Tarsal Region

Linn, Kathleen; Duerr, Felix M.

doi:10.1002/9781119473992.ch18

Cited by 2 publications

(6 citation statements)

References 22 publications

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“…Similarly, monitoring how the distribution of the reaction forces of each limb evolves could be an objective indicator of success ( Bockstahler et al ., 2007 ; Katic et al ., 2009 ). Interestingly, this result was obtained in an uncommonly favorable context with no marked tissue decay present at the joint ( Vaughan, 1987 ; Fossum, 2013 ; Linn and Duerr, 2020 ). However, the surgical site is considered contaminated in such a context, which considerably increases the risk of infectious complications.…”

Section: Discussionmentioning

confidence: 85%

“…It is particularly vulnerable to external trauma such as road traffic accidents, resulting in fractures, (sub)dislocations, sprains, or tendinopathies associated with tissue decay that may be significant ( Vaughan, 1987 ; Fossum, 2013 ; Linn and Duerr, 2020 ). In such context, the animal is usually presented with variable degrees of lameness, edema or hematoma, pain on palpation, and possibly abnormal angulation associated with crackling on mobilization ( Fossum, 2013 ; Linn and Duerr, 2020 ). Collateral ligaments are often injured or even ruptured during malleolar fractures, abrasive accidents, strenuous exercise, or falls ( Vaughan, 1987 ; Linn and Duerr, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Dogs have a slight physiological valgus of the pelvic limbs, which is why the medial collateral tarsal ligament (MCTL) (which limits the valgus and the internal rotation of the tibiotarsal joint) is more frequently affected than its lateral counterpart ( Linn and Duerr, 2020 ). Suspicion of MCTL injury may be confirmed by orthopedic examination combined with stress radiographs ( Vaughan, 1987 ; Fossum, 2013 ; Bogisch and Schuenemann, 2019 ; Linn and Duerr, 2020 ). Following diagnosis, two surgical management options are most commonly performed: the placement of a joint osteosynthesis plate ( Muir and Norris, 1999 ; Benson and Boudrieau, 2002 ; Mckee et al ., 2004 ; Scrimgeour et al ., 2012 ) or less frequently, the placement of a synthetic implant ( Aron and Purinton, 1985 ; Diamond et al ., 1999 ; Harasen, 2000 ; Martin et al ., 2019 ; Luescher et al ., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Collateral ligaments are often injured or even ruptured during malleolar fractures, abrasive accidents, strenuous exercise, or falls ( Vaughan, 1987 ; Linn and Duerr, 2020 ). Dogs have a slight physiological valgus of the pelvic limbs, which is why the medial collateral tarsal ligament (MCTL) (which limits the valgus and the internal rotation of the tibiotarsal joint) is more frequently affected than its lateral counterpart ( Linn and Duerr, 2020 ). Suspicion of MCTL injury may be confirmed by orthopedic examination combined with stress radiographs ( Vaughan, 1987 ; Fossum, 2013 ; Bogisch and Schuenemann, 2019 ; Linn and Duerr, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…In such context, the animal is usually presented with variable degrees of lameness, edema or hematoma, pain on palpation, and possibly abnormal angulation associated with crackling on mobilization ( Fossum, 2013 ; Linn and Duerr, 2020 ). Collateral ligaments are often injured or even ruptured during malleolar fractures, abrasive accidents, strenuous exercise, or falls ( Vaughan, 1987 ; Linn and Duerr, 2020 ). Dogs have a slight physiological valgus of the pelvic limbs, which is why the medial collateral tarsal ligament (MCTL) (which limits the valgus and the internal rotation of the tibiotarsal joint) is more frequently affected than its lateral counterpart ( Linn and Duerr, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog

Buttin¹,

Santoro²,

Agbalé³

et al. 2022

Open Vet J

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Background: Tibiotarsal instabilities caused by partial or complete rupture of the medial collateral tarsal ligament (MCTL) are commonly treated by arthrodesis techniques with poor functional results and significant complication rates. Case description: This study describes a new surgical technique for synthetic reconstruction of the MCTL in an overweight dog (estimated body condition score 8/9) with an avulsion of the long head of the MCTL. Three bone tunnels were drilled in the distal tibia, the talus and the central tarsal bone, thus respecting the anatomical insertions of the physiological ligament. An Ultra-High Molecular Weight Polyethylene (UHMWPE) implant was fixed with interference screws to reconstruct the long and short heads of the MCTL. Premature weight-bearing was reported at two weeks postoperatively following early removal of the flexible restraint (bivalve resin boot), which had initially been prescribed for six weeks. At 11 weeks postoperatively, the tibiotarsal joint showed good valgus stability and the dog's gait was subnormal. At 12 and 16 months postoperatively, the dog regained full function of the operated limb although no weight loss was initiated as recommended. Conclusion: The use of a UHMWPE implant fixed with interference screws to reconstruct the MCTL allowed a return to full function of the tibiotarsal joint, without complications despite an early return to weight-bearing without external restraint. The success of this isolated surgical technique could lead to improvements in the surgical management of MCTL rupture if these initial results are confirmed by a prospective study with a larger number of patients.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog

Buttin¹,

Santoro²,

Agbalé³

et al. 2022

Open Vet J

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Diagnóstico Ultrassonográfico de Ruptura do Tendão Gastrocnêmio em Cão

Anna Vitória Hörbe,

Catherine Konrad Nava Calva,

Raquel Baumhardt

et al. 2024

Acta Scientiae Vet.

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Background: The gastrocnemius tendon, one of the components of the common calcaneal tendon (CCT), is integral in tarsal extension and knee flexion movement. CCT ruptures are uncommon, and ultrasound findings unique to the gastrocnemius component have been scarcely documented. This report aims to describe the ultrasonographic findings of a gastrocnemius tendon rupture in a dog— a topic not extensively covered in the literature, emphasizing the importance of ultrasound in diagnosing such ruptures. Case: A four-year-old female greyhound weighing 20 kg was brought to a university veterinary hospital for a clinical evaluation due to acute lameness in the left hind limb. During the orthopedic examination, a suspected CCT rupture prompted an ultrasound examination. The left hind limb showed intact common and superficial digital flexor tendons, a heterogenous and substantially hypoechoic appearance of the gastrocnemius tendon, and an adjacent hematoma. These findings were consistent with a partial CCT rupture involving the gastrocnemius component. The suspicion was confirmed through gastrocnemius tenorrhaphy and temporary tarsal arthrodesis. The patient demonstrated limb function recovery post-surgery. Discussion: Partial ruptures of CCT only involving the gastrocnemius component have been poorly described in the veterinary literature. While radiography is the preferred method of examination to diagnose suspected orthopedic conditions, ultrasound is widely available in small animal care and highly accurate in detecting such tendon injuries. This report elucidates the ultrasonographic characteristics of a complete gastrocnemius tendon rupture, underscoring the important role of ultrasound in the diagnosis as it effectively differentiates between complete and partial tendon ruptures and acute and chronic tendinopathies. More importantly, its sensitivity in determining the lesion location and extent proves invaluable when clinical and orthopedic examinations are inconclusive. Hence, its utility as an auxiliary tool for evaluating tendon injuries is emphasized.

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Tarsal Region

Cited by 2 publications

References 22 publications

Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog

Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog

Diagnóstico Ultrassonográfico de Ruptura do Tendão Gastrocnêmio em Cão

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