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18 Cards in this Set

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  • Back
when performing a visual exam for ALD...
stand perpendicular to the frontal plane of the limb of interest
carpus and toe should point in the same direction
Periarticular laxity
soft tissues around joint are too elastic
radiographs are normal
---you should be able to manipulate the leg and straighten out the deformity as well as have the NORMAL radiographs
incomplete ossification
able to manually correct but ABNORMAL radiographs
assymetric physeal growth
NOT able to manually correct and ABNORMAL radiographs
remodeling cytokines (catabolism)
interleukin--1
TNF-alpha
matrix metalloproteinases
aggracanases
prostaglandin E2
Interleukin -1 (IL-1)
the major bad guy
pro-inflammatory
inhibits chondrocyte ability to repair damaged ECM
stimulates osteoblasts (osteophyte formation)
Prostaglandin E2 (PGE2)
increases synovial inflammation
ECM degradation --> cartilage erosion
responsible for pain -- clinical signs
anti-inflammatory cytokines (regulatory)
IL-4
IL-6
IL-10
IL-13
stimulate TIMP synthesis
promote IRAP synthesis
Inhibit IL-1 synthesis
DMOADs
disease modifying osteoarthritic drugs
drugs that alter what the disease is doing
try to alter chemicals in cartilage
improve histology of synovium
decrease osteophyte formation
SMOADs
symptom modifying osteoarthritic drugs
make symptoms better. decrease effusion, but no chemical things we can measure to explain the change in symptoms
Modified Mankin Score
scoring system for osteoarthritic cartilage (score 14 diff things)
-histologic structure
-cellular abnormalities
-matrix staining
higher score = more OA
Most common cause of lameness
subsolar abscess (superficial infection of the corium of the sole)
-lameness results from inflammation and pressure of closed cavity infection
subsolar abscess etiology
migration of dirt/bacteria up the white line
superficial puncture wounds
horseshoe nails
______________ will be increased or bounding in the _____________ limb with subsolar abscesses
pulse will be increased or bounding in the affected limb
navicular disease
characterized by pain in the palmar portion of the foot
horses of various breeds and uses affected
many become sufficiently lame that they are no longer useful
navicular disease (classic form) pathogenesis
chronic progressive degenerative condition which effects one or more of: the navicular bone, navicular bursa, apposing surface of the DDF tendon, navicular ligaments
inferior confirmation examples causing navicular disease
upright pasterns
broken back hoof-pastern axes
underrun heels
small feet/body size
treatment of navicular disease success or failure depends on...
when treatment is initiated (stage of pathology)
the horse's conformation
the expectations for the horse