Upper Forelimb and Hindlimb Flashcards

1
Q

What makes up the carpal canal?

Dorsal, proximal and lateral wall?

A

Dorsal: ALDDFT
Medial: ALSDFT
Lateral: Accessory carpal bone

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2
Q

What is tenosynovitis?

A

Inflammation of the fluid-filled sheath (synovium) that surrounds a tendon

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3
Q

How are closed, incomplete radial fractures managed?

A

Conservatively: Full limb bandage + splint + head-tie

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4
Q

What part of the ulna is commonly fractured? What clinical sign would you see?

A

Olecranon

Acute lameness, dropped elbow stance +/- wound

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5
Q

Why can’t ulna fractures be treated conservatively?

A

Delayed/non-healing due to pull of triceps

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6
Q

What is OCD?

A

Joint condition where bone underneath the cartilage of a joint dies (and separates) due to lack of blood flow

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7
Q

Where does OCD often occur in the shoulder?

A

Glenoid cavity

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8
Q

Where does OC occur in the:
Elbow?
Shoulder?

A

Osseous cyst-like lesions in the:
Proximal radius
Distal scapula

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9
Q

What breeds of horse is shoulder dysplasia and subluxation seen in?
What is the treatment?

A

Shetland/Miniature breeds
Mainly PTS, often recurs after reduction under GA
(shoulder arthrodesis a possibility?)

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10
Q

Where is OCD seen most commonly in the hindlimb and in what horses?
What is the presenting sign?

A

Young horses (WBs)
Lateral trochlear ridge
Stifle effusion

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11
Q

How is the treatment of OCD of the stifle different in horses less or more than 12 months?
What does each treatment involve?

A

< 12months: Conservative
Diet, exercise restriction
>12months: Surgery
Remove osteochondral fragments and currettage (down to healthy subchondral bone)

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12
Q

When do OCLLs present and what location is most common?

What is the presenting sign?

A

1-3 years (later than OCD)
Medial femoral condyle
Very lame!

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13
Q

What is the best treatment for OCLL?

A

Inject cyst under GA with corticosteroids

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14
Q

Which meniscal ligament is more commonly injured?

A

Medial

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15
Q

What is the treatment and prognosis of a tibial tuberosity fracture?

A

Conservative

Good outcome

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16
Q

What does the patella do in the stay apparatus?

How is it unlocked?

A

Hooks over the medial trochlear ridge of femur

Unlocked by quadriceps

17
Q

What is upward fixation of the patella?

What treatments are recommended?

A

Quadriceps muscle dysfunction (e.g. rested, poor confirmation) fails to unlock patella
Limb is locked in extension and dragged (dorsal toe wear)
Exercise/build up muscle
Splitting/injection of medial patellar ligament

18
Q

Why is medial patellar desmotomy contraindicated?

A

Associated with secondary patellar fragmentation

19
Q

What types of cartilage line the sacroiliac joint?

A

Sacral surface: hyaline

Ilial surface: fibrocartilage

20
Q

What is the most common pelvic fracture and in what horses does it present?

A

Iliac wing fracture

Skeletally immature TBs, racehorses

21
Q

What is the prognosis for acetabular or ilial shaft fractures?

A

Poor

Reduced pelvic diameter in iliac shaft fractures

22
Q

What confirmation does sacroiliac disease present in? What breeds?
What is the difference between the treatment of acute and chronic disease?

A

Large frame, long back, WEAK QUARTERS
Warmbloods
Acute: REST
Chronic: WORK