Diagnosis and treatment of ligamentous and meniscal injuries in the equine stifle.
Abstract: The accuracy of the diagnosis of ligamentous and meniscal injuries in the equine stifle has improved significantly in the last 20 years. There are, however, significant limitations in the diagnosis of stifle injuries because of the size and anatomy of the equine stifle. Treatment of soft tissue injuries to the equine stifle has been empirical,with only a few large case studies for specific conditions of stifle ligaments and menisci and only retrospective case studies of the outcome of treatment. This article describes the diagnosis and treatment of ligamentous and meniscal injuries in the equine stifle using information from the author's own experience and from reports in the scientific literature.
Publication Date: 2005-11-22 PubMed ID: 16297726DOI: 10.1016/j.cveq.2005.08.003Google Scholar: Lookup
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Summary
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The research article looks into the improvements over the past 20 years in diagnosing and treating injuries to the ligaments and menisci of the equine stifle, a part of the horse’s leg akin to the human knee. Despite the advancements, the article outlines several challenges in diagnosing these injuries due to the horse’s physiology.
Diagnosis of Ligamentous and Meniscal Injuries
- The accuracy of diagnosing injuries to the ligaments and menisci in the stifle, equivalent to the human knee, of horses has significantly improved over the past two decades. This is crucial for providing appropriate treatment and ensuring the horse’s recovery.
- However, there are limitations in the diagnosis process due to the unique anatomical structure of the horse’s stifle. This mainly stems from the stifle’s large size and complex structures making the imaging and identification of injuries more difficult.
Treatment of Ligamentous and Meniscal Injuries
- The treatment of these soft tissue injuries, particularly in the stifle, has been largely empirical, relying heavily on previous experience and observation. This includes methods that have been successful in specific conditions of stifle ligaments and menisci.
- Unfortunately, large scale studies related to the treatment of these injuries are scant, with only a few extensive case studies available for reference. Moreover, most of the studies conducted on the treatment outcomes are retrospective in nature. This indicates a need for more research and studies to develop robust treatment methods.
Experience and Scientific Literature Review
- The article is based on the author’s experiences and a review of scientific reports. This combination provides a valuable perspective on the topic, combining practical knowledge with documented research. This is helpful in understanding the complex nature of diagnosing and treating stifle injuries in horses.
- Through this article, the author aims to further the understanding of horse stifle injuries and to improve the methods of their diagnosis and treatment, which should benefit equine healthcare overall.
Cite This Article
APA
Walmsley JP.
(2005).
Diagnosis and treatment of ligamentous and meniscal injuries in the equine stifle.
Vet Clin North Am Equine Pract, 21(3), 651-vii.
https://doi.org/10.1016/j.cveq.2005.08.003 Publication
Researcher Affiliations
- The Liphook Equine Hospital, Forest Mere, Liphook, Hampshire GU30 7JG, United Kingdom. john@walmsley.fsnet.co.uk
MeSH Terms
- Animals
- Arthrography / methods
- Arthrography / veterinary
- Diagnosis, Differential
- Horses / injuries
- Horses / surgery
- Ligaments, Articular / diagnostic imaging
- Ligaments, Articular / injuries
- Ligaments, Articular / surgery
- Menisci, Tibial / diagnostic imaging
- Menisci, Tibial / surgery
- Range of Motion, Articular
- Soft Tissue Injuries / veterinary
- Stifle / diagnostic imaging
- Stifle / injuries
- Stifle / surgery
- Tibial Meniscus Injuries
- Treatment Outcome
- Ultrasonography
Citations
This article has been cited 12 times.- Hoey S, O'Sullivan J, Byrne J, Devine S, Toomey W, McAllister H, Skelly C. Ultrasound screening protocol for osteochondrosis at selected predilection sites in thoroughbred yearlings. Ir Vet J 2022 Apr 27;75(1):8.
- Aßmann AD, Ohlerth S, Suárez Sánchez-Andráde J, Torgerson PR, Bischofberger AS. Ex vivo comparison of 3 Tesla magnetic resonance imaging and multidetector computed tomography arthrography to identify artificial soft tissue lesions in equine stifles. Vet Surg 2022 May;51(4):648-657.
- Ribitsch I, Oreff GL, Jenner F. Regenerative Medicine for Equine Musculoskeletal Diseases. Animals (Basel) 2021 Jan 19;11(1).
- Velloso Alvarez A, Boone LH, Braim AP, Taintor JS, Caldwell F, Wright JC, Wooldridge AA. A Survey of Clinical Usage of Non-steroidal Intra-Articular Therapeutics by Equine Practitioners. Front Vet Sci 2020;7:579967.
- Zellmann P, Ribitsch I, Handschuh S, Peham C. Finite Element Modelling Simulated Meniscus Translocation and Deformation during Locomotion of the Equine Stifle. Animals (Basel) 2019 Jul 31;9(8).
- Radtke A, Fortier LA, Regan S, Kraus S, Delco ML. Intra-articular anaesthesia of the equine stifle improves foot lameness. Equine Vet J 2020 Mar;52(2):314-319.
- Ribitsch I, Peham C, Ade N, Dürr J, Handschuh S, Schramel JP, Vogl C, Walles H, Egerbacher M, Jenner F. Structure-Function relationships of equine menisci. PLoS One 2018;13(3):e0194052.
- Rubio-Martínez LM, Redding WR, Bladon B, Wilderjans H, Payne RJ, Tessier C, Geffroy O, Parker R, Bell C, Collingwood FA. Fracture of the medial intercondylar eminence of the tibia in horses treated by arthroscopic fragment removal (21 horses). Equine Vet J 2018 Jan;50(1):60-64.
- Nemery E, Gabriel A, Piret J, Antoine N. Nociceptive and sympathetic innervations in the abaxial part of the cranial horn of the equine medial meniscus: an immunohistochemical approach. J Anat 2016 Dec;229(6):791-799.
- Halley SE, Bey MJ, Haladik JA, Lavagnino M, Arnoczky SP. Three dimensional, radiosteriometric analysis (RSA) of equine stifle kinematics and articular surface contact: a cadaveric study. Equine Vet J 2014 May;46(3):364-9.
- Guerra-Gomes M, Ferreira-Baptista C, Barros J, Alves-Pimenta S, Gomes P, Colaço B. Exploring the Potential of Non-Cellular Orthobiologic Products in Regenerative Therapies for Stifle Joint Diseases in Companion Animals. Animals (Basel) 2025 Feb 18;15(4).
- Schöpper H, Egerbacher M. Arterial Blood Supply of the Stifle Joint in Horses. Animals (Basel) 2024 Apr 24;14(9).
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