The challenge of diagnosing soft tissue injuries in the palmar aspect of the carpus

Nagy, Ádám; Dyson, Sue

doi:10.1111/eve.12192

Cited by 2 publications

(4 citation statements)

References 25 publications

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“…The number of anatomical structures, combined with the structural change of muscle‐to‐tendon, make this a complex region (Jorgensen et al., 2010; Nagy & Dyson, 2014). Fortunately, technological progress has increased the use of ultrasonography in veterinary medicine; thus, the identification of specific injuries in the palmar carpal region is now possible (Shields et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis, management and long‐term outcome of four cases of carpal flexor retinaculum desmopathy

Giesecke,

Unkrüer

2024

Equine Veterinary Education

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SummaryFour cases of flexor retinaculum desmopathy following an accident during the landing phase of jumping and their outcomes are discussed, and an overview of the subjects is provided. The four horses presented with a sudden onset of severe lameness during landing after jumping, which markedly decreased in the first few days. In all cases, the painful area was not localisable on the first day; however, marked swelling was observed on the second day and in all cases, the injury to the carpal flexor retinaculum was visible on ultrasound. The horses were sound in a straight line at 9 (Case 1), 4 (Case 2) and 2 (Case 3) weeks after the injury. Case 4 was not presented until 8 weeks after the incident. During subsequent examination, Case 4 was found to be sound, although it had not returned to training. The owner reported the lameness ended 4 weeks after the incident. All the horses successfully returned to their former competition levels and did not show any problems related to the carpal flexor retinaculum. However, there were significant differences in the regeneration times among the cases, ranging from 5 to 21 months.

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Section: Introductionmentioning

confidence: 99%

“…The palmar aspect of the carpal region is only occasionally recognised as a cause of lameness (Nagy & Dyson, 2014). Clinical signs of injuries to the palmar aspect of the carpus include swelling, reduced range of motion, pain on flexion and lameness (Dyson, 2011; Jorgensen et al., 2010; Taintor et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

Diagnosis, management and long‐term outcome of four cases of carpal flexor retinaculum desmopathy

Giesecke,

Unkrüer

2024

Equine Veterinary Education

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“…[8][9][10] Ultrasonography is limited by the available field of view within joints, preventing adequate examination of certain carpal ligaments (radiocarpal, palmar intercarpal, and carpometacarpal ligaments). 6,11 Computed tomography and MRI are used in both human and veterinary medicine to better assess the osseous and soft tissue structures of complex joints like the carpus [12][13][14] or tarsus. 15 Historically, CT was considered superior for visualizing bone and MRI for soft tissue structures 16 ; however, with the application of arthrography, good quality images outlining the joint cartilage, intraarticular ligamentous structures, 17 menisci, osteochondral lesions, and loose bodies [18][19][20] can be produced using both modalities.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, direct visualization of cartilage cannot be obtained in radiography with only periarticular and subchondral changes discernible 8–10 . Ultrasonography is limited by the available field of view within joints, preventing adequate examination of certain carpal ligaments (radiocarpal, palmar intercarpal, and carpometacarpal ligaments) 6,11 …”

Section: Introductionmentioning

confidence: 99%

A threshold volume of 10 ml is suggested for detecting articular cartilage defects in equine carpal joints using CT arthrography: Ex vivo pilot study

McQuillan

Kearney

Hoey

et al. 2021

Vet Radiology Ultrasound

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Computed tomographic arthrography (CTA) has been described as a method for detecting articular cartilage defects in equine carpal joints; however, published studies on the effects of contrast volume for lesion detection are currently lacking. The purpose of this prospective, experimental, pilot study was to determine a threshold volume of iodinated contrast for CTA of the antebrachiocarpal (ABC) and middle carpal (MC) joints for detection of articular cartilage surface defects. Articular cartilage defects were iatrogenically created in the surfaces of the ABC and MC joints of 20 equine cadaver limbs using arthroscopy. Unaltered articular surfaces within some joints acted as controls. Joints were imaged precontrast using multidetector CT. The ABC and MC joints were injected with a 150 mg iodine/ml nonionic contrast medium, in 5 ml increments from 5 to 50 ml per joint with CT performed subsequent to each increment. Cartilage defects were measured grossly using a caliper. Detection (qualitative) and measurement (quantitative) of the defects were independently performed by two board-certified radiologists using medical imaging software. At each volume of contrast, the interrater reliability for gross examination and the two observers in the detection of a defect was calculated (Gwet's AC1). Logistic mixed-effects models of selected volumes, 0, 5, 10, 15, and 50 ml, demonstrated that at 10 ml contrast and above, no statistically significant difference between either observer and gross examination for defect detection was identified for either joint. Findings supported using a dose of 10 ml for 150 mg iodine/ml concentration contrast media when performing CTA of equine carpal joints.

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The challenge of diagnosing soft tissue injuries in the palmar aspect of the carpus

Cited by 2 publications

References 25 publications

Diagnosis, management and long‐term outcome of four cases of carpal flexor retinaculum desmopathy

Diagnosis, management and long‐term outcome of four cases of carpal flexor retinaculum desmopathy

A threshold volume of 10 ml is suggested for detecting articular cartilage defects in equine carpal joints using CT arthrography: Ex vivo pilot study

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