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Journal of the American Veterinary Medical Association2005; 226(9); 1524-1528; doi: 10.2460/javma.2005.226.1524

Comparison of two techniques for injection of the podotrochlear bursa in horses.

Abstract: To compare accuracy of 2 methods for injection of the podotrochlear bursa in horses. Methods: Observational study. Methods: 17 French Standardbreds. Methods: In each horse, contrast medium was injected into the podotrochlear bursa of 1 foot by use of a distal palmar approach with the needle inserted parallel to the sole (DPPS) and into the podotrochlear bursa of the other foot by use of a distal palmar approach to the navicular position (DPNP). Podotrochlear bursa injection was evaluated by means of radiographic examination in all horses and postmortem examination in 6. Results: Contrast medium was successfully injected into the podotrochlear bursa in 6 of 16 feet in which the DPPS method was used and 14 of 17 feet in which the DPNP method was used; these results were significantly different. Failure was attributed to contrast medium invading the distal interphalangeal joint, contrast medium pooling palmar to the deep digital flexor tendon, contrast medium located in the podotrochlear bursa and the distal interphalangeal joint, contrast medium located in the podotrochlear bursa and the area palmar to the deep digital flexor tendon, and an inability to inject contrast medium despite adequate needle placement. Conclusions: Results suggest that the DPNP technique can be used successfully for injection into the podotrochlear bursa in horses. However, radiographic assessment should be used to confirm that material was injected into the bursa.
Publication Date: 2005-05-11 PubMed ID: 15882005DOI: 10.2460/javma.2005.226.1524Google Scholar: Lookup
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  • Comparative Study
  • Journal Article

Summary

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The research article discusses a comparative study between two different techniques for injecting the podotrochlear bursa in horses, concluding that the distal palmar approach to the navicular position (DPNP) is more effective.

Study Methodology

  • The study is an observational one, conducted on 17 French Standardbreds.
  • Each horse was injected with a contrast medium into the podotrochlear bursa of one foot using a distal palmar approach with the needle inserted parallel to the sole (DPPS).
  • For the other foot of the same horse, a distal palmar approach to the navicular position (DPNP) was used for the injection.
  • The effectiveness of the podotrochlear bursa injection was then evaluated using radiographic examination for all horses, and postmortem examination for 6 horses.

Study Results

  • Success was significantly higher with the DPNP method, with contrast medium successfully injected in 14 out of 17 feet.
  • The DPPS method was less successful, with successful injection in just 6 out of 16 feet.
  • The failures were attributed to a few reasons such as the contrast medium invading the distal interphalangeal joint, contrast medium pooling palmar to the deep digital flexor tendon, and contrast medium located in the podotrochlear bursa and the area palmar to the deep digital flexor tendon.

Conclusion of the Article

  • Given the results, the researchers concluded that the DPNP technique is more effective for injection into the podotrochlear bursa in horses.
  • However, to ensure the success of the injection, it’s crucial to use radiographic assessment to confirm that the material was correctly injected into the bursa.

Cite This Article

APA
Piccot-Crézollet C, Cauvin ER, Lepage OM. (2005). Comparison of two techniques for injection of the podotrochlear bursa in horses. J Am Vet Med Assoc, 226(9), 1524-1528. https://doi.org/10.2460/javma.2005.226.1524

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 226
Issue: 9
Pages: 1524-1528

Researcher Affiliations

Piccot-Crézollet, Cyrille
  • Département hippique, Ecole Nationale Vétérinaire de Lyon, 1 avenue Bourgelat, 69280 Marcy-l'Etoile, France.
Cauvin, Eddy R
    Lepage, Olivier M

      MeSH Terms

      • Animals
      • Bursa, Synovial
      • Contrast Media
      • Female
      • Foot / diagnostic imaging
      • Horses
      • Injections / instrumentation
      • Injections / methods
      • Injections / veterinary
      • Injections, Intra-Articular / veterinary
      • Male
      • Radiography

      Citations

      This article has been cited 2 times.
      1. Froydenlund TJ, Meehan LJ, Morrison LR, Labens R. A Rare Case of Deep Digital Flexor Tendinopathy following Centesis of the Navicular Bursa. Front Vet Sci 2017;4:169.
        doi: 10.3389/fvets.2017.00169pubmed: 29085826google scholar: lookup
      2. 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