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Home / Equine Research Bank / Can Vet J / Clinical outcome of collateral ligament injuries of the tars...
The Canadian veterinary journal = La revue veterinaire canadienne2012; 53(5); 518-524;

Clinical outcome of collateral ligament injuries of the tarsus.

Abstract: The significance of collateral ligament desmitis of the tarsocrural joint is often clinically underestimated, because it is an uncommon injury with a guarded prognosis for athletic soundness. The objective of this study was to describe the clinical presentation, treatment, and outcome of 12 horses with collateral ligament desmitis, along with tarsocrural joint synovitis secondary to hemarthrosis. Criteria for inclusion in this study included clinical signs of tarsocrural joint synovitis and sonographic evidence of collateral ligament desmitis. This retrospective study evaluated horses over an 8-year period. Median follow-up after treatment was 5.5 years. Four horses in the study returned to their previous level of performance, 6 horses remained lame due to pain in the tarsus, 1 was euthanized, and 1 is in convalescence. This study highlights the importance of collateral ligament desmitis, and emphasizes the need for early, aggressive treatment to prevent the development of osteoarthritis. L’importance du ligament collatéral desmitis de l’articulation tarsocrural est souvent cliniquement sous-estimé, parce que c’est une blessure rare avec un pronostic gardée pour athletic solidité. L’objectif de cette étude était de décrire la présentation clinique, le traitement et le résultat de 12 chevaux avec ligament collatéral desmitis, avec tarsocrural mixte synovite secondaire à hémarthrose. Critères d’inclusion dans la présente étude comprenaient des signes cliniques de synovite conjointe de tarsocrural et de preuve échographie du ligament collatéral desmitis. Cette étude rétrospective a évalué chevaux sur une période de 8 ans. Médiane de suivi après que traitement était de 5,5 ans. Quatre chevaux dans la présente étude revient à leur niveau précédent de performances, six chevaux est resté lame en raison de la douleur dans le tarse, 1 a été euthanasiés et 1 est en convalescence. Cette étude met en évidence l’importance du ligament collatéral desmitis et met l’accent sur la nécessité d’un traitement précoce, agressif empêcher le développement de l’arthrose. (Traduit par les auteurs)
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Publication Date: 2012-11-02 PubMed ID: 23115364PubMed Central: PMC3327590
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  • Journal Article

Summary

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The study examines the clinical presentation, treatment and outcomes of twelve horses suffering from ligament damage on their tarsocrural joint, emphasizing the need for immediate treatment to prevent the development of osteoarthritis.

Research Objective

  • The aim of the research was to investigate the clinical manifestation, treatment methods, and potential outcomes of horses affected by collateral ligament desmitis of the tarsocrural joint, a situation often dubbed as a “guarded prognosis” due to its unusual occurrence and complications in the athletic performance of the animals.

Research Design and Methods

  • The study was carried out retrospectively over an eight-year period by examining the cases of 12 horses.
  • To be eligible for the study, the horses had to show signs of tarsocrural joint synovitis (inflammatory joint disease) and provide sonographic evidence of collateral ligament desmitis (ligament inflammation).

Research Findings

  • The study found that only a third of the horses returned to their previous performance levels after treatment. The majority of the horse cohort in the study remained lame due to pain in the tarsus (cluster of large joints in the hindlimb), while one of the animals was euthanized, and another was still in the recovery stage.

Study Significance

  • This research serves to underline the gravity of collateral ligament injuries in horses due to their guarded prognosis and potential to stop the livestock from returning to their original performance level.
  • The study emphasizes the necessity for early and aggressive treatment methodologies to prevent further medical complications, like osteoarthritis, from developing.

Cite This Article

APA
Lamb L, Zubrod C, Hague B, Brakenhoff J, Major M. (2012). Clinical outcome of collateral ligament injuries of the tarsus. Can Vet J, 53(5), 518-524.

Publication

The Canadian veterinary journal = La revue veterinaire canadienne
ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 53
Issue: 5
Pages: 518-524

Researcher Affiliations

Lamb, Lauren
  • Oakridge Equine Hospital, 6675 East Waterloo Road, Edmond, Oklahoma 73034, USA. llamb_@hotmail.com
Zubrod, Chad
    Hague, Brent
      Brakenhoff, Jeff
        Major, Michael

          MeSH Terms

          • Animals
          • Collateral Ligaments / injuries
          • Collateral Ligaments / pathology
          • Female
          • Hemarthrosis / diagnosis
          • Hemarthrosis / therapy
          • Hemarthrosis / veterinary
          • Horse Diseases / diagnosis
          • Horse Diseases / therapy
          • Horses / injuries
          • Inflammation / diagnosis
          • Inflammation / therapy
          • Inflammation / veterinary
          • Joint Diseases / diagnosis
          • Joint Diseases / therapy
          • Joint Diseases / veterinary
          • Lameness, Animal
          • Male
          • Physical Conditioning, Animal
          • Prognosis
          • Retrospective Studies
          • Tarsus, Animal / injuries
          • Treatment Outcome

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          Citations

          This article has been cited 2 times.
          1. Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res 2017 Mar;35(3):440-453.
            doi: 10.1002/jor.23462pubmed: 27764893google scholar: lookup
          2. Leal Reis I, Lopes B, Sousa P, Sousa AC, Branquinho MV, Caseiro AR, Rêma A, Briote I, Mendonça CM, Santos JM, Atayde LM, Alvites RD, Maurício AC. Treatment of Equine Tarsus Long Medial Collateral Ligament Desmitis with Allogenic Synovial Membrane Mesenchymal Stem/Stromal Cells Enhanced by Umbilical Cord Mesenchymal Stem/Stromal Cell-Derived Conditioned Medium: Proof of Concept. Animals (Basel) 2024 Jan 24;14(3).
            doi: 10.3390/ani14030370pubmed: 38338013google scholar: lookup
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