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Frontiers in veterinary science2017; 4; 169; doi: 10.3389/fvets.2017.00169

A Rare Case of Deep Digital Flexor Tendinopathy following Centesis of the Navicular Bursa.

Abstract: Navicular bursa (NB) centesis is a common diagnostic and therapeutic procedure in equine practice. This case report documents the clinical, diagnostic imaging and histological findings in a horse with a suspected iatrogenic deep digital flexor tendon (DDFT) injury following centesis of the NB a modified distal plantar approach (placement of two needles in a weight bearing position). Although it cannot be proven with absolute certainty, the authors believe that this is the first reported case where NB centesis is the likely cause of a DDFT lesion, and with magnetic resonance imaging performed both pre- and post-centesis. With this potential, though rare, complication of the procedure, alternative tendon sparing injection techniques should be considered prior to NB centesis in certain cases.
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Publication Date: 2017-10-16 PubMed ID: 29085826PubMed Central: PMC5650637DOI: 10.3389/fvets.2017.00169Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article presents a unique case of a horse experiencing an injury to its deep digital flexor tendon likely caused by a common diagnostic procedure, known as Navicular bursa (NB) centesis. The authors suggest that this rare event should prompt consideration for alternative techniques that spare the tendon.

Introduction

  • The paper discusses a unique case where Navicular bursa (NB) centesis, which is a commonly conducted diagnostic and therapeutic procedure in veterinary medicine dealing with horses, led to a rare complication.
  • Centesis of the NB is done as part of diagnosis and treatment processes in equine practice.

Case Presentation

  • In this specific case, a horse developed a deep digital flexor tendon (DDFT) injury, post-NB centesis.
  • The centesis was performed using a modified distal plantar approach, which involved placing two needles in a weight-bearing position.

Findings and Observations

  • The authors document the clinical, diagnostic imaging and histological findings in the horse.
  • Though it is impossible to prove with absolute certainty, it was proposed that the NB centesis likely led to the DDFT injury in the horse.
  • This hypothesis is supported by the fact that magnetic resonance imaging (MRI) was done both pre- and post-NB centesis. The imaging likely helped the authors track and trace the origin of the DDFT injury back to the NB centesis procedure.

Implications and Recommendations

  • The report concludes that while the complication is rare, it should prompt veterinary professionals to consider alternative injection techniques that spare the tendon when performing NB centesis in certain situations.
  • This case serves as a reminder of the potential risks involved in commonly performed veterinary procedures and encourages a cautious approach.

Cite This Article

APA
Froydenlund TJ, Meehan LJ, Morrison LR, Labens R. (2017). A Rare Case of Deep Digital Flexor Tendinopathy following Centesis of the Navicular Bursa. Front Vet Sci, 4, 169. https://doi.org/10.3389/fvets.2017.00169

Publication

Frontiers in veterinary science
ISSN: 2297-1769
NlmUniqueID: 101666658
Country: Switzerland
Language: English
Volume: 4
Pages: 169
PII: 169

Researcher Affiliations

Froydenlund, Tim J
  • Fyrnwy Equine Group, Shrewsbury, United Kingdom.
Meehan, Lucinda J
  • Diagnostic Imaging, School of Veterinary Sciences, University of Bristol, Langford, United Kingdom.
Morrison, Linda R
  • Easter Bush Pathology, Royal (Dick) School of Veterinary Studies, The Roslin Institute, The University of Edinburgh, Midlothian, United Kingdom.
Labens, Raphael
  • Faculty of Science, School of Animal and Veterinary Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia.

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Citations

This article has been cited 1 times.
  1. Larsen EA, Williams MR, Schoonover MJ, Jurek KA, Young JM, Duddy HR. Navicular bone fracture and severe deep digital flexor tendinopathy after palmar digital neurectomy in two horses. Open Vet J 2023 Dec;13(12):1752-1759.
    doi: 10.5455/OVJ.2023.v13.i12.24pubmed: 38292704google scholar: lookup
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