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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]
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
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PubType: Academic Journal
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  Data: Successful repair of a carpal sheath synovial hernia using a polypropylene mesh.
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  Data: <searchLink fieldCode="AR" term="%22Neild%2C+S%2E+R%2E+L%2E%22">Neild, S. R. L.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> steph.neild@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Stack%2C+J%2E+D%2E%22">Stack, J. D.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cullen%2C+M%2E+D%2E%22">Cullen, M. D.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Curnow%2C+B%2E+M%2E%22">Curnow, B. M.</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Equine+Veterinary+Education%22">Equine Veterinary Education</searchLink>. May2026, Vol. 38 Issue 5, pe228-e234. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Hernia+surgery%22">Hernia surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Joint+capsule%22">Joint capsule</searchLink><br /><searchLink fieldCode="DE" term="%22Tendon+injuries%22">Tendon injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Veterinary+surgery%22">Veterinary surgery</searchLink>
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  Data: 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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  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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        Value: 10.1111/eve.14197
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      – Code: eng
        Text: English
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      – SubjectFull: Hernia surgery
        Type: general
      – SubjectFull: Joint capsule
        Type: general
      – SubjectFull: Tendon injuries
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Veterinary surgery
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      – TitleFull: Successful repair of a carpal sheath synovial hernia using a polypropylene mesh.
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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