Injury to the origin of the gastrocnemius muscle as a possible cause of lameness in four horses.
Abstract: Four horses were evaluated because of hind limb lameness. Two had a distinct gait abnormality at the walk characterized by lateral rotation of the point of the calcaneus and medial rotation of the toe during the stance phase. Nuclear scintigraphy revealed a focal area of intense radioisotope uptake in the caudodistal aspect of the femur in all 4 horses, and 3 of the horses had a corresponding proliferative reaction on the caudodistal cortex of the femur on radiographs. In all 4 horses, a diagnosis of injury to the origin of the gastrocnemius muscle was made. Three of the horses returned to athletic endeavors after an extended period of rest and a gradual return to exercise. The fourth improved after 5 months of rest but became lame again when returned to exercise and was euthanatized.
Publication Date: PubMed ID: 11469578
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Summary
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This research investigated the association of injury to the origin of the gastrocnemius muscle with hind limb lameness in horses. The study concluded that such an injury could indeed be a cause of hind limb lameness, with three out of four studied horses returning to athletic activities post-rest and rehabilitation, while one had to be euthanized due to recurring lameness.
Objective of the Study
- The study was carried out to understand the symptoms, diagnosis, and possible treatment methods for hind limb lameness in horses associated with an injury to the origin of the gastrocnemius muscle.
The Study and Findings
- Four horses with hind limb lameness were the subjects of this study.
- Two of these horses exhibited a distinct gait abnormality at the walk, characterized by lateral rotation of the calcaneus point and medial rotation of the toe during the stance phase.
- A medical procedure known as nuclear scintigraphy was employed to determine the cause of the lameness. This procedure revealed an area with strong radioisotope uptake in the caudodistal part of the femur in all four horses.
- In three of the horses, a similar proliferative reaction was seen on the caudodistal cortex of the femur through radiographs.
- Consequently, all four horses were diagnosed with an injury to the origin of the gastrocnemius muscle.
Treatment and Follow-up
- Three of the horses were able to return to their athletic functions after they were given an extensive resting period and a gradual reintroduction to exercise.
- The fourth horse initially showed improvement after a rest of five months. But it relapsed into lameness upon resuming exercise and had to be euthanized eventually.
Conclusion
- The study thus concluded an injury to the origin of the gastrocnemius muscle to be a potential cause of hind-limb lameness in horses.
- It also suggested the relevance of rest and gradual return to exercise for effective recovery from such an injury.
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Injury to the origin of the gastrocnemius muscle as a possible cause of lameness in four horses.
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