Management of Primary Injuries of the Medial Collateral Ligament of the Carpus in Two Horses.
Abstract: This case report describes the successful management of two horses with medial carpal collateral ligament injury. This is a rare cause of forelimb lameness and existing reports indicate a poor prognosis for return to athletic function with conservative management. Both horses were treated with a combination of box rest with controlled exercise and high-intensity laser therapy (HILT). Both horses returned to previous athletic function, one at Grand Prix level dressage and one at Novice level eventing. With appropriate management, the prognosis for carpal collateral ligament injury may be good. From this report, it is unclear whether a rehabilitation program including HILT offers improved prognosis compared with a rehabilitation program alone.
Copyright © 2019 Elsevier Inc. All rights reserved.
Publication Date: 2019-11-29 PubMed ID: 32067669DOI: 10.1016/j.jevs.2019.102878Google Scholar: Lookup
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Summary
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The research article discusses the successful treatment of two horses suffering from rare carpal collateral ligament injuries that typically result in poor athletic performance. The treatment combined rest, controlled exercise, and high-intensity laser therapy.
Medial Carpal Collateral Ligament Injury
- The medial carpal collateral ligament injury is an unusual cause of lameness in horses’ forelimbs. This type of injury tends to have a poor prognosis, often impacting the horse’s ability to return to its previous athletic function. The research studies two such cases of injury.
Treatment Approach
- The article highlights that both horses were treated using a three-pronged approach.
- The first part of the treatment involved box rest, which provided the horses with the necessary rest to recover.
- The second part of the treatment included controlled exercise. This helped strengthen the horses’ limbs and supported rehabilitation.
- The third component of the treatment was high-intensity laser therapy (HILT). HILT is a non-invasive treatment method that uses light to stimulate cell regeneration and increase blood flow, which helps to reduce pain and inflammation, and speeds up the healing process.
Treatment Outcomes
- Post-treatment, both horses were found to have returned to their previous athletic functions. One returned to perform at a Grand Prix level in dressage and the other at a Novice level in eventing.
- This successful outcome demonstrates that with careful and appropriate management, horses with carpal collateral ligament injuries can have a good prognosis.
Implications of The Study
- The study, however, does not clearly establish whether the inclusion of HILT as part of the <a href="/equine-rehabilitation-guide/" title="Equine Rehabilitation Programs: What to Expect When Your Horse is Recovering – [Guide]”>rehabilitation program improves the prognosis or if a rehabilitation program alone can deliver the same results.
- This suggests an area for further research to help optimize treatment strategies for such injuries in horses.
Cite This Article
APA
Quiney L, Murray R, Dyson S.
(2019).
Management of Primary Injuries of the Medial Collateral Ligament of the Carpus in Two Horses.
J Equine Vet Sci, 86, 102878.
https://doi.org/10.1016/j.jevs.2019.102878 Publication
Researcher Affiliations
- Centre for Equine Studies, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK. Electronic address: laura.quiney@imv-imaging.com.
- Centre for Equine Studies, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK.
- Centre for Equine Studies, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK.
MeSH Terms
- Animals
- Collateral Ligaments / diagnostic imaging
- Horse Diseases
- Horses
- Joint Diseases / veterinary
- Lameness, Animal
- Physical Conditioning, Animal
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