A review of the most common tendon sheath injuries in horses
Subject Areas : Veterinary Soft and Hard Tissue Surgery
Rahim
Mohammadi
1
(Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran)
Nima
Mozafari
2
(ُstudent)
Keywords: Tendon sheath, lameness, horse, tenosynovitis,
Abstract :
Tendon sheath is a connective tissue that main function is to protect the tendon in the areas that are most vulnerable to damage. One of the relatively common causes of lameness and abnormalities in the limb of horses is tendon sheath damage. Injuries to the digital tendon sheath, tarsus, and carp are more common than tendon sheaths in other parts of the limbs. Lameness and swelling at the site of the lesion are common clinical findings in many tendon sheath injuries. Primary diagnosis of tendon sheath inflammation is possible with the help of animal history and clinical signs. The use of diagnostic tools, especially diagnostic imaging, is very useful for definitive diagnosis and identifying the primary cause of the disorders or damage to the surrounding tissues. Complete treatment should be done after identifying the underlying cause of sheath inflammation, although treatments such as rest, the use of anti-inflammatory drugs, and cold therapy are effective in reducing inflammation and improving clinical signs.
1- Baxter, Gary M., ed. Adams and Stashak's lameness in horses. John Wiley & Sons, 2020
2- Budras, Klaus Dieter, et al. Anatomy of the horse. Schlütersche, 2012.
3- Auer, Jorg A., and John A. Stick. Equine Surgery-E-Book. Elsevier Health Sciences, 2018.
4- Findley, Judith. "Injuries to the digital flexor tendon sheath in the horse." UK Vet Companion Animal 17.7 (2012): 10-13.
5- Denoix, Jean-Marie. "Functional anatomy of tendons and ligaments in the distal limbs (manus and pes)." Veterinary Clinics of North America: Equine Practice 10.2 (1994): 273-322.
6- Fraser, B. S. L., and B. M. Bladon. "Tenoscopic surgery for treatment of lacerations of the digital flexor tendon sheath." Equine veterinary journal 36.6 (2004): 528-531.
7- Edinger, J., G. Möbius, and J. Ferguson. "Comparison of tenoscopic and ultrasonographic methods of examination of the digital flexor tendon sheath in horses." Veterinary and comparative orthopaedics and traumatology 18.04 (2005): 209-214.
8- Cauvin, E. R. J., et al. "Endoscopic examination of the tarsal sheath of the lateral digital flexor tendon in horses." Equine veterinary journal 31.3 (1999): 219-227.
9- Archer, D. C., P. D. Clegg, and G. B. Edwards. "Septic tenosynovitis of the tarsal sheath of an Arab gelding and suspected sepsis of the lateral digital flexor tendon subsequent to bacterial peritonitis." Veterinary record 155.16 (2004): 485-489.
10- Hand, D. Reese, et al. "Osteomyelitis of the sustentaculum tali in horses: 10 cases (1992–1998)." Journal of the American Veterinary Medical Association 219.3 (2001): 341-345.
11- Schneider, R. K., et al. "A retrospective study of 192 horses affected with septic arthritis/tenosynovitis." Equine Veterinary Journal 24.6 (1992): 436-442.
12- Davis, Weston, et al. "Clinical and diagnostic imaging characteristics of lateral digital flexor tendinitis within the tarsal sheath in four horses." Veterinary Radiology & Ultrasound 55.2 (2014): 166-173.
13- Santschi EM, Adams SB, Fessler JF, et al. Treatment of lesions of
the sustentaculum of the calcaneus accompanied by tarsal sheath
synovitis. Proceedings Am Assoc Equine Pract 1993;39:
249–250.
14- Leach, D., R. Harland, and B. Burko. "The anatomy of the carpal tendon sheath of the horse." Journal of anatomy 133.Pt 2 (1981): 301.
15- Jorgensen, Joan S., et al. "Musculoskeletal lesions and lameness in 121 horses with carpal sheath effusion (1999–2010)." Veterinary Radiology & Ultrasound 56.3 (2015): 307-316.
16- Nixon, Alan J., Ben L. Schachter, and Roy R. Pool. "Exostoses of the caudal perimeter of the radial physis as a cause of carpal synovial sheath tenosynovitis and lameness in horses: 10 cases (1999–2003)." Journal of the American Veterinary Medical Association 224.2 (2004): 264-270.
17- Stashak, T. S. "Lameness: the forearm: osteochondroma formation at the distal radius (supracarpal exostosis)." Adams’ lameness in horses. 5th ed. Philadelphia: Lippincott Williams & Wilkins (2002): 864-867.
18- Cauvin, E. R. J., G. A. Munroe, and J. S. Boyd. "Endoscopic examination of the carpal flexor tendon sheath in horses." Equine veterinary journal 29.6 (1997): 459-466.
19- Denoix, Jean-Marie, and Soufiane Yousfi. "Spontaneous injury of the accessory ligament of the superficial digital flexor tendon (proximal check ligament): a new ultrasonographic diagnosis." Journal of Equine Veterinary Science 16.5 (1996): 191-194.