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258 Cards in this Set
- Front
- Back
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Mepivicaine is the same as
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Carbocaine. Use for blocks
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PD blocks what
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Palmar third of foot
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Where is the PD injected
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Above collateral cartilages
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Which block numbs the pastern?
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Abaxial sesamoid
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Low four-point. Where do you do it?
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End of splint bones
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How does a corns horse walk?
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Protects his heel
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WWW for which 3 conditions?
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Corn BS PO
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Prolonged (up to. Year) recovery for which two foot conditions?
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Corns and BS
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What three things cause PO
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BS SSA Laminitis
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CS of PO?
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Short, choppy gait
Usu bilat |
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What is THE most common cause of lameness
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SSA
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DDx for SSA is
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P3 fracture
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Icthamol when?
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Under dry bandage to treat SSA
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Wry heels, how are you going to shoe him?
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Bar shoe, leave a space between the elevated heel and the shoe
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What causes contracted heels?
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Non weight bearing lameness
Long toes (gaited horses) |
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How could you treat Contracted heels?
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Thin the quarters
Cut a groove down to the white line Slipper shoe (higher axial than abaxial) |
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What six things make up the navicular apparatus?
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Navicular bone, bursa, and collateral lgg
DDF, Distal annular, and Distal sesamoidean/impar |
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Five year old quarter horse gelding has what dz
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Navicular
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What causes brachiocephalicus myositis?
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Navicular
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What does a foot look like with navicular disease?
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Hes pointing his toe forward
His toe is worn from all that daisy clipping |
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Where does navicular dz hurt?
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Their heel
Hoof tester between frog and wall across the heel = ouch Hence the pointed toe, to relieve pressure on the heel |
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Are nerve blocks specific for navicular dz?
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No
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What happens with a PD block if the horse has navicular dz?
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Lameness shifts to the other leg
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Where do you perform a heel block?
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At lateral (collateral) cartilages
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Since a heel block isnt specific for navicular disease, what do you do the next day?
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Inject locals into the coffin joint the next day to confirm diagnosis
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Navicular rads =
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Lollipops at distal border of navicular bone
Spurs at collateral lg attachments (enthesophytes) |
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How are you going to shoe your navicular horse?
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Expand the heel
Wedge pad to decrease tension on the DDF ROLL THE TOE to improve breakover Egg bar shoe whatever that means. |
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Boswella and Isoxsuprine treat
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Navicular
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Where do you inject HA in navicular horses?
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IV and in the coffin joint
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Where can you inject CCS for navicular dz?
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Coffin joint and navicular bursa
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Ethyl alcohol vs serapin inj for treatment of navicular dz
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Ethyl alcohol under the neurolemma vs serapin (with CCS) percutaneously
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Name three long-lasting CCS
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Celestone is betamethasone
Triamcinolone is vetalog Methylprednisone is depomedrol |
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Name two short acting CCS
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Flumethasone
Isoflupredone |
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What are three surgeries for navicular dz?
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PDN
Suspensory/collateral desmotomy Sympathetic fasciolysis blah blah blah |
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Where are you making your incision for a PDN?
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Midpastern (between bulb and prox ses) at the edge of the DDF
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What is the PD nerve axial to?
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Ergot lg
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Guillotine vs 2 cut excision. Where are you cutting the PD nerve for navicular treatment?
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One cut = as far proximally as possible
Two cut = 1 just above heel bulb, other cut just under the prox sesamoid |
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PDN recovery: Humburgs recommendation:
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S/R in 10 days then have the lowly groom apply DMSO/CCS and bandage the leg every day for a month!
This ensures the horse is rested, his incision is checked every day, and will hopefull prevent neuroma formation (which is ouchie) |
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If you wanna do a suspensory/collateral lg desmotomy to treat navicular dz, where do you make your incison?
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Between CDE + the distal eminence of P1
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How soon after performing suspensory or collateral desmotomy do you want them to return to work?
