Heel bulb lacerations in horses: 101 cases (1988–1994)

Janicek, John C.; Dabareiner, Robin M.; Honnas, Clifford M.; Crabill, M

doi:10.2460/javma.2005.226.418

Cited by 17 publications

(33 citation statements)

References 8 publications

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“…Antibiotics can be administered by direct administration into the cavity by periodic injection or by continuous lavage delivery system, by regional intravenous or interosseus perfusion, by impregnated polymethylacrylate beads or biodegradable hydroxyapatite cement or dextran gel, by antibiotic impregnated cellulose sponge, and systemically. Vascular injury or thrombosis limits the delivery of systematically administered antibiotics and regional limb perfusion should be considered to deliver an antimicrobial under pressure to a selected region of the limb (Janicek et al 2005). In this case, the wound was debrided, thoroughly flushed during the whole procedure and antibiotics were administered intra-operatively by regional limb perfusion.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent retrospective study, the outcome was considered successful (survival without residual lameness) in 109 of 150 horses (72.7%) with contaminated and infected synovial cavities (Pille et al 2009). Severe or chronic infections are more difficult to treat because of the vascular thrombosis, ischaemia and tissue necrosis that accompany these injuries (Janicek et al 2005). …”

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confidence: 99%

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Treatment of a severe distal forelimb wound presenting with extensive laceration and distal interphalangeal joint luxation in a donkey

Brogniez¹,

Launois²,

Perrin³

et al. 2012

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SummaryThis report describes the clinical presentation, management and outcome in a donkey with severe distal limb laceration and distal interphalangeal (DIP) luxation. Soft tissue damage was extensive leaving flexor tendons and palmar conjunctive tissue and skin as the only support structures to connect the distal phalanx and hoof to the rest of the distal limb. Arteriography was performed under general anesthesia to assess vascular supply to the foot. The palmar digital artery and its major branches to the foot were identified on the digital angiograms. The arcus terminalis, ramus palmaris arcus terminalis and ramus marginalis solearis which vascularise the sole were visible. Surgical exploration of the wound confirmed the complete transection of the DIP joint capsule, the DIP collateral ligaments and the distal sesamoidean ligament. The perioplic corium and coronary corium were separated from the laminar corium and remained attached to the skin of the pastern. Synovial lavage and regional antibiotherapy were performed. After surgical debridment, the perioplic corium and coronary corium were repositioned in their groove. The skin was sutured to the horn with stainless steel wire, polydioxanone sutures and stainless steel staples. A half limb cast was applied for protection during recovery from anaesthesia and was bivalved after 48 hours to be used as a protective and support device. Complications included an episode of laminitis of the controlateral limb and hyperlipaemia. Twelve months following surgery, the donkey was living normally in pasture, though being lame at walk. This case highlights several simple techniques that can be used in severe pastern wounds.Keywords: donkey / distal interphalangeal joint / luxation / laceration / arteriography / computed tomography / traumatology Behandlung einer schweren Verletzung der distalen Vorderzehe mit Hufgelenksluxation bei einem EselDie Huf-und Fesselregion ist aufgrund ihrer distalen Lage an der Extremität besonders anfällig für Verletzungen. Traumatisch bedingte, partielle Hufwandabrisse können vorkommen, allerdings wurde ein vollständiger Abriss der Hufwand selten beschrieben. Von Hufgelenkssubluxationen nach schweren Verletzungen des gemeinsamen Zehenstreckers und der dorsalen Kapselanlagen des Hufgelenks wurde berichtet. Aufgrund des Auftretens degenerativer Gelenkerkrankungen ist die Prognose restitutio ad integrum vorsichtig zu stellen. Zudem haben traumatische Wunden unter Beteiligung synovialer Strukturen der Gliedmaßen eine sehr schlechte Prognose. Schwere oder chronische Infektionen die diese Verletzungen begleiten sind aufgrund von Gefäßverschlüssen, Ischämien und Gewebsnekrosen schwer zu behandeln. Um das Hufgelenk zu stabilisieren kann bei Abwesenheit von Infektionen eine distale Arthrodese durchgeführt werden. Dieser Bericht beschreibt den klinischen Fall eines Esels mit einer, durch eine Schnittwunde hervorgerufenen, schweren distalen Gliedmaßenverletzung, samt Luxation des Hufgelenks, Beschädigung des Hufs und Abriss der Hufwand, sowie deren Ther...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Treatment of a severe distal forelimb wound presenting with extensive laceration and distal interphalangeal joint luxation in a donkey

