Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection.
Abstract: To document the clinical presentation, diagnosis, and surgical treatment of mineralization of the equine palmar/plantar annular ligament (PAL). Methods: Retrospective study. Methods: Ponies (n=7). Methods: Case records from 2 referral hospitals were examined to identify cases with lameness associated with PAL mineralization treated surgically. Follow-up information was obtained from the owners by telephone questionnaire. Results: Duration of lameness before referral ranged from 5 weeks to 6 months, and degree of lameness from grade 1 to 5 out of 10. In 3 cases, records noted obvious pain when pressure was applied over the PAL. Pain resulting in lameness was localized to this area and all cases were treated surgically, although the extent of resected tissue varied among cases. Histological examination of resected tissue (4 cases) revealed fibrocartilaginous and/or osseous metaplasia. Following surgery, 6 of the 7 ponies became sound. Conclusions: Based on this limited case series, surgical treatment for mineralization of the PAL offers a favorable success rate without severe complications where conservative methods have failed.
© Copyright 2016 by The American College of Veterinary Surgeons.
Publication Date: 2016-07-01 PubMed ID: 27357271DOI: 10.1111/vsu.12503Google Scholar: Lookup
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- Journal Article
- Case Reports
- Clinical Examination
- Clinical Pathology
- Clinical Study
- Clinical Symptoms
- Diagnosis
- Disease Diagnosis
- Disease Treatment
- Equine Health
- Histology
- Lameness
- Ligaments
- Pain Management
- Ponies
- Post-Operative Period
- Retrospective Study
- Surgery
- Veterinary Care
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
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This research focuses on the clinical occurrence, diagnosis, and surgical intervention of mineralization in the palmar/plantar annular ligament (PAL) in ponies, highlighting that surgery offers a favorable success rate in cases where non-surgical methods have been unsuccessful.
Research Methodology
- The study adopted a retrospective design, examining case records from two referral hospitals to identify instances of lameness in ponies related to PAL mineralization that were subsequently treated surgically.
- The sample size was 7 ponies and additional information was obtained from the owners via phone interviews.
Findings: Pre Surgery
- The duration of lameness before the ponies were referred for treatment varied from 5 weeks to 6 months, and there was a range of severity of lameness, graded from 1 to 5 out of 10.
- In three cases, the ponies showed clear signs of pain when pressure was applied directly to the PAL.
- The condition causing lameness was localized to the PAL region.
Surgical Procedure and Results
- All cases underwent surgical treatment, with some variation in the amount of tissue resected (removed).
- A histological examination of the resected tissue in 4 cases revealed fibrocartilaginous and/or osseous metaplasia (transformation of tissue).
- Post-surgery, 6 out of the 7 ponies were no longer lame, suggesting a high rate of success with the surgical intervention.
Conclusion
- The study concluded that surgical treatment for PAL mineralization in ponies offers a promising rate of success and no significant complications, especially in instances where conservative (non-surgical) methods had failed.
- However, these conclusions are based on a limited amount of data, and further extensive studies could garner more insights into the efficacy and outcomes of surgical treatment for PAL mineralization.
Cite This Article
APA
Garvican ER, Wylie CE, Payne RJ, Smith RK, Head MJ.
(2016).
Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection.
Vet Surg, 45(5), 602-608.
https://doi.org/10.1111/vsu.12503 Publication
Researcher Affiliations
- Department of Clinical Science and Services, The Royal Veterinary College, Hertfordshire, United Kingdom.
- Rossdales Equine Hospital and Diagnostic Centre, Suffolk, United Kingdom.
- Rossdales Equine Hospital and Diagnostic Centre, Suffolk, United Kingdom.
- Department of Clinical Science and Services, The Royal Veterinary College, Hertfordshire, United Kingdom.
- Rossdales Equine Hospital and Diagnostic Centre, Suffolk, United Kingdom.
MeSH Terms
- Animals
- Calcinosis / pathology
- Calcinosis / surgery
- Calcinosis / veterinary
- Female
- Horse Diseases / pathology
- Horse Diseases / surgery
- Horses
- Lameness, Animal / pathology
- Lameness, Animal / surgery
- Ligaments, Articular / pathology
- Ligaments, Articular / surgery
- Male
- Retrospective Studies
Citations
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