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Rapid return to work
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Whats the point of the PVSF for navicular treatment?
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Vasodilation of digital arteries
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Whats the typical progression of treatments for navicular dz?
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Start with nsaids, move on to ccs injections in the coffin jt and navicular birsa, then you can do a desmotomy. Save the PDN for last, its not ideal to have a horse walking around that cant feel its foot, esp if you want him to work again
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Which bone can be confused as fractured if it is bipartite?
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Navic
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Conservative treatment for navicular fracture- youve got two options
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Elevated bar shoe or flexed cast for six freakin months (sounds like a blast)
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Prognosis for navicular fx is guarded either way you look at it
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With conservative tx, pleasure riding is guarded
With surgical repair, return to competition is guarded. |
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How do you put a fractured navicular bone back together again?
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With a single lag screw and a special aiming device
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Laminitis omg omg omg i hate horses i used to think i liked them at ,east this dz is better than navicular disease
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So i just went to this website about laminitis and it said to use heart bar shoe aaaaaa million times for frog support. So our laminitic horse is named Frogger and his shoes <3 him
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What kind of support do you want to give a laminitic horse?
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Frog support
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What kind of shoe apparently <3 supporting the frog so we use it for our laminitic horses?
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Heart bar shoe. Trim the sole so it is parallel with P3 and put a heart on that laminitic horse
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When do you dub da toe?
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Apparently when you have a laminitic horse
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We have two surgical options for laminitis.
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Inferior check desmotomy and DDF tenotomy
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If you have an awesome athlete of a horse in front of you and he is laminitic would you elect inferior check desmotomy or DDF tenotomy?
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Inferior check desmotomy does not interfere with athletic performance.
DDF tenotomy will leave a horse pasture sound at best. |
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When a horse lacerates its DDF tendon we put an elevated trailer shoe on him right? This will help prevent his toe from going into the air when he stands. We are going to apply the same shoe to a horse that has a DDF tenotomy performed. When do we put this shoe on?
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Before surgery. Youre not going to hammer on a horse's foot in the recovery stall. We want him to wake up from his DDFT with the trailer shoe already on.
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What are our two approaches to the DDF tendon? Which is better?
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Mid cannon or mid pastern
Mid cannon is better because you can perform it with the horse standing and you dont have to invade the tendon sheath |
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True or false. A DDFT is usually only performed at the midpastern if youre performing the surgery for the second rime.
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True
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Where do you make your midcannon cut for DDFT?
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Lateral edge of the DDF
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Where is the midpastern incision made for DDFT?
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Palmer aspect of the pastern, thru the flexor tendon sheath
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True or false. Long hooves predispose to cracks
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True
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Hoof cracks dont usually cause lameness. Therefore if you are called out to see a lame horse you should not assume its the crack causing it til youve ruled out the most common cause of lameness--
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Subsolar abscessesssssss
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Wound at _______ may cause infected navicular bursa.
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Frog
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You found a SSA, drained it, 2.5 days later the horse is still lame. What are you thinking?
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Infection spread to navicular bursa.
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Went to stble, a horse is lame. Cant figure out quite what it is, you soak yhe foot for a few days to soften it up, expecting a SSA. Three days later no abscess apparent and the horse is still lame. What are you tinking?
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Fracture of P3
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What are the two ways you can drain the navicular bursa?
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Cut through the DDF to access it or use arthroscope to maneuver around the DDF so you dont have to cut it.
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What surgery might you resort to if an animal fractured his abaxial P3 (no joint involvement) and the owner wants to get him back into training right away?
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PDN
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P3 fractures might be mistaken for....
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SSA
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True or false. Do not wait to radiograph if you suspect a P3 fracture.
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False. It takes 2-10 days for radiographic changes to become apparent.
If this was a racehorse we were talking about and you suspected a P ONE fracture then take rads right away!! |
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If youve got a two year old horse with a P3 fracture thru the joint, stall rest with a bar shoe is NOT effective. True or false.
