Clinical findings and management of six horses with subtendinous bursitis of the long digital extensor tendon in the hind limb fetlock.

M. Iglesias-García, I. Roquet, J. Jiménez, M. Martín-Cuervo, B. Fuentes-Romero, Luis J Ezquerra-Calvo
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引用次数: 2

Abstract

OBJECTIVE To describe the history, clinical signs, and management of six horses in which subtendinous bursitis of the long digital extensor tendon (LDET) in the hind limb fetlock had been diagnosed. STUDY DESIGN Retrospective case series. SAMPLE POPULATION Six privately owned horses. METHODS The medical records of horses presented at the hospital with similar sypmtoms were evaluated and collected. Finally 6 horses met the inclusion criteria and the relevant data were compiled and analysed. In three of the six cases a surgical treatment was carried out. RESULTS All horses had similar clinical signs, mainly distention beneath the long digital extensor tendon (LDET) at the level of the hind limb fetlock without associated lameness; the major issues were the presence of cosmetic defects and concern about their functional use in the future. Three of the six horses were treated surgically with bursoscopic debridement. The cosmetic results were excellent in two of these three horses. One horse that underwent an operation experienced a recurrence. None of the horses with bursitis treated medically experienced resolution of the problem. CONCLUSION Bursoscopy is a technique to consider for the management of bursitis of the LDET at the level of the fetlock combined with prolonged bandage application when medical treatment has failed to manage the condition. CLINICAL SIGNIFICANCE To the best of our knowledge, subtendinous bursitis of the LDET in the hind limb is not a commonly diagnosed condition. This small case series provides some insight into methods for the clinical management of this issue.
6匹马后肢趾长伸肌腱肌腱下滑囊炎的临床表现及治疗。
目的描述6匹马后肢趾长伸肌腱(LDET)肌腱下滑囊炎的病史、临床症状和治疗方法。研究设计:回顾性病例系列。6匹私人拥有的马。方法对该医院出现类似症状的马匹病历进行评估和收集。最后对6匹符合入选标准的马进行数据整理和分析。6例中有3例进行了手术治疗。结果所有马临床表现相似,主要表现为后肢趾长伸肌腱(LDET)下肿胀,无相关跛行;主要问题是外观缺陷的存在以及对其未来功能使用的担忧。6匹马中的3匹接受了囊镜清创手术治疗。这三匹马中有两匹的美容效果非常好。一匹接受过手术的马复发了。没有一匹马的滑囊炎治疗经验的解决问题。结论在药物治疗无效的情况下,应考虑采用滑囊镜检查治疗足跖关节水平滑囊炎,并长期使用绷带。临床意义据我们所知,后肢LDET的肌腱下滑囊炎并不是一种常见的诊断疾病。这个小的病例系列提供了一些洞察方法的临床管理的问题。
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