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The Canadian veterinary journal = La revue veterinaire canadienne2023; 64(3); 268-274;

Pro-stride and extracorporeal shockwave therapy as treatment of lateral collateral desmopathy of the proximal interphalangeal joint in a Dutch Warmblood gelding.

Abstract: A 6-year-old chestnut Dutch Warmblood gelding was presented for right front lameness 1 mo after being cast in a stall at a 1.20-meter jumping event. Lameness work-up revealed mild lameness on the right and left front legs, with diffuse swelling over the right front pastern. Ultrasonic evaluation yielded suspicion of collateral desmopathy of the proximal interphalangeal joint that was subsequently confirmed via MRI. Two weeks after initial evaluation, the proximal and distal interphalangeal joints were injected with Pro-Stride Autologous Protein Solution, immediately followed by Extracorporeal Shockwave Therapy of the lateral and medial collateral ligaments. Follow-up at 2 and 3 mo after treatment revealed reduced joint effusion of the proximal and distal interphalangeal joints, as well as improved fiber organization of the associated collateral ligaments. This should inform practitioners that multimodal therapeutic treatments including biologics and stimulation of healing through sound waves can aid in ligamentous injuries in sport horses. Thérapie avec Pro-Stride et ondes de choc extracorporelles comme traitement de la desmopathie collatérale latérale de l’articulation interphalangienne proximale chez un hongre Warmblood hollandais. Un hongre Warmblood hollandais alezan de 6 ans a été présenté pour boiterie avant droite 1 mois après s’être blessé lors d’une compétition de sauts à 1,20 mètre. Le bilan de boiterie a révélé une légère boiterie sur les pattes avant droite et gauche, avec une enflure diffuse sur le paturon avant droit. L’examen échographique a révélé une suspicion de desmopathie collatérale de l’articulation interphalangienne proximale qui a ensuite été confirmée par imagerie par résonnance magnétique. Deux semaines après l’évaluation initiale, les articulations interphalangiennes proximales et distales ont reçu une injection de solution de protéines autologues Pro-Stride, immédiatement suivie d’une thérapie par ondes de choc extracorporelles des ligaments collatéraux latéral et médial. Le suivi à 2 et 3 mois après le traitement a révélé un épanchement articulaire réduit des articulations interphalangiennes proximales et distales, ainsi qu’une meilleure organisation des fibres des ligaments collatéraux associés.Ceci devrait informer les praticiens que les traitements thérapeutiques multimodaux, y compris les produits biologiques et la stimulation de la guérison par des ondes sonores, peuvent aider dans les blessures ligamentaires chez les chevaux de sport.(Traduit par Dr Serge Messier).
Copyright and/or publishing rights held by the Canadian Veterinary Medical Association.
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Publication Date: 2023-03-07 PubMed ID: 36874545PubMed Central: PMC9979729
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research describes a treatment case of a horse with a ligamentous injury which was successfully treated with a combination of a protein-based treatment called Pro-Stride and extracorporeal shockwave therapy.

Introduction and Case Description

  • The study focuses on a case of a six-year-old Dutch Warmblood gelding, a type of horse, that had suffered from right front lameness (difficulty in walking) one month after an injury occurred during a 1.20-meter jumping event.
  • The initial examination detected mild lameness in both the right and the left front legs of the horse and a diffuse (spread out) swelling over the right front pastern (area of a horse’s foot).
  • Ultrasonic evaluation of the horse’s condition led to suspicion of a collateral desmopathy (ligament injury) of the proximal interphalangeal (PIP) joint – a joint located in the foot of the horse. This suspicion was subsequently confirmed through MRI testing.

Treatment and Results

  • Two weeks after the initial evaluation, the horse’s PIP joint and distal interphalangeal joint (another joint in the horse’s foot) were treated with Pro-Stride Autologous Protein Solution. It is a type of biologic therapy that uses the horse’s own cells and proteins to help heal its injuries.
  • This protein solution treatment was immediately followed by Extracorporeal Shockwave Therapy (ESWT). ESWT is a non-invasive method that uses sound waves to stimulate the healing of injured tissues.
  • Follow-up sessions took place two and three months after the treatments. Observations noted reduced joint effusion (swelling caused by excess fluid) in the treated areas, and improved organization of fibers in the associated collateral ligaments – indicating effective healing of the injury.

Conclusion

  • This case study provides evidence that using a combination of biologic treatments (like Pro-Stride Autologous Protein Solution) and sound wave-based healing stimulation (extracorporeal shockwave therapy) can be effective for healing ligamentous injuries in sport horses.
  • It is beneficial for practitioners working with sport horses to be aware of these multimodal therapeutic options for ligamentous injuries.

Cite This Article

APA
Toner S, Crosby C. (2023). Pro-stride and extracorporeal shockwave therapy as treatment of lateral collateral desmopathy of the proximal interphalangeal joint in a Dutch Warmblood gelding. Can Vet J, 64(3), 268-274.

Publication

The Canadian veterinary journal = La revue veterinaire canadienne
ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 64
Issue: 3
Pages: 268-274

Researcher Affiliations

Toner, Sara
  • University of Calgary, Faculty of Veterinary Medicine, 11877 85th Street NW, Calgary, Alberta T3R 1J3 (Toner); TD Equine Veterinary Group, 64134 198 Avenue W, Calgary, Alberta T1S 2W4 (Crosby).
Crosby, Candice
  • University of Calgary, Faculty of Veterinary Medicine, 11877 85th Street NW, Calgary, Alberta T3R 1J3 (Toner); TD Equine Veterinary Group, 64134 198 Avenue W, Calgary, Alberta T1S 2W4 (Crosby).

MeSH Terms

  • Animals
  • Horses
  • Male
  • Extracorporeal Shockwave Therapy / veterinary
  • Lameness, Animal
  • Extremities
  • Joints
  • Combined Modality Therapy / veterinary
  • Horse Diseases

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This article includes 19 references
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Citations

This article has been cited 1 times.
  1. Carmona JU, Carmona-Ramírez LH, López C. Platelet-Rich Plasma and Related Orthobiologics for the Treatment of Equine Musculoskeletal Disorders-A Bibliometric Analysis from 2000 to 2024. Vet Sci 2024 Aug 21;11(8).
    doi: 10.3390/vetsci11080385pubmed: 39195839google scholar: lookup
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