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False. Do ittttt
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If you have a P3 fx involving the joint age of the horse determines whether conservative treatment is an option. Over what ages do horses require a screw?ov
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Over 3 yo? Your P3s getting screwed. No rest for you.
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In a little baby that broke his little P3 whats a little thing you could put on his foot to make him better?
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Wood block! So cute!!
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You have three horses with different P3 extensor process fractures.
How do you treat the: small chip Large chip Larfe fragment |
Small chip remove
Large chip rest Large fragment screw (P3 extensor proc) |
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Low ring bone is a career ending injury. Which block is going to make the horse feel better but ruin his owners day?
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Foot block
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How do you ID quittored cartilage during surgery?
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Inject methykene blue into the draining wound tract at the lateral cartilage and it will bind to all the necrotic cart
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Whenever youre doing anything near the coronary band (this includes surgically removing quittor) what do you have to make sure of?
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That you dont cut or damage the coronary band!!
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What do we know about fractured radius, tibia, and femur?
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They dont heal
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Whats worse, fx involving pip jt or dip jt?
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Dip joint. The PIP joint can always be cleared by something and that something is arthrodesis,
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If ypu have a P2 fracture involving the Coffin joint whats your only hope?
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That you can realign it perfectly....but youre probably not that good =)
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Describe what you see on radiograph with PASTERN OCD
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Subchondral cysts
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What blocks the pastern joint?
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Abaxial sesamoid block
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What is high ringbone and who gets it?
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OA of the pastern joint. Western horses get it
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What is the difference between false and true high ring bone?
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True hi periosteal prolif extends into the joint capsule (therefore decreasing joint space therefore decreasing the amount the pastern can flex)
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What conformation predisposes to a dorsally subluxated pastern?
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Upright hindlimbs can cause a bilateral dorsally subluxated pastern joint.
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Damage to the _________ OR contraction of the ___________ could cause a dorsal subluxation of the pastern.
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Suspensory ligament damage
Distal sesamoid lg contracture |
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Failure of what two structures could cause palmar luxation of the pastern?
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SDF or distal sesamoidean lg
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What does a dorsal vs palmar subluxated pastern look like?
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Dorsal: swelling on dorsal pastern
Palmar: dropped fetlock |
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Torsion to the saggital groove of this bone often causes fracture
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P1
Occurs during races |
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When can you fix a P1 fx with a lag screw? Two incidences
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If non-displaced
If there is one solid strut extending thru the entire bone |
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Dorsoproximal chip fx of what part of P1?
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Medial eminence, whatever that is
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Treatment for a small dorsoproximal chip fx off of P1?
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Leave it. Itll get covered up by the fetlocks synovia soon
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What kind of P1 fx do hindlimbs get?
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Plantar rim (caudal proximal border of P1)
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Plantar P1 fx are type I or II depending on ....
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Axial vs abaxial
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Whats the treatment for type I vs type II plantarproximal P1 fx?
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Type I remove
Type II screw it or leave it |
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Um so radiographic view for plantarproximal P1 fx....
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Something about twenty degrees...
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Fetlock OA. Whats it called and what do you see on rads?
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Osselets. Periosteal proliferation which causes decreased joint space (especially on the medial side of the joint)
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What usu causes osselets?
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Traumatic capsulitis and synovitis
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Fetlock OCD. Describe
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FLAPS! Esp @ dorsal sagittal ridge (in both fl and hl)
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Dorsal or palmar fetlock OCD is more painful and tends to cause more OA?
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Palmar. Which sucks because you cant surgically access the palmar (or plantar) ridge
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_________________ --> luxated fetlock
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Ruptured med or lateral collateral ligament. Prognosis poor.
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How would ypu treat a luxated fetlock?
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Cast 6-8 weeks. Horse isnt going to perform again tho
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How do you fix a prox sesamoid fx going through midbody?
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Lag screw or wire
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What about a basilar fx extending the entire length of the sesamoid?
