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Technique for equine cervical articular process joint injection.

Abstract: Degenerative changes and osteochondrosis of articular processes are common sources of stiffness or pain in the equine cervical spine. Temporary relief of the clinical signs related to these maladies may be achieved by injecting corticosteroids into the joint. This is routinely done by ultrasound-guided needle placement. The cervical articular processes and joint form an easily identifiable sonographic landmark, a step-like echogenic surface described as having the appearance of a "chair."
Publication Date: 2004-06-18 PubMed ID: 15200263DOI: 10.1111/j.1740-8261.2004.04042.xGoogle Scholar: Lookup
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Summary

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This research article focuses on a new technique to ease pain or stiffness in horses’ necks caused by conditions like osteochondrosis through injecting corticosteroids into the joint. The injections are guided using ultrasound to locate the cervical articular processes and joint.

Introduction to Equine Cervical Articular Process Joint Injection

  • This paper discusses a method intended to treat degenerative changes and osteochondrosis of articular processes, common factors responsible for stiff or painful conditions in the neck region of horses.

Disease Manifestation

  • The two prevalent diseases in horses, degenerative changes and osteochondrosis, affect the articular processes – the small projections on the vertebral bones where they interlink with other bones.
  • These diseases contribute to severe discomfort and limited mobility in horses’ neck due to the chronic pain and stiffness.

Technique: Corticosteroids Injection

  • The research suggests a remedy involving injection of corticosteroids – a class of drugs that decrease inflammation and reduce the immune system’s activity.
  • The corticosteroids are administered into the joint, aimed at alleviating the clinical symptoms associated with these joint-related diseases, providing a temporary respite to the suffering equine.

Ultrasound-Guided Needle Placement

  • The study further reinforces the routine of carrying out this treatment via ultrasound-guided needle placement.
  • The ultrasound is effectively used to locate the cervical articular processes and joint.
  • These places can conveniently be identified in sonography, as they form a distinct echogenic surface that resembles a chair’s structure, thus making it a prominent sonographic landmark.
  • Utilizing this ‘chair’ landmark, veterinarians can precisely position the needle and ensure the corticosteroids are accurately delivered into the articular joint.

Brief Conclusion

  • Despite the severity of diseases such as degenerative changes and osteochondrosis, the research proposes effective management through corticosteroids injection.
  • By employing ultrasound-guidance for needle placement, this treatment aims to reduce equine discomfort and temporarily improve the neck’s mobility.

Cite This Article

APA
Mattoon JS, Drost WT, Grguric MR, Auld DM, Reed SM. (2004). Technique for equine cervical articular process joint injection. Vet Radiol Ultrasound, 45(3), 238-240. https://doi.org/10.1111/j.1740-8261.2004.04042.x

Publication

ISSN: 1058-8183
NlmUniqueID: 9209635
Country: England
Language: English
Volume: 45
Issue: 3
Pages: 238-240

Researcher Affiliations

Mattoon, John S
  • Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA.
Drost, Wm Tod
    Grguric, Michael R
      Auld, Danelle M
        Reed, Stephen M

          MeSH Terms

          • Animals
          • Cervical Vertebrae
          • Female
          • Horse Diseases / diagnostic imaging
          • Horse Diseases / drug therapy
          • Horses
          • Injections / veterinary
          • Osteoarthritis / drug therapy
          • Osteoarthritis / veterinary
          • Radiography
          • Spinal Diseases / drug therapy
          • Spinal Diseases / veterinary
          • Ultrasonography, Interventional / veterinary

          Citations

          This article has been cited 7 times.
          1. Fouquet G, Abbas G, Johnson JP, Pompermayer E, Harel C, Aldous E, Puchalski S, David F. Ultrasound-guided injection technique of the equine cervical nerve roots. Front Vet Sci 2022;9:992208.
            doi: 10.3389/fvets.2022.992208pubmed: 36387391google scholar: lookup
          2. Johnson JP, Vinardell T, David F. Ultrasound-guided injections of the equine head and neck: review and expert opinion. J Equine Sci 2021 Dec;32(4):103-115.
            doi: 10.1294/jes.32.103pubmed: 35023988google scholar: lookup
          3. Story MR, Haussler KK, Nout-Lomas YS, Aboellail TA, Kawcak CE, Barrett MF, Frisbie DD, McIlwraith CW. Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment. Animals (Basel) 2021 Feb 6;11(2).
            doi: 10.3390/ani11020422pubmed: 33562089google scholar: lookup
          4. Touzot-Jourde G, Geffroy O, Tallaj A, Gauthier O, Denoix JM. Ultrasonography-Guided Perineural Injection of the Ramus ventralis of the 7 and 8th Cervical Nerves in Horses: A Cadaveric Descriptive Pilot Study. Front Vet Sci 2020;7:102.
            doi: 10.3389/fvets.2020.00102pubmed: 32158773google scholar: lookup
          5. Beaulieu A, Linden AZ, Phillips J, Arroyo LG, Koenig J, Monteith G. Various 3D printed materials mimic bone ultrasonographically: 3D printed models of the equine cervical articular process joints as a simulator for ultrasound guided intra-articular injections. PLoS One 2019;14(8):e0220332.
            doi: 10.1371/journal.pone.0220332pubmed: 31386687google scholar: lookup
          6. Shearer TR, Kinsley MA, Pease AP, Patterson JS. Development of a minimally invasive approach to equine cervical articular facet joints for placement of an ND:YAG LASER. Can Vet J 2017 Nov;58(11):1181-1186.
            pubmed: 29089655
          7. Davidson EJ, Stefanovski D, Slack J, Manzi TJ. Ultrasound-guided caudal cervical articular process arthrocentesis is accurate in live horses with and without arthropathy. Equine Vet J 2025 Mar;57(2):398-405.
            doi: 10.1111/evj.14133pubmed: 38989893google scholar: lookup