Techniques and Indications for Intraoperative Ultrasound in Horses

Stack, John D.; Cousty, M.; Sanders, Ruth; David, Florent

doi:10.1111/vsu.12537

Cited by 10 publications

(8 citation statements)

References 27 publications

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“…Severe hemorrhage could occur as a result of incidental laceration of these vessels. Damage to vascular structures could be prevented by visualizing them using intraoperative ultrasound with or without Doppler effect …”

Section: Discussionmentioning

confidence: 99%

Arthroscopic removal of osteochondral fragments in the dorsal pouch of the proximal intertarsal joint in 29 horses

2018

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Section: Discussionmentioning

confidence: 99%

Arthroscopic removal of osteochondral fragments in the dorsal pouch of the proximal intertarsal joint in 29 horses

2018

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“…1,8,9 Intraoperative ultrasonographic guidance offers multiple advantages to the surgeon, including identification of relevant anatomical structures and avoidance of iatrogenic damage to these structures. 10 Although other minimally invasive ultrasound-guided techniques for tenotomies have been described in the veterinary literature, including tenotomy of the deep digital flexor tendon or annular ligament desmotomy, 11,12 minimally invasive semitendinosus tenotomy has not been described previously in horses. The objective of this ex vivo study was to describe a surgical procedure for ultrasound-assisted minimally invasive semitendinosus tenotomy and to report surgical complications.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive tenotomy of the tibial insertion of the semitendinosus muscle: An ex vivo study in horses

et al. 2021

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Objective: To describe a minimally invasive technique for semitendinosus tenotomy with ultrasonographic guidance and to evaluate procedural complications. Study design: Experimental study. Sample population: Cadaveric equine hind limbs (n = 16).Methods: A stab incision was performed distocaudal to the tibial insertion of the semitendinosus muscle with ultrasonographic assistance. After transection of the tendon with an arthroscopic retrograde knife, the tendon edges palpably retracted, and complete transection was confirmed by ultrasound.Limbs were dissected to confirm the degree of tendon transection and to identify iatrogenic trauma to surrounding soft tissues.Results: Tenotomy was complete in all limbs, resulting in a palpable gap forming between tendon edges. Superficial iatrogenic laceration to the underlying gracilis muscle (n = 2) or gracilis fascia (n = 1) was apparent in 3 of 16 limbs. Conclusion:Ultrasound-assisted tenotomy of the tibial insertion of the semitendinosus muscle was reliably performed in a minimally invasive fashion with minor iatrogenic damage.Clinical significance: Minimally invasive tenotomy of the semitendinosus muscle can be performed with ultrasonographic assistance and should be considered as an alternative technique for surgical management of fibrotic semitendinosus myopathy.

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“…Ultrasound guidance is no longer limited to injections, as evidenced by the various clinical applications described in this review, from the placement of epidural catheters to electrostimulation of cervical nerves. Not only is ultrasound guidance a much-valued technique for procedures on the head and neck of the horse, it is also a valued technique for procedures elsewhere on the body, including the rest of the appendicular skeleton, where it is increasingly used alongside interventional procedures and as an aid in surgery [ 48 ]. New developments in this field are constantly evolving, bringing with them new techniques and making ultrasound guidance an increasingly popular and utilized modality worldwide.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided injections of the equine head and neck: review and expert opinion

Johnson

Vinardell

David

2021

JES

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Ultrasound-guided injections can be used for a wide variety of conditions in the horse, including both diagnostic and therapeutic applications. Benefits of ultrasound guidance include more accurate deposition of injectate compared with blind approaches. Improved identification of vital structures, including nerves and blood vessels, allows their avoidance and thus reduces procedure-associated complications. Validation of such ultrasoundguided techniques has shown that they can be easily learnt by inexperienced veterinarians, assuming a proper knowledge of the sonographic anatomy. In many cases they can be employed in the field with a high level of accuracy, using widely available equipment, and with complete adherence to the sterility principles. Many ultrasound-guided injection techniques of the axial skeleton in the horse have been described in past years, enabling the equine veterinarian to perform more accurate treatments of specific anatomical areas. The goal of this review is to discuss diagnostic and therapeutic ultrasound-guided injection techniques of the skull and cervical spine in the horse, including those for the retrobulbar space, maxillary and inferior alveolar nerves, atlanto-occipital and atlanto-axial junctions, and cervical articular process joints, as well as the 1st cervical nerve, the C2 and C3 nerve plexus, and the 6th, 7th, and 8th cervical nerve roots.

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Techniques and Indications for Intraoperative Ultrasound in Horses

Abstract: Intraoperative ultrasound can be a useful adjunct to surgical techniques for various conditions in horses.

Cited by 10 publications

References 27 publications

Arthroscopic removal of osteochondral fragments in the dorsal pouch of the proximal intertarsal joint in 29 horses

Arthroscopic removal of osteochondral fragments in the dorsal pouch of the proximal intertarsal joint in 29 horses

Minimally invasive tenotomy of the tibial insertion of the semitendinosus muscle: An ex vivo study in horses

Ultrasound-guided injections of the equine head and neck: review and expert opinion

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