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Wire. Not a screw you cannot screw into basilar part of the prox sesamoid or it will crumble.
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Good prognosis for basilar fx extending thru the entire width of the bone. True or false.
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False. Poor px
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What are the best proximal sesamoid fx?
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Apical third or abaxial without fetlock joint involvement
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Fetlock arthrodesis leaves a horse....
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Pasture sound at best
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Sagittal fx of prox sesamoids tend to occur with fx of...
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Condyles
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How do you treat OCD in young vs old?
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Rest vs curet
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What is villonodular synovitis?
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Proliferation of synovial membrane @ dorsal fetlock
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What does villonodular synovitis look ike on rads?
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Filling defect and the dorsal aspect of the end of the cannon bone is lysed.
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How can some seedy trainers just "get by" with villonodular synovitis (instead of removong the whole mass of stuff like youre supposed to)
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Inj CCS and HA into the fetlock jt
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Valgus varus in a foal what dz do we think of?
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Angular limb deformity
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Which three joints cause angular limb deformity?
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Carpus, tarsus, fetlock
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Which three joints are involved in Flexural Deformities?
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Fetlock, pastern, coffin
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What are the causes of angular limb deformity?
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Meta/dia/epiphyseal dysplasia
Weak supporting structures Hypoplastic cuboidal bones Trauma to physis |
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If the foals got weak supporting structures causing his valgus deformity are you goung to cast him?
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No! No rest for his structures! Get him exercising to strengthen them up!
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What do you do for hypoplastic cuboidal bones causung angular limb?
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Stall rest with a cast that doesnt include the foot. Let his carpal bones ossify some more before we make him move around too much
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How long do you have to strip the short side?
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Radius 6 mo
Tibia 4 Cannon 2 Double it for retarding growth |
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Whats your time frame for treating diaphyseal dysplasia?
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You gotta do it before the foal turns 2 mo!
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What joints get acquired and congenital flexural deformities?
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Fetlock, pastern, coffin jts
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Why do we use splints for flexural deformities?
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To force the flexor tendons to stretch, theyre too short!
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Whats a Badame apparatus?
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Pulls the fetlock and pastern back, stretching the flexors
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Acquired flexural deformities are of two types
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Club foot or hyperflexed fetlock
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Whats the onferior check lg attach to
Where is primary growth for the first five months of life? |
Prox cannon
Distal cannon |
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Wheres the superior check lg attach?
Where is primary growth after five months pf age? |
Distal radius (prox to the physis)
Distal radius |
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What are you going to have the farrier do to a foals clubbed foot?
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Extend the toe, shorten the heel
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What kind of surgery can we do to stop all tha pulling on the coffin bone (ie to treT clubbed foot)
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Inferior check desmotomy or you might have to do a DDFT but hopefully not
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What kind of shoes do you put on a foal with upright pastern?
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Extend his toe and then elevate his heel
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What are you going to cut to treat upright pastern?
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Superior check. Its prob not going to be as successful as an inferior desmotomy is for ckubbed foot tho
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Postop desmotomy instructions
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Encourage exercise!
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How do you fix a nondisplaced lateral condylar fracture of the carpus?
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Internal fixation with 2 lag screws.
You could do a compression bandage but thats if they have no money |
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How do you fix a complete displaced fx of the lateral condyle of the cannon bone?
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Open reduction.
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Whats a bone plate for?
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Cannon fractures. Use two
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Whats the px for a nondisplaced vs displaced fracture of the lateral condyle?
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Nondisplaced 75%
displaced 50% |
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How old are horses that get bucked shins?
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Two
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What are you going to have the farrier do to a foals clubbed foot?
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Extend the toe, shorten the heel
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What kind of surgery can we do to stop all tha pulling on the coffin bone (ie to treT clubbed foot)
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Inferior check desmotomy or you might have to do a DDFT but hopefully not
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What kind of shoes do you put on a foal with upright pastern?
