Penetrating injuries of the foot

Smith, M. R. W.

doi:10.1111/eve.12010

Cited by 8 publications

(19 citation statements)

References 46 publications

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“…This prognostic information can be helpful for veterinarians and clients. In the present study, plain radiography, radiography with a sterile metal probe placed in the tract, and contrast radiography were techniques used to assess the direction and depth of the penetration tract, and to investigate the involvement of vital structures (primarily synovial structures) . Although it was possible in a few cases to predict involvement of the deep digital flexor tendon by assessing the distance between the end of the metal probe and the flexor surface of the navicular bone, these techniques could not conclusively identify deep digital flexor tendon damage in cases where the penetrating tract was no longer accessible.…”

Section: Discussionmentioning

confidence: 83%

“…Puncture wounds of the equine hoof are potentially serious injuries and are commonly diagnosed in equine practice . Although most solar penetrating injuries are superficial and have a good outcome with conservative treatment, deeper penetration of the foot, especially in the frog (cuneus ungulae) and the collateral sulci may have a much graver prognosis and can represent a life‐threatening or performance limiting injury for the horse .…”

Section: Introductionmentioning

confidence: 99%

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Horses with solar foot penetration, deep digital flexor tendon injury, and absence of concurrent synovial sepsis can have a positive outcome

Schiavo

Cillán‐García

Elce

et al. 2018

Vet Radiology Ultrasound

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Solar foot penetration is one of the causes of deep digital flexor tendon injuries in horses, however, limited information is available on the prognosis for return to soundness in the absence of synovial sepsis. Objectives of this retrospective observational study were to describe low-field magnetic resonance imaging (MRI) findings and long-term outcome for a group of horses with this combination of clinical problems. Horses were included if low-field standing MRI of the foot was performed following puncture wounds, injury of the deep digital flexor tendon was diagnosed, and sepsis was confirmed to be absent in all adjacent synovial structures (distal interphalangeal joint, navicular bursa, and digital flexor tendon sheath). Medical records were reviewed and MRI studies were re-interpreted. Follow-up information was obtained via a telephone questionnaire at a minimum of 6 months post-injury. A total of 11 horses met inclusion criteria. In three horses, the deep digital flexor tendon injury was only visible in the T2 fast spin echo sequence and contrast radiography improved diagnostic certainty. The most commonly affected area was between the distal border of the distal sesamoid bone and the facies flexoria of the distal phalanx (6/11, 55%). Six horses (60%) had an excellent outcome (5, show jumping; 1, general purpose) and returned to full athletic function. Five horses (40%) were sound but had not yet resumed full work at the time of follow-up. Findings indicated that the prognosis for return to soundness can be good for horses with solar penetration, deep digital flexor injury, and absence of synovial sepsis.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Horses with solar foot penetration, deep digital flexor tendon injury, and absence of concurrent synovial sepsis can have a positive outcome

Schiavo

Cillán‐García

Elce

et al. 2018

Vet Radiology Ultrasound

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show abstract

“…Allerdings lassen sich lediglich mittels Sonographie und MRT detaillierte Veränderungen der Weichteilstrukturen erfassen, wobei die Ultraschalluntersuchung bedingt durch die Hufkapsel nur begrenzt zum Einsatz kommen kann (4). Über viele Jahre fand die MRT-Untersuchung bei diesen Patienten nur selten Anwendung, da die meisten Informationen mittels Röntgen-und Ultraschalluntersuchung erhältlich sind (26). In neueren Untersuchungen wird jedoch auf den hervorragenden Weichteilkontrast und die empfindliche Darstellung von Flüssigkeiten bei Verdacht auf Knochenverletzungen im Zusammenhang mit penetrierenden Wunden hingewiesen (28).…”

Section: Introductionunclassified

Niederfeld-magnetresonanztomographische Untersuchung durchdringender Hufverletzungen bei 10 Pferden

Gerlach

Mader²,

Delling³

et al. 2016

Tierarztl Prax Ausg G

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MRI is a reliable method for confirming the diagnosis of diseases in the foot region after injuries caused by foreign bodies, particularly nails. A transverse T2w FSE is best suited for demonstrating a penetration tract and tendon damage. Visualisation of the penetration tract and secondary reactions of the navicular bone are crucial for diagnosing bursitis. Fat-suppressed sequences can clearly show bone involvement when the penetration tract has not reached the bone. The cases described illustrate that MRI is an appropriate method for evaluating puncture wounds in the foot region. Only MRI allows for intravital assessment of various structures within the hoof capsule. This information is essential for deciding upon targeted therapy while avoiding unnecessary therapies.

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“…Penetrating injuries to the sole and frog of the hoof are common injuries in horses and can be serious or even life-threatening (Richardson et al, 1986;Smith, 2013). The location, direction and depth of the penetrating injury play an important role in the treatment and prognosis.…”

Section: Introductionmentioning

confidence: 99%

Nageltred: voordelen van MRI bij de behandelingskeuze

Heer¹,

Compagnie²,

Braake³

2015

Vlaams Diergeneeskundig Tijdschrift

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Penetrating injuries to the sole of the hoof are common in horses. Prognosis and treatment depend on the structures involved. In this report, nine horses are described with a penetrating injury to the sole of the hoof that then underwent magnetic resonance imaging (MRI) examination. The radiographic examination performed in seven of these horses provided information about the bone involvement and an MRI examination was performed in all cases to obtain information about the affected soft tissues. MRI has excellent soft tissue contrast and can provide detailed images in any anatomical plane. For all nine horses, the MRI examination provided a clear guidance toward prognosis and a treatment plan. For two of the horses, the MRI examination confirmed that only superficial debridement was required. In seven of the horses, the MRI findings indicated that a more invasive approach was needed, such as navicular bursoscopy or street-nail procedure. This study illustrates that an MRI examination can provide useful additional information leading to an appropriate therapy and prognosis, and shows a good correspondence between MRI observations and surgical findings.

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Penetrating injuries of the foot

Cited by 8 publications

References 46 publications

Horses with solar foot penetration, deep digital flexor tendon injury, and absence of concurrent synovial sepsis can have a positive outcome

Horses with solar foot penetration, deep digital flexor tendon injury, and absence of concurrent synovial sepsis can have a positive outcome

Niederfeld-magnetresonanztomographische Untersuchung durchdringender Hufverletzungen bei 10 Pferden

Nageltred: voordelen van MRI bij de behandelingskeuze

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