Injection of corticosteroids, hyaluronate, and amikacin into the navicular bursa in horses with signs of navicular area pain unresponsive to other treatments: 25 cases (1999-2002).
Abstract: To determine history, clinical and radiographic abnormalities, and outcome in horses with signs of navicular area pain unresponsive to corrective shoeing and systemic nonsteroidal anti-inflammatory drug administration that were treated with an injection of corticosteroids, sodium hyaluronate, and amikacin into the navicular bursa. Methods: Retrospective study. Methods: 25 horses. Methods: Data collected from the medical records included signalment, history, horse use, severity and duration of lameness, shoeing regimen, results of diagnostic anesthesia, radiographic abnormalities, and outcome. Results: 17 horses had bilateral forelimb lameness, 7 had unilateral forelimb lameness, and 1 had unilateral hind limb lameness. Mean duration of lameness was 9.2 months. All horses had been treated with corrective shoeing and nonsteroidal anti-inflammatory drugs for at least 6 months; 18 had previously been treated by injection of corticosteroids and sodium hyaluronate into the distal interphalangeal joint. Fourteen horses had mismatched front feet, and 21 horses had signs of pain in response to application of pressure over the central aspect of the frog. Palmar digital nerve anesthesia resulted in substantial improvement in or resolution of the lameness in all horses. Twenty horses (80%) were sound and returned to intended activities 2 weeks after navicular bursa treatment; mean duration of soundness was 4.6 months. Two horses that received numerous navicular bursa injections had a rupture of the deep digital flexor tendon at the level of the pastern region. Conclusions: Results suggest that navicular bursa treatment may provide temporary improvement in horses with signs of chronic navicular area pain that fail to respond to other treatments.
Publication Date: 2003-11-25 PubMed ID: 14627099DOI: 10.2460/javma.2003.223.1469Google Scholar: Lookup
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- Journal Article
- Case Reports
- Clinical Examination
- Clinical Findings
- Clinical Study
- Corticosteroids
- Deep Digital Flexor Tendon
- Disease Treatment
- Distal Interphalangeal Joint
- Equine Health
- Horses
- Intra-Articular Injection
- Lameness
- Navicular Bone
- NSAID
- Pain Management
- Radiology
- Retrospective Study
- Sodium Hyaluronate
- Veterinary Medicine
Summary
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The study examines the effects of injecting a combination of drugs into the navicular bursa of horses that displayed symptoms of navicular area pain which didn’t improve with other treatments. The study found that 80% of the horses got relief and went back to normal activities after treatment.
Methods of research
- The study was retrospective in nature, and featured 25 horses which had failed to respond satisfactorily to corrective shoeing and nonsteroidal anti-inflammatory drugs for their navicular area pain.
- Information such as each horse’s signalment, history, usage, severity and duration of lameness, shoeing regimen, results of diagnostic anesthesia, radiographic abnormalities, and outcome were collected from medical records.
Results
- Out of the 25 horses, 17 experienced bilateral forelimb lameness, 7 manifested unilateral forelimb lameness, and one showed unilateral hind limb lameness. The average duration of the lameness across all horses was 9.2 months.
- Eighteen of the horses had previously been treated with an injection of corticosteroids and sodium hyaluronate into the distal interphalangeal joint. Fourteen horses had mismatched front feet. All horses showed pain when pressure was applied over the central aspect of the frog.
- Palmar digital nerve anesthesia resulted in significant improvement or complete resolution of the lameness in all horses. Following navicular bursa treatment, 20 horses (80%) were sound and returned to their intended activities within 2 weeks. The average duration of soundness following treatment was 4.6 months.
Conclusion from the study
- The results suggest that navicular bursa treatment may provide temporary relief for horses suffering from chronic navicular area pain that doesn’t respond to other treatments.
- However, two horses that received multiple navicular bursa injections experienced a rupture of the deep digital flexor tendon at the level of the pastern region, suggesting a potential risk associated with this treatment.
Cite This Article
APA
Dabareiner RM, Carter GK, Honnas CM.
(2003).
Injection of corticosteroids, hyaluronate, and amikacin into the navicular bursa in horses with signs of navicular area pain unresponsive to other treatments: 25 cases (1999-2002).
J Am Vet Med Assoc, 223(10), 1469-1474.
https://doi.org/10.2460/javma.2003.223.1469 Publication
Researcher Affiliations
- Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station, TX 77843, USA.
MeSH Terms
- Adjuvants, Immunologic / therapeutic use
- Adrenal Cortex Hormones / therapeutic use
- Amikacin / therapeutic use
- Animals
- Anti-Bacterial Agents / therapeutic use
- Bursa, Synovial
- Female
- Forelimb
- Hindlimb
- Hoof and Claw / abnormalities
- Horse Diseases / drug therapy
- Horses
- Hyaluronic Acid / therapeutic use
- Injections, Intra-Articular / veterinary
- Lameness, Animal / drug therapy
- Male
- Pain / drug therapy
- Pain / veterinary
- Retrospective Studies
- Severity of Illness Index
- Treatment Outcome
Citations
This article has been cited 2 times.- 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.
- White NA 2nd, Barrett JG. Magnetic Resonance Imaging-Guided Treatment of Equine Distal Interphalangeal Joint Collateral Ligaments: 2009-2014.. Front Vet Sci 2016;3:73.
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