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Extend his toe and then elevate his heel
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What are you going to cut to treat upright pastern?
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Superior check. Its prob not going to be as successful as an inferior desmotomy is for ckubbed foot tho
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Postop desmotomy instructions
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Encourage exercise!
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How do you fix a nondisplaced lateral condylar fracture of the carpus?
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Internal fixation with 2 lag screws.
You could do a compression bandage but thats if they have no money |
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How do you fix a complete displaced fx of the lateral condyle of the cannon bone?
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Open reduction.
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Whats a bone plate for?
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Cannon fractures. Use two
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Whats the px for a nondisplaced vs displaced fracture of the lateral condyle?
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Nondisplaced 75%
displaced 50% |
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How old are horses that get bucked shins?
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Two
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When you have bucked shins you take rads to rule out...
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Stress fx aka saucer fractures aka divot fx which are at the dorsolateral surface of the cannon bone.
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Whats the disease they get when they are galloped and trotted more than they are breezed?
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Bucked shins, periostitis on the dorsal cannon bone
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Which bone gets splints more?
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2>4 cause it bears more weight
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True or false. Splints hurt with continued work.
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True
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Treatment for a classic case of splints
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Stall rest 3-4 weeks
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Where do Mc2 and 4 fx occur?
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Distal third and proximal bone
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What kinds of radiographic views do you need to take to see the splint bones well?
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A little dmplo and dlpmo perhaps?
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How do you repair a fractured splint bone?
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Remove the distal portion (or remove the whole damn bone if its the lateral splint), plate the proximal
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Where is high vs low vs pastern bow?
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High carpal sheath
Low digital sheath Pastern is caudal to P1 |
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What is your long term goal with bowed tendon repair?
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That the SDF tendon heals without any major scarring or abnormal cartilage development
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What are three surgical options for bowed tendons?
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Superior check desmotomy
Division of the volar annular lg Splitting the tendon fibers with a damn needle |
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Describe the procedure for a division of the volar annular lg
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Incise over the SDF, prox to the volar lg. I tink then you have to cut the tendon sheath. Put 1 blade of your scissors in the tendon sheath and the other in the SQ tunnel and cut the volar annular lg in half.
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What is the volar annular lg anyway?
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Thickening of the great digital sheath located on the palmar surface of the fetlock
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Secondary desmitis means it resulted from an abnormality of the _______ or ________
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Splint bones or prox sesamoids
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True or false. The suspensory ligament is what attaches the splints to the cannon bone. It is not the same thing as the suspenspry apparatus.
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True
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When might suspensory desmitis be secondary to splints?
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If despite showing signs of splints, the horse continued to be worked, periosteal proliferation would impinge on the suspensory ligament.
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Laceration of the following will cause what signs?
SDF DDF Both All 3 |
Dropped fetlock
Toe up Grounded fetlock Permanently grounded fetlock |
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How do you treat laceration of the following tendons (besides wound care):
SDF DDF All 3 |
Do nothing
Elevated trailer shoe for eight weeks Kimsey brace which was that thing with all the velcro everywhere. It extended way up the leg |
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What causes CDE rupture?
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Foal in the paddock couldnt keep up with his momma
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What aspect of the leg do you see swelling associated with CDE rupture?
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The CDE tendon sheath will be swollen at the craniolateral aspect of the fetlock
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How do you fix the baby that just wanted to run by his mothers side?
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Compression bandage and put them in a stall
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What does a LACERATED CDE require?
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Compression bandage, wound care. Remember lower leg wounds like to granulate, so avoid excessive granulation!
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A foal rocks back on his heels. This is called flexor tendon weakness and it has an easy fix
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Rasp his heel so theyre harder to roll back on, and then stick a trailer shoe on them
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How do you fix the baby that just wanted to run by his mothers side?
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Compression bandage and put them in a stall
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What does a LACERATED CDE require?
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Compression bandage, wound care. Remember lower leg wounds like to granulate, so avoid excessive granulation!
