Surgical versus conservative management of osteochondrosis.
Abstract: The paper reviews current knowledge on conservative versus surgical options for the treatment of osteochondrosis entities in the horse. Clinical and radiographic signs of each significant osteochondrosis entity in the horse are presented, followed by the value of conservative treatment versus arthroscopic surgery options as well as the results for each option with the various entities. The entities presented in detail include, osteochondritis dissecans (OCD) of the femoropatellar, tarsocrural, metacarpophalangeal and metatarsophalangeal, and glenohumural articulations. The various treatment options for subchondral cystic lesions of the medial femoral condyle are detailed with evidence for the value of various treatments and subchondral cystic lesions in other locations are briefly reviewed.
Copyright © 2013 Elsevier Ltd. All rights reserved.
Publication Date: 2013-06-07 PubMed ID: 23746868DOI: 10.1016/j.tvjl.2013.03.037Google Scholar: Lookup
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Summary
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This research article provides an in-depth comparison of conservative and surgical treatments for different types of osteochondrosis in horses, including detailed analyses of the options for treating various specific areas affected by the disease.
Osteochondrosis Entities
- The study begins by examining the different types of osteochondrosis that typically occur in horses. These subtypes or “entities” include osteochondritis dissecans (OCD) of the femoropatellar (knee), tarsocrural (ankle), metacarpophalangeal and metatarsophalangeal (foot or hoof), and glenohumural (shoulder) joints.
- The clinical and radiographic signs are presented indicating the various manifestations of each of these osteochondrosis entities. The aim is to provide a comprehensive understanding of the differences and similarities between these different types of the disease.
Comparing Treatment Options
- The study then scrutinizes the various treatment options available for osteochondrosis. It compares conservative management, which generally involves rest and medicative treatment, to surgical interventions, particularly focusing on arthroscopic surgery.
- By assessing these two primary treatment options, the research gives insights into the benefits and drawbacks of each. It emphasizes on the overall effectiveness as well as provides data demonstrating how the treatments have performed in managing the disease.
Subchondral Cystic Lesions
- An important part of the study focuses on subchondral cystic lesions of the medial femoral condyle. These are types of bone and cartilage damage often associated with osteochondrosis. The paper discusses the different treatment options available, providing evidential backing for the efficacy of these treatments.
- The research not only covers cystic lesions in the femoral condyle but also offers a brief review of lesions occurring in other parts of the horse’s body. The aim is to furnish a broader understanding of the argument of conservative versus surgical management across various manifestations of osteochondrosis.
Conclusion
- Through discussing the complexities of osteochondrosis entities in horses and scrutinizing the different treatment options available, this paper aims to equip veterinarians and researchers with more comprehensive knowledge to improve their approaches towards managing and treating this complex condition.
Cite This Article
APA
McIlwraith CW.
(2013).
Surgical versus conservative management of osteochondrosis.
Vet J, 197(1), 19-28.
https://doi.org/10.1016/j.tvjl.2013.03.037 Publication
Researcher Affiliations
- Gail Holmes Equine Orthopaedic Research Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, 300 West Drake Rd., Fort Collins, CO 80523, USA. Wayne.mcilwraith@colostate.edu
MeSH Terms
- Animals
- Arthroscopy / methods
- Arthroscopy / veterinary
- Horse Diseases / therapy
- Horses
- Osteochondrosis / drug therapy
- Osteochondrosis / surgery
- Osteochondrosis / veterinary
Citations
This article has been cited 9 times.- Van Cauter R, Serteyn D, Lejeune JP, Rousset A, Caudron I. Evaluation of the appearance of osteochondrosis lesions by two radiographic examinations in sport horses aged from 12 to 36 months. PLoS One 2023;18(5):e0286213.
- Zetterberg E, Leclercq A, Persson-Sjodin E, Lundblad J, Haubro Andersen P, Hernlund E, Rhodin M. Prevalence of vertical movement asymmetries at trot in Standardbred and Swedish Warmblood foals. PLoS One 2023;18(4):e0284105.
- Bourebaba L, Röcken M, Marycz K. Osteochondritis dissecans (OCD) in Horses - Molecular Background of its Pathogenesis and Perspectives for Progenitor Stem Cell Therapy. Stem Cell Rev Rep 2019 Jun;15(3):374-390.
- Lewczuk D, Bereznowski A, Hecold M, Frąszczak M, Ruść A, Korwin-Kossakowska A, Szyda J, Kamiński S. Differences between horse selection based on two forms of osteochondrosis in fetlock. J Appl Genet 2018 May;59(2):225-230.
- Lim CK, Hawkins JF, Vanderpool AL, Heng HG, Gillespie Harmon CC, Lenz SD. Osteochondritis dissecans-like lesions of the occipital condyle and cervical articular process joints in a Saddlebred colt horse. Acta Vet Scand 2017 Oct 30;59(1):76.
- Moser DK, Schoonover MJ, Sippel KM, Dieterly AM, Ritchey JW, Wall CR. Catastrophic complication following injection and extracorporeal shock wave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Vet J 2017;7(2):111-116.
- McCoy AM, Ralston SL, McCue ME. Short- and long-term racing performance of Standardbred pacers and trotters after early surgical intervention for tarsal osteochondrosis. Equine Vet J 2015 Jul;47(4):438-44.
- Van Cauter R, Caudron I, Lejeune JP, Rousset A, Serteyn D. Nineteen years of radiographic screening: Impact of sepsis and evolution of osteochondrosis dissecans prevalence in Walloon sport horses born between 2004 and 2022. PLoS One 2024;19(9):e0308304.
- Pereira MF, Ribeiro G, Gonzales A, Arantes JA, Dória RGS. Effects of intra-articular administration of hyaluronic acid or platelet-rich plasma as a complementary treatment to arthroscopy in horses with osteochondritis dissecans. Vet Anim Sci 2024 Mar;23:100330.
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