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Equine veterinary journal2003; 35(1); 48-54; doi: 10.2746/042516403775467540

Ultrasonographic abnormalities detected in the sacroiliac area in twenty cases of upper hindlimb lameness.

Abstract: The pelvis is covered with extensive musculature and often presents a challenge in diagnostic imaging. Ultrasonography provides diagnostic information about soft tissue, articular cartilage and bone surfaces, although little information exists about the normal ultrasonographic appearance of the equine sacroiliac region. Objective: To determine the clinical applicability of ultrasonographic examination in horses with sacroiliac pain. Methods: Horses presented to the University of Minnesota Veterinary Teaching Hospital for hindlimb lameness were evaluated and lower limb lameness was ruled out with examination and local anaesthesia. Twenty cases were diagnosed with sacroiliac pain, characterised by response to palpation over the tuber sacrale. Seven of the 20 had visible asymmetry of the tuber sacrale. Ultrasonography was performed percutaneously and per rectum. Structures imaged were measured and compared to normal reference measurements. Other methods used to confirm diagnoses included thermography, scintigraphy and radiology. Results: All 20 cases with sacroiliac pain showed ultrasonographic abnormalities of the sacroiliac area. Abnormalities were detected in the dorsal sacroiliac ligaments. Ligament size was significantly different from the normal ranges (P < 0.01). Malalignment of the sacroiliac area and sacral fractures were also imaged. Conclusions: Ultrasonography of the sacroiliac region aided diagnosis of ligament damage and displacement of bone surfaces; and may aid in monitoring the progression of healing. Conclusions: Diagnostic ultrasound is readily available to most practitioners. Therefore the findings of this study show that diagnosis of sacroiliac injuries is possible in the field.
Publication Date: 2003-01-30 PubMed ID: 12553462DOI: 10.2746/042516403775467540Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research illustrates the utility of ultrasonographic examination in diagnosing sacroiliac issues causing hindlimb lameness in horses. The study, carried out at the University of Minnesota Veterinary Teaching Hospital, involved twenty horses showing signs of upper hindlimb lameness. The researchers found all horses had ultrasonographic abnormalities in the sacroiliac region, which could be diagnosed with this imaging technique.

Study Objectives and Methodology

  • The primary objective of the research was to determine the practical utility of ultrasonography in diagnosing sacroiliac pain in horses.
  • Specific focus was given to horses exhibiting signs of upper hindlimb lameness.
  • The chosen sample for the study comprised twenty horses, all of which were determined not to have lower limb lameness through examination and local anesthesia.
  • All horses displayed sacroiliac pain, identified through tactile response to palpation over the tuber sacrale, a significant bone in the rear part of the horse’s body.
  • As part of the study, the horses underwent ultrasonographic imaging, carried out both percutaneously and per rectum.
  • In concert with ultrasonography, scientists used thermography, scintigraphy, and radiology to corroborate the diagnoses.

Key Findings

  • Every horse from the studied group revealed ultrasonographic irregularities in the sacroiliac area.
  • The abnormalities were observed in the dorsal sacroiliac ligaments. The dimensions of these ligaments showed significant deviation from the normal measures.
  • The ultrasonographic imaging also revealed misalignment of the sacroiliac region and sacral fractures.

Conclusions

  • Ultrasonography proved useful in diagnosing damage to the ligaments and displacement of bone surfaces in the sacroiliac region in horses.
  • As a commonly accessible tool to most practitioners, ultrasonography can effectively help detect sacroiliac injuries in the field conditions.
  • Further, continuous use of this imaging method might aid in monitoring the healing progression of the diagnosed sacroiliac injuries.

Cite This Article

APA
Tomlinson JE, Sage AM, Turner TA. (2003). Ultrasonographic abnormalities detected in the sacroiliac area in twenty cases of upper hindlimb lameness. Equine Vet J, 35(1), 48-54. https://doi.org/10.2746/042516403775467540

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 35
Issue: 1
Pages: 48-54

Researcher Affiliations

Tomlinson, J E
  • Department of Clinical and Population Sciences, University of Minnesota, 225k Veterinary Teaching Hospitals, 1365 Gortner Ave, St. Paul, Minnesota 55108, USA.
Sage, A M
    Turner, T A

      MeSH Terms

      • Animals
      • Female
      • Hindlimb
      • Horse Diseases / diagnosis
      • Horse Diseases / diagnostic imaging
      • Horses / anatomy & histology
      • Horses / injuries
      • Lameness, Animal / diagnosis
      • Lameness, Animal / diagnostic imaging
      • Lameness, Animal / etiology
      • Ligaments / diagnostic imaging
      • Ligaments / injuries
      • Low Back Pain / diagnostic imaging
      • Low Back Pain / etiology
      • Low Back Pain / veterinary
      • Male
      • Sacrococcygeal Region / diagnostic imaging
      • Sacroiliac Joint / anatomy & histology
      • Sacroiliac Joint / diagnostic imaging
      • Sacroiliac Joint / injuries
      • Ultrasonography