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A foal rocks back on his heels. This is called flexor tendon weakness and it has an easy fix
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Rasp his heel so theyre harder to roll back on, and then stick a trailer shoe on them
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What age do racehorses get carpitis
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2-4
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What 2 tings predispose them to getting carpitis
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Calf-kneed, toe grabs
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True or false. Carpitis causes a debilitating lameness that can seldom be cured.
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False. Usu mild to moderate, and it decreases with rest so you might not be able to detect it by the time you even see the horse
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Wjere do you inject intra articular LAs in the carpus?
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ABC and intracarpal joint
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Should you treat fx and OCD of the carpus conservatively?
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Hell no! The fx is going to recur, the horse is going to get carpal arthritis aka superdedooper high ring bone. Its just no good. Repair surgically. The carpus is important
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How can you repair carpal slab fractures?
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Arthrotomy or percutaneous screws
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Ok so you removed the chip fracture or screwed the C3 back together. What are ypur postop instructions?
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2 4 4
Two weeks stall rest Four weeks hand walking Four weeks swimming (rehab facility mucho money) or pasture Return to training ten weeks postop woohoo |
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The prognosis for carpitis is good if (3 things)
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Good conformation
You removed th fx early Proper postop |
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True or false. Some vets wont do carpal surgery on a horse with bad conformation.
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True. They dont want to screw up their success rate. Conformation is very important in carpal injuries.
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Why does nonweightbearing lead to acquired flexural deformities?
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Because the flexor tendons dont stretch if the leg isnt bearing weight
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If you hsve a wound over a joint what kind of graft might you want to do?
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Tunnel
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Benefits of mesh grafts
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Allows movement
Serum can escape |
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What causes a bloody nasal discharge?
|
Conidobolomycosis
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Which responds to immunotherapy conidobolomycosis or pythiosis
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Pythiosis
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True or false. Remove sequestrums
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True
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Why does NWB cause flexural capral deformity in that limb?
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The extensor unit shortens
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Besides NWB lameness, what else can result in flexural carpal deformity?
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A ruptured CDE tendon
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In treating flexural deformities, you can use IV tetras but you must use them in conjunction with ___________ to force weight bearing on the affected limb
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Tube cast or splint.....the effect of tetras is not long lived
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If you cannot get flexural limb deformity to correct you may have to result to this surgery (which sucks because it means your foals never gonna be a performance horse)
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Ulnaris lateralis or flexor carpi ulnaris tenotomy.....
Poor prognosis for foals if you have to result to surgical correction of flexural carpal deformity |
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The radial innervates
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Extensors of elbow carpus digits and the ulnaris lateralis
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Overstretching the radial nerve can cause
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Radial nerve paralysis
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Young horse broke his olecranon. How is that dumb fool standing when you get there
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Dropped elbow, flexed carpus
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What hurts when they break their elbow....and what xray view do you need to take?
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Extension hurts....and you have to extend their limb for a proper rad (dmplo). They prob need some sedation for it
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Stall rest aka conservative htx for olecranon fx had a big list of complications what are they
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Affected limb: flexor contracture, triceps atrophy, nonunion all leading to DJD
Sound limb: valgus deformity if theyre still young vs laminitis |
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Extreme shoulder flexion and elbow extension can cause
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Bicipital bursitis
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If bicipital bursitis is infected the prognosis is guarded and if its not infected the px is
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Fair
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When do you "see" shoulder OCD
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Weanlings and yearlings! Really young!
They show a mild intermittent lameness |
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How does a horse with severe shoulder pain walk?
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Their whole side rises with each step, there may be circumduction/lateral abduction of the leg
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Etiology of shoulder arthritis
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Hematogenous infections in young....and ocd and fx of course
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Hematogenous joint infection in neonates or whatever could result in future shoulder arthritis. True or false.
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True
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How is sweeney initially treated
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Rest And anti inflammatories for two months
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Trauma to the carpus can cause carpal hygroma. This and capped hock can be cauterized. True or false.
