Surgical treatment of carpal flexural deformity in 72 horses

Charman, RE; Vasey, J. R.

doi:10.1111/j.1751-0813.2008.00275.x

Cited by 10 publications

(6 citation statements)

References 6 publications

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“…Surgical intervention for carpal contracture most commonly consists of transection of the tendons of insertion of the flexor carpi ulnaris and ulnaris lateralis . This procedure has a good prognosis for contractures of <40° but foals with >40° of flexion carry a poor prognosis (Charman and Vasey 2008). In fact, 50% of the cases with >40° of carpal contracture died or were subjected to euthanasia following palmar soft tissue release (Charman and Vasey 2008).…”

Section: Discussionmentioning

confidence: 99%

“…This procedure has a good prognosis for contractures of <40°but foals with >40°of Fig 3: Osteotome in the physis being used to separate the distal radial epiphysis from the metaphysis. Note the partially disarticulated carpal joints from which the articular cartilage will be debrided and osetostixis will be performed on all joint surfaces. flexion carry a poor prognosis (Charman and Vasey 2008). In fact, 50% of the cases with >40°of carpal contracture died or were subjected to euthanasia following palmar soft tissue release (Charman and Vasey 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Surgical intervention for correction of carpal contracture consists of transection of the tendons of insertion of the ulnaris lateralis, flexor carpi ulnaris and, if needed, the palmar carpal fascia (Auer 2006). A recent study found that these surgical procedures were successful in correcting Grade I and II carpal contracture (<40°) but the prognosis for Grade III contracture (>40°) remained guarded (Charman and Vasey 2008).…”

Section: Introductionmentioning

confidence: 99%

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Bilateral distal radial epiphysectomy and pancarpal arthrodesis for correction of complex carpal deformities in an American Miniature horse

Whitfield-Cargile

Watkins

2011

Equine Veterinary Education

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Summary A 9‐day‐old American Miniature horse was referred for evaluation and treatment of congenital bilateral carpal deformities. Clinical examination revealed a combination of flexural, angular and rotational deformities affecting both carpi. Radiographic evaluation of both forelimbs revealed malformation of the distal radial epiphysis accompanied by flexural contracture and external rotation of the limb distal to the antebrachial carpal joint. Conservative therapy was attempted with splints and bandages and failed to result in improvement. Surgical intervention was elected and a bilateral distal radial epiphysectomy and pancarpal arthrodesis performed. Fourteen months later the mare was turned out to pasture and ambulating well.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral distal radial epiphysectomy and pancarpal arthrodesis for correction of complex carpal deformities in an American Miniature horse

Whitfield-Cargile

Watkins

2011

Equine Veterinary Education

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“…Two of the foals in this study that did not have a successful outcome had carpal flexural deformities in addition to distal limb deformities. Carpal flexural deformities carry a much poorer prognosis than lower limb problems (Charman and Vasey 2008). This is because, despite medical and surgical intervention, they often fail to extend and release.…”

Section: Age At Presentationmentioning

confidence: 99%

Active tension‐extension splints: A novel technique for management of congenital flexural deformities affecting the distal limb in the foal

Compston

Payne

2011

Equine Veterinary Education

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Summary A variety of methods are described for managing distal limb flexural deformities in the foal, including intravenous oxytetracycline and splint or cast use. This case series describes a novel technique that creates an ‘active tension‐extension splint’ by wiring the toe into a custom‐made fibreglass splint and therefore into active extension. A dorsal fibreglass splint is made by halving a cast that is set around the affected leg with padding underneath it, so that it is sculpted to a more appropriate anatomical shape. Cerclage wire is placed through the toe and the dorsal aspect of the splint, then tightened to pull the limb into active extension. Foals with distal limb flexural deformities that were treated in this way were followed up by examination of hospital records and telephone questionnaire. Records were examined for 13 foals treated between 2004 and 2010. One foal developed septic osteitis of the distal phalanx due to suspected laminar penetration; other post operative complications seen were bandage sores and minor cosmetic scarring. Out of 10 foals where follow‐up by questionnaire was available, 8 had complete resolution of their deformity following active tension‐extension splinting, one required inferior check ligament desmotomy for complete correction and one had carpal flexural deformities that did not resolve. All that survived to adulthood are sound and have achieved their intended purpose. This previously unpublished technique using a wire through the toe to create an active tension‐extension splint has a high success rate for correction of congenital flexural deformities affecting the distal interphalangeal and metacarpo‐/metatarsophalangeal joints in the foal. The majority of post operative complications are minor and easily managed. This is a simple technique that can improve the management of neonatal distal limb deformities both in a hospital situation and for equine practitioners in the field.

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“…This retrospective study of the results of surgical management of carpal flexural deformity (CFD) examined the hospital records of 72 foals that presented between 1999 and 2006 with either unilateral or bilateral CFD 6 . All foals were managed surgically by transection of the ulnaris lateralis and flexor carpi ulnaris tendons, and the surgical outcomes were compared with the severity of the CFD at initial presentation.…”

Section: Equinementioning

confidence: 99%