness due to subluxation (three), luxation (two), and severe osteoarthritis (one). The cranioventral recess was imaged adjacent to the proximal femur using a low-frequency curvilinear transducer placed ventral to the cranial joint margins. Using aseptic technique, spinal needles were placed cranial to the transducer and advanced caudomedially into the distended cranioventral recess. Synovial fluid was retrieved in all cases with one needle placement. Findings indicated that, when distended, ultrasound-guided access to the cranioventral CFJ recess is a feasible alternative approach and may reduce the potential for extra-synovial placement. Distention in this sample of horses was accompanied by severe pathology, also supporting the use of this approach for therapeutic interventions.

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Computed tomographic diagnosis of a fracture of the floor of the pelvis in a Thoroughbred foal

Scilimati

Schiavo

Lauteri

et al. 2022

Equine Veterinary Education

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This case report describes the clinical and diagnostic imaging findings, treatment and outcomes of a 15-day-old Thoroughbred foal referred for the evaluation of severe left hindlimb lameness of 8 days' duration. Radiographic examination of the left hindlimb and transcutaneous ultrasonographic examination of the pelvis were unremarkable. A computed tomographic (CT) examination was performed to investigate the proximal aspect of the limb and the pelvis; CT scans of the thorax were also acquired. In this case, CT images allowed detection of a closed, slightly displaced, oblique wedge-like fracture of the left caudal ramus of the pubis and medial ramus of the ischium, allowing an accurate diagnosis to guide appropriate treatment and prognostication. The foal was treated with anti-inflammatory drugs and box-rest. A follow-up by telephone interview with the trainer 3 years later revealed that the horse is in full athletic activity without any residual gait alteration related to the pelvic fracture.

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Procedure for the Transrectal and Transcutaneous Ultrasonographic Diagnosis of Pelvic Fractures in the Horse

Cited by 6 publications

References 17 publications

Comparative ultrasonographic characterization of the pelvis in clinically normal horses and donkeys

Comparative ultrasonographic characterization of the pelvis in clinically normal horses and donkeys

Ultrasound‐guided Injections in Horses With Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach

Computed tomographic diagnosis of a fracture of the floor of the pelvis in a Thoroughbred foal

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