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True. Cauterize CH and CH
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What are the hindlimb conformations that predispose to the following conditions:
Bone spavin Bog spavin Curb |
Bone is sickle, upright, post
Bog is straight Curb is sickle, cow, kicking |
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What joints are involved in:
Bone spavin Bog spavin, hock OCD |
Bone is TMt and DIT
Bog and OCD are your TT joints |
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Where is the tibial and peroneal nerves located
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They are both about four inches prox to the tuber. The tibial is cr to the SDF and the peroneal is between the long and lateral digital extensors
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Postop arthrodesis of the hock
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Small pen for four months then he should increase in soundness for a year. Takes a long time!
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DDx for bog spavin is thoroughpin because they can both appear on the caudal aspect of the joint...
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True
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What mineral imbalances can lead to OCD?
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High ca p zn
Low cu |
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Hock OCD locations
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DIRT
Lateral trochlea of thr talus Medial trochlea of the talus Medial malleolus Lateral malleolus |
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Do you have to do arthroscopic surgery on a horse with hock ocd id hes showing no signs of lamesess or effusion?
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No but if he is going to be a valuable performance horse you will as a preventative
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What is capped hock
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A sq bursal swelling with or without fluid...There might be no fluid in that cap
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If you surgically excise the capped hock, what are you going to cast postop to prevent flexion of the hock?
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Cast the fetlock to prevent flexion of the hock
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Whats a differential for capped hock?
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Sdf luxation
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Whats the unique surgery for luxated sdf?
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Mesh and immobilize the hock for 1-2 mos
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Synovial effusion without inflammation =
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Thoroughpin
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Three nerves affected by australian stringhalt =
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Revurrent laryngeal, peronseal, tibial
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When is istringhalt worse?
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Cold, turns, backing, after rest
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During LDE tenectomy....
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First divide the tendon distally (while still attached proximally)
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Where does the semitendinosus insert?
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On the caudomedial aspect of the proximal tibia
(over the gastroc, behind the saphenous) |
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Postop for semitendinosus transection?
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Just stall rest til S/R....fibrotic ossifying whatever has a quick recovery after sx
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OCD of the lateral trochlear ridge of the femur....what age, what rads
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6 to 2
Lateral patellar rotation, femoropatellar effusion, decreased stride |
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Whats the conservative tx for ocd of e lateral trochlear ridge? Prognosis?
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Pasture with proper nutr and nsaids
50% Px not good if both trochlear ridges are involved |
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OCD of the medial femoral condyle what do you see on rads
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Subchondral cyst on the medial femoral condyle.
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Which has no joint involvementt
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E medial femoral condyle has no joint involvement!
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What is the sx of choice for SC of thr med fem condyle
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No curetting, just inject CCS
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Is prognosis of SC of medial fem condyle dependant on radiographic evidence of cyst filling?
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No
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When do you first see CS of medial femoral condylar OCD?
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When hes first put to work at 5-5
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Where is the sartorius tendon?
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It is just behind the edial patellar lg! Good job =)
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Etiology of upward fixed patella (3)
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Straight HL
Trauma from overextending the leg and the patella caught and now you cant unextend it Muscle spasms if the horse isnt conditioned |
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Who gets complete upward fixation
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Draft horses
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What does momentary upward fixation look like?
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Hitching, esp at the end of work when his muscles are fatigued
His leg gets stuck for a minute so he hesitates before picking it up when hes walking |
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How do you treat momentary upward fixation?
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Slowly condition the animal but since most ppl dont want to waste time doing that theyll just inject the iodine in almond oil right into the lg
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Where do you inject locals before doing your medial patellar desmotomy?
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Along the medial and middle patellar lgg
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Postop medial desmotomy what is Humburgs reccd for postop upward fixated patella
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Exercise!! Hand walk the horse for 2-3 days then lightly exercise him for 5 days. You want his muscles to be comditioned by the time his lf heals into a ligamentous unit so the same issue doesnt happen again
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What are possible complications of medial patellar desmotomies?