Brogniez¹,

Launois²,

Perrin³

et al. 2012

PHK

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“…The chronicity of the trauma, the amount of tissue lost, and the degree of contamination or infection, will dictate the mode of treatment in each situation (Janicek et al 2005). If no vital structures (such as the coffin joint or tendon sheath) are damaged and the coronary band is stabilized, horses with lacerations of the coronary band have a good prognosis for healing and to return to their intended use.…”

Section: Introductionmentioning

confidence: 99%

“…Of the remaining 10 horses, 6 were euthanased and 4 were chronically lame. Overall 18 % of the cases treated developed a hoof wall defect and 7 % resulted in a chronic wound (Janicek et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Application and viability of full-thickness coronary band grafting in equids

Smyth¹,

Roquet²,

Plante³

et al. 2015

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Summary: The aim of the study was to determine whether a full-thickness equine coronary band graft can be successfully applied to acute wounds with excision of the coronary band and secondly, to describe the use of coronary band excision for the treatment of a clinical case of painful, abnormal hoof growth in a mature horse. Using 5 equids, a pilot study was performed in order to determine whether a 4 cm 2 graft involving the skin and coronary band, on the dorsal midline of both front feet, could be transferred within and between subjects. A defect in one horse was left open as a control but was managed identically in all other respects. Limbs were immobilized in a fiberglass cast, from the ground to mid-pastern, for four weeks and subsequently monitored at pasture for nine months. After euthanasia, skin samples from the neck and surgical sites were submitted for genotype analyses. A clinical case of lameness due to a recurrent hoof crack in the hind limb, was subsequently treated by coronary band excision in the same manner as the experimental control horse. During the study all defects healed without complication and resulted in hoof horn production. There were no full thickness horn cracks and the vertical junction between the excision site (skin and keratinised horn) and parent tissue was contiguous. DNA analyses suggested that none of the grafts were accepted, despite all sites healing. The clinical case resulted in normal hoof horn growth and cessation of lameness following surgery. Coronary grafting in the horse did not result in graft take. Results suggest that removing affected horn and coronary band with subsequent immobilization could be a treatment for recalcitrant coronary band defects and abnormal horn production in the horse.

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“…The management of distal limb wounds is complicated by several factors: increased risk of wound contamination and infection, 2,3 involvement of the coronary corium leading to abnormal hoof wall growth, 4,5 frequent involvement of tendon sheaths, bursae and joint cavities, and excessive motion because of the constant limb loading, which results in the development of excessive granulation tissue formation 2 . Previous studies have reported a poorer prognosis for return to athleticism for wounds involving synovial structures when compared with those without synovial involvement 6,7 . Rapid and effective treatment is essential to prevent permanent damage of contaminated synovial structures 8–12 …”

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confidence: 99%

Wounds of the pastern and foot region managed with phalangeal casts: 50 cases in 49 horses (1995–2006)

et al. 2009

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Heel bulb lacerations in horses: 101 cases (1988–1994)

Abstract: Horses that sustain heel bulb lacerations can successfully return to their intended use. Involvement of the distal interphalangeal joint is associated with poor prognosis.

Cited by 17 publications

References 8 publications

Treatment of a severe distal forelimb wound presenting with extensive laceration and distal interphalangeal joint luxation in a donkey

Treatment of a severe distal forelimb wound presenting with extensive laceration and distal interphalangeal joint luxation in a donkey

Application and viability of full-thickness coronary band grafting in equids

Wounds of the pastern and foot region managed with phalangeal casts: 50 cases in 49 horses (1995–2006)

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