Diagnosis and Management of Lameness in the Horse

By

  • Michael Ross, DVM, DACVS, Professor of Surgery, Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square, PA
  • Sue Dyson, MA, VetMB, PhD, DEO, FRCVS, Head of Clinical Orthopaedics, Centre for Equine Studies, Animal Health Trust, Newmarket, Suffolk, England

This unique, comprehensive approach to lameness describes the diagnosis and management of conditions that can cause gait abnormalities in horses, exploring both traditional treatments and alternative therapies. Broader in scope than any other book of its kind, it offers detailed descriptions of equine sporting activities and specific lameness conditions in major sport horse types. Up-to-date information on all imaging modalities encompasses radiography, ultrasonography, nuclear scintigraphy, thermography, computed tomography, magnetic resonance imaging, arthroscopy, tenoscopy and bursoscopy. Particular emphasis is placed on clinical examination and diagnostic analgesia. A companion CD-ROM features nearly 60 minutes of video segments that demonstrate common forelimb and hindlimb lameness and gait abnormalities.
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Book information

  • Published: December 2002
  • Imprint: SAUNDERS
  • ISBN: 978-0-7216-8342-3


Table of Contents

PART I. Diagnosis of Lameness
Section 1. The Lameness Examination
1. Lameness Examination – Historical Perspective
2. Basic Facts of Lameness
3. Anamnesis (History)
4. Conformation
5. Observation
6. Palpation
7. Movement
8. Manipulation
9. Applied Anatomy
10. Diagnostic Analgesia
11. The Neurological Examination and Neurological Conditions Causing Gait Deficits
12. Unexplained Lameness
13. Assessment of Acute Onset, Severe Lameness
14. The Swollen Limb
Section 2. Diagnostic Imaging
15. Radiography and Radiology
16. Ultrasonographic Evaluation of the Equine Limb: Technique
17. Ultrasonographic Examination of Joints
18. Ultrasound and Orthopedic (Non-articular) Disease
19. Nuclear Medicine
20. Computed Tomography
21. Magnetic Resonance Imaging
22. Video Analysis of Gait
23. Arthroscopic Examination
24. Tenoscopy and Bursoscopy
25. Thermography

PART II. The Forelimb
Section 1. The Foot
26. Clinical Investigation of foot pain
27. The Foot and Shoeing
28. Trauma to the Sole and Wall
29. Functional Anatomy of the Palmar Aspect of the Foot
30. Navicular Disease and Other Soft Tissue Causes of Palmar Foot Pain
31. Treatment and Prognosis of Navicular Disease
32. Fracture of the Navicular Bone
33. Primary Lesions of the Deep Digital Flexor Tendon within the Hoof Capsule
34. The Distal Phalanx and Distal Interphalangeal Joint
35. Laminitis
Section 2.
36. The Proximal and Middle Phalanges and the Proximal Interphalangeal Joint
37. The Metacarpophalangeal Joint
38. The Metacarpal Region
39. The Carpus
40. The Antebrachium
41. The Elbow, Brachium, and Shoulder

PART III. The Hindlimb
42. The Hindfoot
43. The Metatarsophalangeal Joint
44. The Metatarsal Region
45. The Tarsus
46. The Crus
47. The Stifle
48. The Thigh
49. Mechanical Lameness in the Hindlimb
50. Estrus and Lameness

PART IV. The Axial Skeleton
51. Diagnosis and Management of Pelvic Fractures in the Thoroughbred Racehorse
52. Pelvic Injuries in the Non-racehorse
53. Diagnosis and Management of Sacroiliac Joint Injuries
54. The Thoracolumbar Spine
55. The Cervical Spine and Soft Tissues of the Neck

PART V. Developmental Orthopedic Disease and Lameness
56. Pathogenesis of Osteochondrosis
57. The Role of Nutrition in DOD/Nutritional Management
58. Diagnosis and Management of Osteochondrosis and Osseous Cyst-like Lesions
59. Physitis
60. Angular Limb Deformities
61. Felxural Limb Deformity in Foals
62. Cervical Stenotic Myelopathy

PART VI. Arthritis
63. Osteoarthritis
64. Markers of Osteoarthritis: Implications for Early Diagnosis and Monitoring of Pathology and Effects of Therapy
65. Models of Equine Joint Disease
66. Infectious Arthritis
67. Non-infectious Arthritis
68. Other Conditions of Joints

PART VII. The Soft Tissues
69. Pathophysiology of Tendon Injury
70. Superficial Digital Flexor Tendonitis
71. Deep Digital Flexor Tendonitis
72. Desmitis of the Accessory Ligament of the Deep Digital Flexor Tendon
73. The Suspensory Apparatus
74. Clinical Use of Stem Cells and Marrow Components to Stimulate Suspensory Ligament Regeneration
75. Diseases of the Digital Synovial Sheath, the Palmar Annular Ligament, and Digital Annular Ligaments
76. The Carpal Canal and the Carpal Synovial Sheath
77. The Tarsal Sheath
78. Extensor Tendon Injury
79. Curb
80. The Bursae
81. Other Soft Tissue Injuries
82. Tendon Lacerations
83. Soft Tissue Injuries in the Pastern Region
84. Skeletal Muscle and Lameness

PART VIII. Therapeutics
Section 1. Traditional Therapy
85. Principles and Practices of Joint Disease Treatment
86. Epidural Analgesia
87. Bandaging, Splinting, and Casting
88. External Skeletal Fixation
89. Counterirritation
90. Cryotherapy: Theory and Applications
91. Radiation Therapy
92. Rest and Rehabilitation
Section 2. Complementary (Non-traditional) Therapy
93. Acupuncture
94. Chiropractic Evaluation and Management of Musculoskeletal Disorders
95. Therapeutic Use of Ultrasound, Lasers, and Electromagnetics
96. Massage, Stretching, Homeopathy, and Herbs
97. Physical Therapy and Rehabilitation
98. Osteopathic Treatment of the Axial Skeleton of the Horse
99. Shock Wave Therapy

PART IX. Lameness in the Sport Horse
Section 1. Poor Performance
100. Poor Performance and Lameness
101. Experiences Using a High Speed Treadmill for the Evaluation of Lameness
Section 2. The Racehorse
102. The Sales Yearling
103. Pathophysiology and Clinical Diagnosis of Cortical and Subchondral Bone Injury
104. Biochemical Markers of Bone Cell Activity
105. The Bucked Shin Complex
106. The On-the-Track Catastrophe in the Thoroughbred Racehorse
107. Catastrophic Breakdowns
108. Track Surfaces and Lameness
109. Thoroughbreds
110. Standardbreds
111. The Racing Quarterhorse
112. The Racing Arabian
113. The National Hunt Race Horse, Point to Point Horse, and Timber Racing Horse
114. The Finnish Horse and Other Scandinavian Cold-Blooded Trotters
Section 3. Non-Racing Horses
115. The Prepurchase Examination of the Performance Horse
116. The Hunter and Jumper
117. The Dressage Horse
118. The Three-Day Event Horse
119. The Endurance Horse
120. The Polo Pony
121. The Western Performance Horse
122. Walking Horses
123. Saddlebreds
124. The Arabian and Half-Arabian Show Horse
125. The Driving Horse
126. Draft Horses
127. The Pony
128. Breeding Stallions and Broodmares
129. The Foal
130. The Pleasure Riding Horse