FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Equine Vet J / Ultrasound-assisted injection of the centrodistal joint in t...
Equine veterinary journal2020; 53(4); 817-825; doi: 10.1111/evj.13364

Ultrasound-assisted injection of the centrodistal joint in the horse.

Abstract: Injection of the centrodistal (CD) joint in the horse is a commonly performed procedure for both diagnostic and therapeutic purposes. This procedure can be technically challenging, and while radiographic guidance has been previously used, ultrasound localised injection of the CD joint has not been described. Objective: The purpose of this study was to explore the feasibility of using ultrasound localisation to increase the accuracy of CD joint injection. Methods: Experimental method assessment. Methods: One operator performed the ultrasound and injection of 24 CD joints in 12 sedated horses. The joints were injected with iohexol (2 ml), sterile saline (1.5 ml) and amikacin (0.5 ml). Dorsoplantar and dorsomedial plantarolateral radiographic projections were obtained immediately after injection to evaluate the presence of contrast material in the CD joint. Results: The CD joint was successfully injected in 17/24 joints, representing a 70.8% accuracy. Conclusions: The horses used in this study were from the University research herd, and not clinical cases. One investigator performed all the ultrasonography and CD joint injections. Conclusions: The use of ultrasound localisation could improve success of CD joint injection as well as improve the learning curve of less experienced practitioners learning this procedure.
© 2020 EVJ Ltd.
Get Full Text
Publication Date: 2020-10-29 PubMed ID: 33015892DOI: 10.1111/evj.13364Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • 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.

The research article describes an investigation into the use of ultrasound to increase the accuracy of centrodistal (CD) joint injections in horses, which are often used therapeutically and diagnostically. The study found a 70.8% success rate in injecting the CD joint correctly using this method.

Objective and Purpose

  • The study set out to explore if the accuracy of CD joint injections could be increased using ultrasound localization. This could potentially make this common procedure in equine medical practice less technically challenging and more efficient.

Methodology

  • The research was an experimental method assessment performed by one operator who completed the ultrasound procedures and then proceeded to do the injections.
  • The sample comprised of 24 centrodistal joints sourced from 12 sedated horses.
  • The injection material sounded a combination of iohexol (2ml), saline (1.5ml), and amikacin (0.5ml).
  • The presence and location of the injected material were evaluated through radiographic projections obtained immediately post the injections.

Results

  • The data showed that the CD joint was successfully injected in 17 out of the 24 joints making the rate of successful injection 70.8% when using the ultrasound localisation method.

Conclusions

  • The horses used within the study were from a University research herd rather than clinical cases, hence limiting the variety of the sample set.
  • The ultrasound and CD joint injections were all performed by one operator which could introduce personal bias in the results.
  • Despite the above limitations, the study concluded that the use of ultrasound localisation could potentially improve the success of CD joint injections and aid less experienced practitioners in learning the procedure.

Cite This Article

APA
Jarosinski SK, Sampson SN, Russell L. (2020). Ultrasound-assisted injection of the centrodistal joint in the horse. Equine Vet J, 53(4), 817-825. https://doi.org/10.1111/evj.13364

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 53
Issue: 4
Pages: 817-825

Researcher Affiliations

Jarosinski, Sarah K
  • Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, College Station, TX, USA.
Sampson, Sarah N
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, College Station, TX, USA.
Russell, Lauren
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, College Station, TX, USA.

MeSH Terms

  • Animals
  • Contrast Media
  • Horse Diseases / diagnostic imaging
  • Horse Diseases / drug therapy
  • Horses
  • Injections, Intra-Articular / veterinary
  • Iohexol
  • Ultrasonography / veterinary

