Computed tomographic contrast tenography aids pre‐operative diagnosis in clinical conditions of the digital flexor tendon sheath.
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| Title: | Computed tomographic contrast tenography aids pre‐operative diagnosis in clinical conditions of the digital flexor tendon sheath. |
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| Authors: | Shanklin, Alexander J.1 (AUTHOR), Baldwin, Christopher M.1 (AUTHOR), Ellesmere, Leah1 (AUTHOR), Stack, John D.1 (AUTHOR) j.d.stack@liverpool.ac.uk |
| Source: | Equine Veterinary Education. Apr2024, Vol. 36 Issue 4, p197-205. 9p. |
| Subject Terms: | Diagnostic ultrasonic imaging, Flexor tendons, Computed tomography, Clinical pathology, Ultrasonic imaging, Tendon injuries |
| Abstract: | Summary: Common pathology within the digital flexor tendon sheath (DFTS) includes tearing of the manica flexoria, marginal longitudinal lesions of the deep digital flexor tendon and fetlock canal constriction. These are a frequent cause of lameness in cob‐type breeds where skin thickness can make obtaining diagnostic ultrasound images difficult. Radiographic contrast tenography in the standing patient can be used to identify pathology but provides limited information on the exact lesion configuration. This report describes the use of computed tomographic contrast tenography under general anaesthesia to identify and detail the configuration of intrathecal DFTS pathology in four clinical cases (six limbs) subsequently assessed with DFTS tenoscopy. Computed tomography findings altered surgical planning in two cases, and in all cases computed tomography findings were confirmed by tenoscopy. Computed tomographic contrast tenography correctly predicted all lesions observed during tenoscopy: manica flexoria pathology including laterality (4/4 torn and 2/2 intact), fetlock canal constriction (3/3 limbs), deep digital flexor tendon injury (1/1) and intrathecal adhesions (5/5 limbs). Computed tomographic contrast tenography was a useful pre‐operative imaging modality which aided surgical planning. The technique may be applicable for use in standing computed tomography systems where it would provide the diagnostic benefits listed without the associated risk of prolonging anaesthesia. [ABSTRACT FROM AUTHOR] |
| Copyright of Equine Veterinary Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 175852843 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Computed tomographic contrast tenography aids pre‐operative diagnosis in clinical conditions of the digital flexor tendon sheath. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Shanklin%2C+Alexander+J%2E%22">Shanklin, Alexander J.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baldwin%2C+Christopher+M%2E%22">Baldwin, Christopher M.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ellesmere%2C+Leah%22">Ellesmere, Leah</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stack%2C+John+D%2E%22">Stack, John D.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> j.d.stack@liverpool.ac.uk</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Equine+Veterinary+Education%22">Equine Veterinary Education</searchLink>. Apr2024, Vol. 36 Issue 4, p197-205. 9p. – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Diagnostic+ultrasonic+imaging%22">Diagnostic ultrasonic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Flexor+tendons%22">Flexor tendons</searchLink><br /><searchLink fieldCode="DE" term="%22Computed+tomography%22">Computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+pathology%22">Clinical pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Ultrasonic+imaging%22">Ultrasonic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Tendon+injuries%22">Tendon injuries</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Summary: Common pathology within the digital flexor tendon sheath (DFTS) includes tearing of the manica flexoria, marginal longitudinal lesions of the deep digital flexor tendon and fetlock canal constriction. These are a frequent cause of lameness in cob‐type breeds where skin thickness can make obtaining diagnostic ultrasound images difficult. Radiographic contrast tenography in the standing patient can be used to identify pathology but provides limited information on the exact lesion configuration. This report describes the use of computed tomographic contrast tenography under general anaesthesia to identify and detail the configuration of intrathecal DFTS pathology in four clinical cases (six limbs) subsequently assessed with DFTS tenoscopy. Computed tomography findings altered surgical planning in two cases, and in all cases computed tomography findings were confirmed by tenoscopy. Computed tomographic contrast tenography correctly predicted all lesions observed during tenoscopy: manica flexoria pathology including laterality (4/4 torn and 2/2 intact), fetlock canal constriction (3/3 limbs), deep digital flexor tendon injury (1/1) and intrathecal adhesions (5/5 limbs). Computed tomographic contrast tenography was a useful pre‐operative imaging modality which aided surgical planning. The technique may be applicable for use in standing computed tomography systems where it would provide the diagnostic benefits listed without the associated risk of prolonging anaesthesia. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Equine Veterinary Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/eve.13928 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 197 Subjects: – SubjectFull: Diagnostic ultrasonic imaging Type: general – SubjectFull: Flexor tendons Type: general – SubjectFull: Computed tomography Type: general – SubjectFull: Clinical pathology Type: general – SubjectFull: Ultrasonic imaging Type: general – SubjectFull: Tendon injuries Type: general Titles: – TitleFull: Computed tomographic contrast tenography aids pre‐operative diagnosis in clinical conditions of the digital flexor tendon sheath. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Shanklin, Alexander J. – PersonEntity: Name: NameFull: Baldwin, Christopher M. – PersonEntity: Name: NameFull: Ellesmere, Leah – PersonEntity: Name: NameFull: Stack, John D. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09577734 Numbering: – Type: volume Value: 36 – Type: issue Value: 4 Titles: – TitleFull: Equine Veterinary Education Type: main |
| ResultId | 1 |
