Bone spavin Flashcards

(42 cards)

1
Q

T/F: bone spavin is relatively uncommon, while OA of the talocalcaneal joint is common

A

false

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2
Q

bone spavin is a common cause of ____ lameness (location)

A

hindlimb

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3
Q

what diagnostic test would you do first with bone spavin

A

radiographs

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4
Q

what is the second diagnostic test you would do with bone spavin

A

nuclear scan or MRI

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5
Q

what is bone spavin

A

degenerative joint disease of the distal intertarsal and tarsometatarsal joints

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6
Q

what joints are involved in bone spavin

A

DIT and TMT

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7
Q

what side of the joint is involved with bone spavin

A

medial

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8
Q

what can you see if the bone spavin is significant enough

A

osteophyte formation

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9
Q

what causes bone spavin

A

compression and rotation of distal tarsal bones, poor conformation, and incomplete ossification, crushing of cuboidal bones

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10
Q

what does poor conformation predispose to

A

OA

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11
Q

sickle hock conformation

A

distal limb is more cranial compared to hock (should be straight line down from hip, to hock, to back of leg, to ground)

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12
Q

camped under conformation

A

aka sickle hock
hindlimb more cranial, should be caudal
cannon bone is not perpendicular to ground

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13
Q

what relation to ground should the cannon bone be

A

perpendicular

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14
Q

cow hocked conformation

A

external rotation of distal hindlimbs
+/-valgus

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15
Q

what is the spavin test

A

proximal limb flexion, then trotting
if +, lameness will increasewh

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16
Q

where do you hold for a proximal limb flexion test

A

the hoof

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17
Q

what joints are being tested in a spavin test

A

hock, stifle, hip

18
Q

benefit of nuclear scintigraphy

A

not specific, but good when you cannot localize, or lameness overt/unblockable
details cortical bone disease and stress fractures

19
Q

benefit of MRI

A

sensitive and specific for hard and soft tissue in joints
good for subchondral bone

20
Q

disadvantage of nuc. scin in foals

A

physis lights up like a Christmas tree indicating “pathology” when it is actually normal growth plates

21
Q

what is the most common treatment done with bone spavin

A

medical (conservative)

22
Q

35-70% of lameness improvement was seen in bone spavin with which route of tx

A

intraarticular

23
Q

what is the surgical procedure to treat bone spavin

24
Q

what does medical management entail for bone spavin

A

IA injections, phenylbutazone, exercise adaptation, corrective shoeing

25
what procedure was historically a thing done to reduce rotational and shearing forces
cunean tenectomy
26
what was important for recovery from cunean tenectomy
rehabilitation post op!
27
what are the two option for surgical ankylosis treating bone spavin
mechanical, chemical
28
what does mechanical ankylosis (arthrodesis) entail
drilling across the joint in combo with T plate (facilitated arthrodesis)
29
what is the difference between ankylosis and arthrodesis
arthrodesis is adding an implant, ankylosis is fusion of joints due to injury or disease
30
what is used for chemical ankylosis
70% ethanol
31
what are the specifics for trans articular drilling
not taking out all the cartilage medial aspect, stab incision 3 drill spot welds, start at same but make 30 degrees apart
32
post op care from drilling
takes a while to become comfortable phenylbutazone, bandaging 2 weeks, hand walking 2 weeks, light riding 3-4 weeks, most improved 4-5 months post
33
when do you see the most improvement post drilling
4-5 months later
34
what % gets a return to soundness post ankylosis for bone spavin
59-85%
35
what is the average time to return to soundness post ankylosis
7.5 months
36
what is the timeframe when we can know the outcome of ankylosis
can take up to a year
37
what method superheats cartilage, destroys chondrocytes, and vaporizes synovial fluid
laser facilitated ankylosis
38
what is a benefit of laser facilitated
less discomfort post op and less fusion of distal tarsal joints
39
T/F: laser facilitated ankylosis is a full ankylosis
false, partial
40
what is something to keep in mind when doing a chemical ankylosis
ethyl alcohol is toxic to everything and joints may communicate even if they arnt supposed to, so MAKE SURE YOU KNOW YOUR DIAGNOSIS!!
41
what should you do before performing a chemical ankylosis
contrast arthrogram
42
T/F: you do not need to give Bute post op chemical ankylosis
false, give 2g