References

This article includes 21 references
  1. Dyson SJ, Ross MW. The tarsus. In: Diagnosis and Management of Lameness in the Horse (2nd edn.). St. Louis, MI: Elsevier/Saunders, 2011; p. 508-26.
  2. Sullins KE. The tarsus and tibia. In: Adams and Stashak’s Lameness in Horses (6th edn.). Ames, IA: Wiley-Blackwell, 2011; p. 725-82.
  3. Bassage LH, Ross MW. Diagnostic analgesia. In: Diagnosis and Management of Lameness in the Horse (2nd edn.). St. Louis, MI: Elsevier/Saunders, 2011; p. 100-35.
  4. Byam-Cook KL, Singer ER. Is there a relationship between clinical presentation, diagnostic and radiographic findings and outcome in horses with osteoarthritis of the small tarsal joints?. Equine Vet J 2009;41:118-23.
  5. Daniel AJ, Judy CE, Rick MC, Saveraid TC, Herthel DJ. Comparison of radiography, nuclear scintigraphy, and magnetic resonance imaging for detection of specific conditions of the distal tarsal bones of horses: 20 cases (2006-2010). J Am Vet Med Assoc 2011;240:1109-14.
  6. Dyson SJ, Romero JM. An investigation of injection techniques for local analgesia of the equine distal tarsus and proximal metatarsus. Equine Vet J 1993;25:30-5.
  7. Baxter GM, Stashak TS. Perineural and intrasynovial anesthesia. In: Adams and Stashak’s Lameness in Horses (6th edn.). Ames, IA: Wiley-Blackwell, 2011; p. 173-202.
  8. Moyer W. A Guide to Equine Joint Injection, 3rd edn.. Yardley, PA: Veterinary Learning Systems Co; 2002. p. 56.
  9. Moyer W, Schumacher J, Schumacher J. Equine Joint Injection and Regional Anesthesia, 5th edn.. Chadds Ford, PA: Academic Veterinary Solutions, LLC; 2011. p. 144.
  10. Hoaglund EL, Seabaugh KA, Selberg KT, Hess A, Bass L. Comparing the clinical success rate of the dorsolateral approach to the medial approach for injection of the centrodistal joint in the horse. Equine Vet J 2019;51:798-801.
  11. Gough MR, Munroe GA, Mayhew G. Diffusion of mepivacaine between adjacent synovial structures in the horse. Part 2: tarsus and stifle. Equine Vet J 2002;34:85-90.
  12. Sack WO, Orsini PG. Distal intertarsal and tarsometatarsal joints in the horse: communication and injection sites. J Am Vet Med Assoc 1981;179:355-9.
  13. Serena A, Schumacher J, Schramme MC, Degraves F, Bell E, Ravis W. Concentration of methylprednisolone in the centrodistal joint after administration of methylprednisolone acetate in the tarsometatarsal joint. Equine Vet J 2005;37:172-4.
  14. Kraus-Hansen AE, Jann HW, Kerr DV, Fackelman GE. Arthographic analysis of communication between the tarsometatarsal and distal intertarsal joints of the horse. Vet Surg 1992;21:139-44.
  15. Kidd JA, Lu KG, Frazer ML. Ultrasonography of the hock. In: Atlas of Equine Ultrasonography (1st edn.). Ames, IA: Wiley-Blackwell, 2014; p. 149-59.
  16. van Hoogmoed LM, Snyder JR, Thomas HL, Harmon FA. Retrospective evaluation of equine prepurchase examinations performed 1991-2000. Equine Vet J 2003;35:375-81.
  17. Seabaugh KA, Selberg KT, Mueller POE, Eggleston RB, Peroni JF, Claunch KM. Clinical study evaluating the accuracy of injecting the distal tarsal joints in the horse. Equine Vet J 2017;49:668-72.
  18. Just EM, Patan B, Licka TF. Dorsolateral approach for arthrocentesis of the centrodistal joint in horses. Am J Vet Res 2007;68:946-52.
  19. Nielsen JV, Berg LC, Thoefner MB, Thomsen PD. Accuracy of ultrasound-guided intra-articular injection of cervical facet joints in horses: a cadaveric study. Equine Vet J 2003;35(7):657-61.
  20. Fuglbjerg V, Nielsen JV, Thomsen PD, Berg LC. Accuracy of ultrasound-guided injections of the thoracolumbar articular process joints in horses: a cadaveric study. Equine Vet J 2010;42(1):18-22.
  21. Baxter GM, Southwood LL, Dechant JE. Diagnosis of distal tarsal osteoarthritis in horses. VetLearn 2003;25(2):138-47.

Citations

This article has been cited 0 times.
Subscribe to our newsletter
Join 99,344 horse owners like you who receive our email updates on horse health and nutrition.