Tendonitis, Tendon Laceration, Joint Disease, Neurectomy, Sweeny Flashcards Preview

RUSVM Large Animal Surgery > Tendonitis, Tendon Laceration, Joint Disease, Neurectomy, Sweeny > Flashcards

Flashcards in Tendonitis, Tendon Laceration, Joint Disease, Neurectomy, Sweeny Deck (35):
1

What are the two mechanisms by which overstrain can occur?

sudden overload or strain induced (more common)

2

Where do we most commonly see tendonitis in the horse?

superficial digital flexor (SDF) tendon

8-43% incidence in TB

3

What is the recommended treatment for Stringhalt? 

Lateral digital extensor tenotomy

4

How do you test for rupture of common calcanean tendon?

try to flex the hock without flexing the stifle

If you're able to, there is a rupture. This can not happen in normal animals

5

Concerning the function of hyaluronic acid which statement is most accurate?

  • It is responsible for the greatest proportion of resistance to joint motion
  • It is a boundary lubricant of synovial membrane
  • It stimulates fibroblast proliferation
  • It is a lubricant of the articular cartilage

It is a boundary lubricant of synovial membrane

6

What are some complications associated with palmar digital neurectomy?

  • Painful neuroma
  • Reinnervation
  • Persistence of sensation
  • Loss of the hoof wall 

7

What is the best tool for diagnosis of tendonitis?

ultrasound

8

What is the definition of tendonitis?

inflammation of a tendon, most commonly from overuse but can be from infection or traumatic injury

9

How do you treat a ruptured peroneus tertius?

stall rest for 2 months

scar tissue will form between the ruptured ends

10

Sweeny is paralysis of the __________ nerve that results in atrophy of the supraspinatus and infraspinatus muscles

Sweeny is paralysis of the suprascapular nerve results in atrophy of the supraspinatus and infraspinatus muscles

caused by direct trauma to the nerve clinically an outward movement of the scapula is seen during weight bearing muscle atrophy is seen in 7 to 14 days electromyography can be used to confirm the diagnosis

11

T/F: Most horses with common and long digital extensor tendon laceration return to athletic activities

True

12

When performing a palmar digital neurectomy in a horse, it should be remembered that the correct orientation of structures in the neurovascular bundle from dorsal to palmar is:

  • Vein, artery, nerve
  • Nerve, artery, vein
  • Artery, nerve, vein
  • Nerve, vein, artery
  • Vein, nerve, artery

Vein, artery, nerve​

13

Based on this video, what is your diagnosis?

ruptured peroneus tertius

14

Tendons can extend ~___ - ___% before rupture

Tendons can extend ~12-20% before rupture

15

The fetlock is dropped, but the toe is still pointed down. What structure(s) could be affected?

superficial digital flexor (SDF), suspensory ligament

16

What structure is indicated by the number 4?

suspensory ligament

17

What are the cardinal signs of inflammation in horses?

pain, swelling, heat, lameness

18

What structure is indicated by the number 1?

superficial digital flexor tendon

19

T/F: The most common complicaton of palmar digital neurectomy is infection of the navicular bursa

False

20

Dorsal to palmar, which of the following accurately lists the orientation of the tendons & ligaments in the proximal metacarpus?

  • SDF tendon, DDF tendon, distal check ligament, suspensory ligament
  • SDF tendon, DDF tendon, suspensory ligament
  • SDF tendon, DDF tendon, suspensory ligament, distal check ligament
  • Suspensory ligament, DDF tendon, distal check ligament, SDF tendon
  • DDF tendon, SDF tendon

Suspensory ligament, DDF tendon, distal check ligament, SDF tendon

21

This horse pulled up lame after a cross-country event. Ultrasound was performed at the mid-metacarpal region. What is the diagnosis?

Core lesion in the superficial digital flexor (SDF) tendon

22

What structure is indicated by the number 2?

deep digital flexor tendon

23

What structure is indicated by the number 5?

extensor ligament

24

Note the bowing in the left limb in this picture. What is the most likely diagnosis?

superficial digital flexor (SDF) tendonitis

25

T/F: The deep digital flexor (DDF) tendon is most prone to tendonitis

False

The superficial digital flexor (SDF) and the suspensory ligament (SL) are most prone to injury because they endure the most load during heel strike. Load on the DDF happens later

26

T/F: All treatments for tendonitis include rest and a controlled exercise program

True

27

◦Inflammation of the synovial membranes of the tendon sheath is termed

tenosynovitis

28

Where is the lesion?

periphery of the SDF

29

This presentation (toe pointed up) is seen with rupture of the _______

deep digital flexor (DDF) tendon

30

T/F: Palmar digital neurectomy may be indicated in the treatment of some fractures involving the palmar process of the distal phalanx

True

31

Up to ____% of the tendon can be lacerated and still provide full tendon function at the walk.

50%

32

Overall, tendons have limited intrinsic repair. Scar tissue formation produces Type ___ collagen, resulting in a less elastic tendon

Type III

33

Tendons are made out of what type of collagen?

Type 1

II, III, IV and V also present in smaller amounts

34

Shown below is a tendon stress-strain curve. What point signifies the failure point?

35

What structure is indicated by the number 3?

accessory ligament of the DDFT