Ultrasonographic diagnosis of injuries to the deep digital flexor tendon and associated structures in the equine foot (suprasesamoidean area).

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Title: Ultrasonographic diagnosis of injuries to the deep digital flexor tendon and associated structures in the equine foot (suprasesamoidean area).
Authors: Seignour, M., Pasquet, H.1, Coudry, V.1, Denoix, J.-M.1
Source: Equine Veterinary Education. Jul2011, Vol. 23 Issue 7, p369-376. 8p. 2 Color Photographs, 9 Black and White Photographs.
Subject Terms: Flexor tendons, Veterinary ultrasonography, Navicular disease, Lameness in horses, Soft tissue injuries, Sesamoid bones, Tissue adhesions, Veterinary radiography, Diagnosis, Wounds & injuries
Abstract: Summary Foot pain is the most common cause of lameness in horses. In sport horses, podotrochlear syndrome ('navicular syndrome') is reported to be the most frequent condition affecting the front foot. Ultrasonography has the potential to detect damage to the soft tissues as well as the bone surfaces; in some clinics it has become the technique of choice for the identification and documentation of many podotrochlear injuries. The purpose of this paper is to review the main pathological conditions of the proximal part of the podotrochlear apparatus (PTA) that can be diagnosed ultrasonographically, focusing on the deep digital flexor tendon (DDFT), podotrochlear bursa (PTB) and distal digital annular ligament (DDAL). Potentially significant ultrasonographic findings of the DDFT include thickening of one or both lobes, longitudinal tears, focal or diffuse changes in echogenicity, irregularities of the dorsal border and adhesions between the DDFT and the proximal sesamoidean ligament and/or distal sesamoid bone. Deep digital flexor tendon injuries are often associated with concurrent lesions of the PTB (acute to chronic bursitis) and of the DDAL (desmopathy). Both feet should be routinely examined as lesions of the PTA are often bilateral. We currently consider that ultrasonography should be routinely employed as the primary diagnostic procedure to complement radiography of the equine foot. [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.)
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  Data: Ultrasonographic diagnosis of injuries to the deep digital flexor tendon and associated structures in the equine foot (suprasesamoidean area).
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  Data: <searchLink fieldCode="JN" term="%22Equine+Veterinary+Education%22">Equine Veterinary Education</searchLink>. Jul2011, Vol. 23 Issue 7, p369-376. 8p. 2 Color Photographs, 9 Black and White Photographs.
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  Data: <searchLink fieldCode="DE" term="%22Flexor+tendons%22">Flexor tendons</searchLink><br /><searchLink fieldCode="DE" term="%22Veterinary+ultrasonography%22">Veterinary ultrasonography</searchLink><br /><searchLink fieldCode="DE" term="%22Navicular+disease%22">Navicular disease</searchLink><br /><searchLink fieldCode="DE" term="%22Lameness+in+horses%22">Lameness in horses</searchLink><br /><searchLink fieldCode="DE" term="%22Soft+tissue+injuries%22">Soft tissue injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Sesamoid+bones%22">Sesamoid bones</searchLink><br /><searchLink fieldCode="DE" term="%22Tissue+adhesions%22">Tissue adhesions</searchLink><br /><searchLink fieldCode="DE" term="%22Veterinary+radiography%22">Veterinary radiography</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink>
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  Data: Summary Foot pain is the most common cause of lameness in horses. In sport horses, podotrochlear syndrome ('navicular syndrome') is reported to be the most frequent condition affecting the front foot. Ultrasonography has the potential to detect damage to the soft tissues as well as the bone surfaces; in some clinics it has become the technique of choice for the identification and documentation of many podotrochlear injuries. The purpose of this paper is to review the main pathological conditions of the proximal part of the podotrochlear apparatus (PTA) that can be diagnosed ultrasonographically, focusing on the deep digital flexor tendon (DDFT), podotrochlear bursa (PTB) and distal digital annular ligament (DDAL). Potentially significant ultrasonographic findings of the DDFT include thickening of one or both lobes, longitudinal tears, focal or diffuse changes in echogenicity, irregularities of the dorsal border and adhesions between the DDFT and the proximal sesamoidean ligament and/or distal sesamoid bone. Deep digital flexor tendon injuries are often associated with concurrent lesions of the PTB (acute to chronic bursitis) and of the DDAL (desmopathy). Both feet should be routinely examined as lesions of the PTA are often bilateral. We currently consider that ultrasonography should be routinely employed as the primary diagnostic procedure to complement radiography of the equine foot. [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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      – Type: doi
        Value: 10.1111/j.2042-3292.2010.00220.x
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        Text: English
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      – SubjectFull: Flexor tendons
        Type: general
      – SubjectFull: Veterinary ultrasonography
        Type: general
      – SubjectFull: Navicular disease
        Type: general
      – SubjectFull: Lameness in horses
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      – SubjectFull: Soft tissue injuries
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      – SubjectFull: Tissue adhesions
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      – SubjectFull: Veterinary radiography
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      – SubjectFull: Diagnosis
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      – SubjectFull: Wounds & injuries
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      – TitleFull: Ultrasonographic diagnosis of injuries to the deep digital flexor tendon and associated structures in the equine foot (suprasesamoidean area).
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              Text: Jul2011
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