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Veterinary surgery : VS2019; 48(8); 1514-1519; doi: 10.1111/vsu.13315

Clinical findings and management of six horses with subtendinous bursitis of the long digital extensor tendon in the hind limb fetlock.

Abstract: To describe the history, clinical signs, and management of six horses in which subtendinous bursitis of the long digital extensor tendon (LDET) in the hind limb fetlock had been diagnosed. Methods: Retrospective case series. Methods: Six privately owned horses. Methods: The medical records of horses presented at the hospital with similar sypmtoms were evaluated and collected. Finally 6 horses met the inclusion criteria and the relevant data were compiled and analysed. In three of the six cases a surgical treatment was carried out. Results: All horses had similar clinical signs, mainly distention beneath the long digital extensor tendon (LDET) at the level of the hind limb fetlock without associated lameness; the major issues were the presence of cosmetic defects and concern about their functional use in the future. Three of the six horses were treated surgically with bursoscopic debridement. The cosmetic results were excellent in two of these three horses. One horse that underwent an operation experienced a recurrence. None of the horses with bursitis treated medically experienced resolution of the problem. Conclusions: Bursoscopy is a technique to consider for the management of bursitis of the LDET at the level of the fetlock combined with prolonged bandage application when medical treatment has failed to manage the condition. Conclusions: To the best of our knowledge, subtendinous bursitis of the LDET in the hind limb is not a commonly diagnosed condition. This small case series provides some insight into methods for the clinical management of this issue.
© 2019 The American College of Veterinary Surgeons.
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Publication Date: 2019-08-24 PubMed ID: 31444890DOI: 10.1111/vsu.13315Google Scholar: Lookup
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Summary

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The research article discusses the findings and treatment methods observed in six horses diagnosed with subtendinous bursitis of the long digital extensor tendon in the hindlimbs. This condition is rare and not well-understood. The article offers insight into potential clinical management techniques, particularly highlighting the possibility of using bursoscopy for treatment when medical management fails.

Study Methodology

  • The study is a retrospective case series, examining past cases of subtendinous bursitis of the long digital extensor tendon in horses.
  • The researchers reviewed medical records of horses presented at the hospital with similar symptoms.
  • The inclusion criteria were strictly applied to identify the subject cases. The process resulted in the selection of six privately owned horses.
  • The researchers evaluated and analyzed relevant data from these six cases.
  • The treatment protocol varied among the cases, with surgical treatment being carried out in three of the six cases.

Results and Findings

  • All six horses exhibited similar clinical signs, mainly distention beneath the long digital extensor tendon in their hind limbs. However, these symptoms were not associated with lameness.
  • The major concern was cosmetic defects and potential functional issues that could arise in future use.
  • Three out of the six horses were treated surgically using a technique called bursoscopic debridement. Two of these three horses had excellent cosmetic results post-surgery. One of the horses experienced a recurrence of the condition after surgery.
  • All the horses which received medical treatment did not show any resolution of the bursitis.

Conclusion

  • The researchers concluded that bursoscopy, in combination with prolonged bandage application, could be an effective way to manage subtendinous bursitis of the long digital extensor tendon when medical treatment fails.
  • The study also highlighted that subtendinous bursitis of the long digital extensor tendon is not commonly diagnosed, indicating a lack of knowledge and understanding of the condition.
  • Despite being a small case series, the study offers insights and informs future research into the clinical management of subtendinous bursitis of the long digital extensor tendon in horses.

Cite This Article

APA
Iglesias-García M, Roquet I, Jiménez J, Martín-Cuervo M, Fuentes-Romero B, Ezquerra-Calvo LJ. (2019). Clinical findings and management of six horses with subtendinous bursitis of the long digital extensor tendon in the hind limb fetlock. Vet Surg, 48(8), 1514-1519. https://doi.org/10.1111/vsu.13315

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 48
Issue: 8
Pages: 1514-1519

Researcher Affiliations

Iglesias-García, Manuel
  • Department of Equine Surgery, Universidad de Extremadura, Cáceres, Spain.
Roquet, Imma
  • Department of Equine Surgery, Private practice, Barcelona, Spain.
Jiménez, Joaquin
  • Department of Equine Surgery, Universidad de Extremadura, Cáceres, Spain.
Martín-Cuervo, Maria
  • Department of Equine Internal Medicine, Universidad de Extremadura, Cáceres, Spain.
Fuentes-Romero, Beatriz
  • Department of Equine Internal Medicine, Universidad de Extremadura, Cáceres, Spain.
Ezquerra-Calvo, Luis J
  • Department of Equine Surgery, Universidad de Extremadura, Cáceres, Spain.

MeSH Terms

  • Animals
  • Bursitis / pathology
  • Bursitis / surgery
  • Bursitis / veterinary
  • Debridement
  • Female
  • Hindlimb / pathology
  • Hindlimb / surgery
  • Horse Diseases / pathology
  • Horse Diseases / surgery
  • Horses
  • Joints
  • Lameness, Animal / diagnosis
  • Male
  • Retrospective Studies
  • Tendons / pathology

References

This article includes 22 references
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