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Successful repair of a carpal sheath synovial hernia using a polypropylene mesh.

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Title: Successful repair of a carpal sheath synovial hernia using a polypropylene mesh.
Authors: Neild, S. R. L.1 (AUTHOR) steph.neild@hotmail.com, Stack, J. D.1 (AUTHOR), Cullen, M. D.1 (AUTHOR), Curnow, B. M.1 (AUTHOR)
Source: Equine Veterinary Education. May2026, Vol. 38 Issue 5, pe228-e234. 7p.
Subject Terms: Hernia surgery, Joint capsule, Tendon injuries, Surgical complications, Veterinary surgery
Abstract: Summary: A cob‐cross mare presented with a carpal sheath synovial hernia on the distolateral antebrachium following carpal sheath tenoscopy to treat a radial physeal exostosis and deep digital flexor tendon injury. The presumed source of pain was the weakened skin over the hernia as the intrathecal pathology identified at the initial tenoscopy had resolved. Herniorrhaphy was performed using a polypropylene mesh to reinforce the site. Long‐term follow‐up showed that the horse was no longer lame, the mesh had successfully prevented re‐herniation of the synovium and the cosmetic outcome was much improved. This case demonstrates the feasibility of performing herniorrhaphy of a synovial structure which has not previously been described. Performing surgical procedures on a synovial structure involves incising through the fibrous capsule surrounding the structure, thus creating a weakness in that area. If the area were to be repaired without the support of a mesh, the defect may still be present, and the hernia may recur. This case report describes the procedure, outcome and long‐term follow‐up for a case of synovial herniation following tenoscopy. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:Summary: A cob‐cross mare presented with a carpal sheath synovial hernia on the distolateral antebrachium following carpal sheath tenoscopy to treat a radial physeal exostosis and deep digital flexor tendon injury. The presumed source of pain was the weakened skin over the hernia as the intrathecal pathology identified at the initial tenoscopy had resolved. Herniorrhaphy was performed using a polypropylene mesh to reinforce the site. Long‐term follow‐up showed that the horse was no longer lame, the mesh had successfully prevented re‐herniation of the synovium and the cosmetic outcome was much improved. This case demonstrates the feasibility of performing herniorrhaphy of a synovial structure which has not previously been described. Performing surgical procedures on a synovial structure involves incising through the fibrous capsule surrounding the structure, thus creating a weakness in that area. If the area were to be repaired without the support of a mesh, the defect may still be present, and the hernia may recur. This case report describes the procedure, outcome and long‐term follow‐up for a case of synovial herniation following tenoscopy. [ABSTRACT FROM AUTHOR]
ISSN:09577734
DOI:10.1111/eve.14197