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The Veterinary clinics of North America. Equine practice2012; 28(3); 507-525; doi: 10.1016/j.cveq.2012.08.005

Imaging of the equine proximal suspensory ligament.

Abstract: Injury to the suspensory ligament can result in significant lameness. Multiple imaging modalities may be required to fully characterize injury to the suspensory ligament. Ultrasonography of the suspensory ligament is challenging, due to the normal anatomy. This article describes imaging of the proximal suspensory ligament in the front and hind limbs of the horse.
Publication Date: 2012-11-28 PubMed ID: 23177129DOI: 10.1016/j.cveq.2012.08.005Google Scholar: Lookup
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Summary

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This research discusses the various imaging techniques used to identify and characterize injuries to the horse’s proximal suspensory ligament, highlighting the challenges posed by the ligament’s complex anatomy.

Introduction to the Equine Proximal Suspensory Ligament

  • The equine proximal suspensory ligament is an essential structure in horses mainly because it provides stability to the animal’s legs. Its injury can result in a significant limp or lameness, which is detrimental to the horse’s movement or performance, particularly in racing or working horses.

Challenges in Imaging the Ligament

  • The proximal suspensory ligament’s anatomy poses a significant challenge when it comes to imaging. Its structure is intricate and its location makes it difficult to capture full and clear images using traditional methods. Hence, a thorough, accurate diagnosis of injuries to this ligament can be challenging.

The Role of Ultrasonography

  • Ultrasonography is a commonly employed technique for imaging the ligament, but it is faced with difficulties due to the ligament’s normal anatomy.
  • Despite these difficulties, ultrasonography can provide useful information about the condition of the suspensory ligament, helping identify abnormalities or injuries that may exist. It contributes greatly to the diagnosis and planning of subsequent treatment of these injuries.

Need for Multiple Imaging Modalities

  • Because of these challenges, often, a single method is not enough, and multiple imaging modalities may be needed to obtain a comprehensive and accurate assessment of the suspensory ligament’s condition.
  • The choice and combination of these imaging methods depend on the specifics of the ligament’s injury, the horse’s overall condition, and the veterinarian’s preferences and experience.

Conclusion

  • This research paper highlights the difficulty of imaging the equine proximal suspensory ligament, the necessity of using multiple imaging modalities for accurate diagnoses, and the significant role that ultrasonography plays despite its challenges. The objective is to improve the detection and treatment of injuries in this critical ligament in horses.

Cite This Article

APA
Werpy NM, Denoix JM. (2012). Imaging of the equine proximal suspensory ligament. Vet Clin North Am Equine Pract, 28(3), 507-525. https://doi.org/10.1016/j.cveq.2012.08.005

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 28
Issue: 3
Pages: 507-525
PII: S0749-0739(12)00066-1

Researcher Affiliations

Werpy, Natasha M
  • Diagnostic Imaging, University of Florida, College of Veterinary Medicine, Gainesville, Florida, USA. equinedxim@yahoo.com
Denoix, Jean-Marie

    MeSH Terms

    • Animals
    • Forelimb / anatomy & histology
    • Hindlimb / anatomy & histology
    • Horses / injuries
    • Lameness, Animal / diagnosis
    • Ligaments / anatomy & histology
    • Ligaments / diagnostic imaging
    • Ligaments / injuries
    • Magnetic Resonance Imaging / veterinary
    • Radiography
    • Radionuclide Imaging
    • Ultrasonography

    Citations

    This article has been cited 7 times.
    1. Scharf A, de Solis CN, Sampson SN, Glass K, Watts AE. Suspensory ligament size does not change after plantar fasciotomy and neurectomy of the deep branch of the lateral plantar nerve by ultrasonographic assessment. Vet Surg 2022 Feb;51(2):259-269.
      doi: 10.1111/vsu.13757pubmed: 34970755google scholar: lookup
    2. van Veggel E, Selberg K, van der Velde-Hoogelander B, Bolas N, Vanderperren K, Bergman HJ. Magnetic Resonance Imaging Findings of the Proximal Metacarpal Region in Warmblood Horses: 36 Lame and 26 Control Limbs (2015-2021). Front Vet Sci 2021;8:714423.
      doi: 10.3389/fvets.2021.714423pubmed: 34458356google scholar: lookup
    3. Vandenberghe A, Broeckx SY, Beerts C, Seys B, Zimmerman M, Verweire I, Suls M, Spaas JH. Tenogenically Induced Allogeneic Mesenchymal Stem Cells for the Treatment of Proximal Suspensory Ligament Desmitis in a Horse. Front Vet Sci 2015;2:49.
      doi: 10.3389/fvets.2015.00049pubmed: 26664976google scholar: lookup
    4. Guest DJ, Birch HL, Thorpe CT. A review of the equine suspensory ligament: Injury prone yet understudied. Equine Vet J 2025 Sep;57(5):1167-1182.
      doi: 10.1111/evj.14447pubmed: 39604165google scholar: lookup
    5. van Veggel ECS, Vanderperren K, Selberg KT, Bergman HJ, Hoogelander B. The Evolution of Lesions on Follow-Up Magnetic Resonance Imaging of the Proximal Metacarpal Region in Non-Racing Sport Horses That Returned to Work (2015-2023). Animals (Basel) 2024 Jun 8;14(12).
      doi: 10.3390/ani14121731pubmed: 38929351google scholar: lookup
    6. Reis IL, Lopes B, Sousa P, Sousa AC, Caseiro AR, Mendonça CM, Santos JM, Atayde LM, Alvites RD, Maurício AC. Equine Musculoskeletal Pathologies: Clinical Approaches and Therapeutical Perspectives-A Review. Vet Sci 2024 Apr 26;11(5).
      doi: 10.3390/vetsci11050190pubmed: 38787162google scholar: lookup
    7. Dancot M, Joostens Z, Audigié F, Busoni V. The plantar proximal cortex of the third metatarsal bone shows raised longitudinal ridges at the suspensory ligament enthesis in normal equine isolated limbs - a radiographic, computed tomography, and MRI study. Front Vet Sci 2023;10:1265116.
      doi: 10.3389/fvets.2023.1265116pubmed: 38033644google scholar: lookup