Angular limb deformities/flexural deformities Flashcards

1
Q

What are angular limb deformities?

A

Postural deformities in frontal plane of the limbs with lateral or medial deviation

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2
Q

What are the terms for lateral vs. medial deviation of the limbs?

A

Lateral=valgus Medial=varus

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3
Q

What are causes of angular limb deformity?

A

Periarticular laxity Incomplete ossification of carpal bones Hypothyroidism Limb conformation Twins

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4
Q

What are the regions for angular limb deformity formation?

A

Carpus Tarsus Metacarpo/metatarsophalangeal joints

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5
Q

What are the two locations for angular limb deformity?

A

Growth plate Joint space

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6
Q

What shoes are used to conservatively treat angular limb deformity in horses?

A

Dalmer shoes

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7
Q

What is the surgical procedure to correct angular limb deformity by providing growth acceleration?

A

Hemicircumferential periosteal transection and elevation “Periosteal Stripping”

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8
Q

What is the surgical procedure correcting angular limb deformities by providing growth retardation?

A

Temporary transphyseal bridging

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9
Q

What is the surgical treatment for the most severe form of angular limb deformity used in fully grown equine?

A

Corrective osteotomy “closing wedge ostectomy”

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10
Q

What is the definition of flexural deformities?

A

Hyperflexion of a limb that results from disparity in length of musculotendinous unit relative to bone length “Contracted tendons”

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11
Q

What is the characteristic appearance of a flexural deformity?

A

Elevated toe from the ground with a sinking fetlock

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12
Q

Which tissues are involved with flexural deformities?

A

SDF, DDF, suspensory ligament, joint capsule, combination

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13
Q

WHat are conservative treatments for flexural deformity?

A

Exercise, shoeing, splints, oxytetracycline, cast

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14
Q

How does oxytetracycline work as a conservative treatment for flexural deformities?

A

Binds to calcium leading to muscle relaxation

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15
Q

What is the surgical treatment for bilateral contracted tendons?

A

Digital flexor tenotomy Midcarpal incision on the FLEXED leg

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16
Q

What age are acquired flexural deformities seen?

A

6-18 months of age

17
Q

What is seen with acquired flexural deformities?

A

pain in contralateral limb Prolonged external coaptation

18
Q

What are the clinical signs of acquired flexural deformities?

A

Dropped fetlock

19
Q

What is the classic sign of extensor tendon rupture?

A

Knuckling over

20
Q

What is the treatment for extensor tendon rupture?

A

Superior check ligament desmotomy

21
Q

What is the clinical problem in a foal that has a flexural deformity at the distal interphalangeal joint due to bones growing faster than tendons?

A

Club foot “boxey” appearance with extra growth at the heels

22
Q

What is the sx treatment for club foot?

A

Inferior check ligament desmotomy- this will lengthen the DDF