Treatment response and athletic outcome of foals with tarsal valgus deformities: 39 cases (1988-1997).
Abstract: To evaluate the response to various treatments and long-term outcome of foals with tarsal valgus deformities. Methods: Retrospective study. Methods: 39 foals with tarsal valgus deformities. Methods: Data collected from medical records, included signalment, history, reason for admission, and clinical findings. Radiographic views of the tarsus were evaluated for incomplete ossification of tarsal bones and were classified as normal in appearance, type-I incomplete ossification, or type-II incomplete ossification. Treatment and athletic outcome were documented for each foal. Results: Radiographic assessment revealed that 22 of 39 foals (56%) had concomitant tarsal valgus deformities and incomplete ossification of the tarsal bones. Eight of 19 foals with tarsal valgus deformities that were treated with periosteal stripping responded favorably. Foals < or = 60 days old were significantly more likely to respond to periosteal stripping than older foals. Five of 8 foals with tarsal valgus deformities that were treated with growth plate retardation responded favorably. Eleven of 21 foals with long-term follow-up performed as intended. Compared with foals with type-II incomplete ossification, foals with tarsal bones that had a normal radiographic appearance or type-I incomplete ossification were significantly more likely to perform as intended. Conclusions: Foals with tarsal valgus deformities should have lateromedial radiographic views of the tarsus obtained to assess the tarsal bones for incomplete ossification, which will affect athletic outcome. Because foals with type-II incomplete ossification of the tarsal bones respond poorly to periosteal stripping alone, treatment by growth-plate retardation is recommended.
Publication Date: 1999-12-01 PubMed ID: 10579047
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- Journal Article
Summary
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This research paper evaluates the effectiveness of various treatments and long-term outcomes of young horses (foals) inflicted with tarsal valgus deformities, a type of leg deformity. The study identifies that younger foals and those with less severe forms of bone ossification disorders are likely to respond better to treatments and consequently, have a better chance of performing as intended in athletic endeavors.
Study Methods and Foals Sample
- The study was conducted retrospectively, meaning that the researchers examined past data.
- The sample used for the study comprised 39 young horses, known as foals, that had tarsal valgus deformities.
- The data procured for the study included the foal’s background, past health history, reason for hospital admission, and clinical findings.
- With the help of radiographic imaging, the level of ossification or bone development of the tarsal bones was evaluated. This was done to classify them into three categories: normal, type-I incomplete ossification, or type-II incomplete ossification. This is crucial to determine the severity of the bone deformity.
- The type of treatment administered and the foal’s athletic performance post-treatment were documented.
Research Observations
- The radiographic analysis found that more than half of the foals had both tarsal valgus deformities and a level of incomplete ossification of the tarsal bones, meaning their bone development was not normal.
- Periosteal stripping, a type of treatment for these deformities, showed a favorable response in less than half of the foals treated with the technique. Furthermore, foals that were 60 days old or less showed significantly better results, indicating the effectiveness of the treatment at an early age.
- A different treatment method, growth plate retardation, produced favorable results in 5 out of 8 treated foals.
- Among the foals available for long-term follow-up, just over half were able to perform their intended athletic activities.
Conclusions and Recommendations
- The study emphasizes the need for radiographic examination of the tarsus in foals with tarsal valgus deformities. This can predict the athletic outcome based on the level of ossification.
- Foals with a type-II incomplete ossification, a more severe form of the disorder, did not respond well to periosteal stripping alone. Therefore, the study recommends employing growth plate retardation as the treatment method for these cases.
- Moreover, foals with normal or type-I incomplete ossification of tarsal bones, i.e., less severe ossification disorders, had a better chance to fulfill their intended athletic performance compared to those with type-II incomplete ossification.
Cite This Article
APA
Dutton DM, Watkins JP, Honnas CM, Hague BA.
(1999).
Treatment response and athletic outcome of foals with tarsal valgus deformities: 39 cases (1988-1997).
J Am Vet Med Assoc, 215(10), 1481-1484.
Publication
Researcher Affiliations
- Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station 77843, USA.
MeSH Terms
- Animals
- Female
- Follow-Up Studies
- Growth Plate / surgery
- Horses / abnormalities
- Male
- Osteogenesis
- Periosteum / surgery
- Radiography
- Retrospective Studies
- Tarsal Bones / diagnostic imaging
- Tarsal Bones / physiology
- Tarsus, Animal / abnormalities
- Tarsus, Animal / diagnostic imaging
- Treatment Outcome
Citations
This article has been cited 2 times.- Modesto RB, Rodgerson DH, Masciarelli AE, Spirito M. Standing placement of transphyseal screw in the distal radius in 8 Thoroughbred yearlings. Can Vet J 2015 Jun;56(6):605-9.
- Sansone JM, Wilsman NJ, Leiferman EM, Noonan KJ. The effect of periosteal resection on tibial growth velocity measured by microtransducer technology in lambs. J Pediatr Orthop 2009 Jan-Feb;29(1):61-7.
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