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Seroma, chondromalacia, irreversible lameness
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The first time you do a medial patellar desmotomy the orse can be hstanding. Why if you have to perform the sx for a second time do you do GA?
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Because the lg is huge after the initial surgery and youre going to have to cut around a lot more if the horse is standing.
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Ruptured peroneus tertius usu happens in the distal portion of adults (where it attaches to the prox cannon bone) and where in foals
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The origin, which is the distal femur
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Where do you see a dimple when you have a ruptured peroneus tertius?
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Just above the tuber when the whole limbs extended except the hock
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How does a horse with a ruptured peroneus tertius walk?
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He has difficulty advancing his limb because his ankle cant flex to give him any spring off the ground
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How does a horse with a ruptured peroneus tertius bear weight?
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normally
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What does momentary upward fixation look like?
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Hitching, esp at the end of work when his muscles are fatigued
His leg gets stuck for a minute so he hesitates before picking it up when hes walking |
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How do you treat momentary upward fixation?
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Slowly condition the animal but since most ppl dont want to waste time doing that theyll just inject the iodine in almond oil right into the lg
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Where do you inject locals before doing your medial patellar desmotomy?
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Along the medial and middle patellar lgg
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Postop medial desmotomy what is Humburgs reccd for postop upward fixated patella
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Exercise!! Hand walk the horse for 2-3 days then lightly exercise him for 5 days. You want his muscles to be comditioned by the time his lf heals into a ligamentous unit so the same issue doesnt happen again
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What are possible complications of medial patellar desmotomies?
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Seroma, chondromalacia, irreversible lameness
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The first time you do a medial patellar desmotomy the orse can be hstanding. Why if you have to perform the sx for a second time do you do GA?
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Because the lg is huge after the initial surgery and youre going to have to cut around a lot more if the horse is standing.
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Ruptured peroneus tertius usu happens in the distal portion of adults (where it attaches to the prox cannon bone) and where in foals
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The origin, which is the distal femur
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Where do you see a dimple when you have a ruptured peroneus tertius?
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Just above the tuber when the whole limbs extended except the hock
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How does a horse with a ruptured peroneus tertius walk?
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He has difficulty advancing his limb because his ankle cant flex to give him any spring off the ground
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How does a horse with a ruptured peroneus tertius bear weight?
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normally
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What does momentary upward fixation look like?
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Hitching, esp at the end of work when his muscles are fatigued
His leg gets stuck for a minute so he hesitates before picking it up when hes walking |
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How do you treat momentary upward fixation?
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Slowly condition the animal but since most ppl dont want to waste time doing that theyll just inject the iodine in almond oil right into the lg
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Where do you inject locals before doing your medial patellar desmotomy?
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Along the medial and middle patellar lgg
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Postop medial desmotomy what is Humburgs reccd for postop upward fixated patella
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Exercise!! Hand walk the horse for 2-3 days then lightly exercise him for 5 days. You want his muscles to be comditioned by the time his lf heals into a ligamentous unit so the same issue doesnt happen again
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What are possible complications of medial patellar desmotomies?
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Seroma, chondromalacia, irreversible lameness
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The first time you do a medial patellar desmotomy the orse can be hstanding. Why if you have to perform the sx for a second time do you do GA?
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Because the lg is huge after the initial surgery and youre going to have to cut around a lot more if the horse is standing.
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Ruptured peroneus tertius usu happens in the distal portion of adults (where it attaches to the prox cannon bone) and where in foals
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The origin, which is the distal femur
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Where do you see a dimple when you have a ruptured peroneus tertius?
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Just above the tuber when the whole limbs extended except the hock
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How does a horse with a ruptured peroneus tertius walk?
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He has difficulty advancing his limb because his ankle cant flex to give him any spring off the ground
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How does a horse with a ruptured peroneus tertius bear weight?
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normally
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