Ultrasonographic control of navicular bursa injection

Spriet, Mathieu; David, Florent; Rossier, Y.

doi:10.2746/0425164044864534

Cited by 22 publications

(29 citation statements)

References 12 publications

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“…1990). Transcuneal ultrasonographic guided injection was presented as a safer procedure accessible in ambulatory practice (Spriet et al . 2004).…”

Section: Discussionmentioning

confidence: 99%

“…To perform this centesis, adequate positioning of the needle before injection can be assessed using radiography (Verschooten et al 1990). Transcuneal ultrasonographic guided injection was presented as a safer procedure accessible in ambulatory practice (Spriet et al 2004). With this technique, real-time repositioning of the needle is possible.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasonographic examination of the distal podotrochlear apparatus of the horse: A transcuneal approach

Jacquet¹,

Denoix²

2011

Equine Veterinary Education

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Summary In the diagnostic work‐up of lameness originating from the foot, ultrasonographic examination is an essential complement to radiography for the detection of soft tissue lesions of the podotrochlear apparatus (PTA). The infrasesamoidean part of the deep digital flexor tendon, distal sesamoidean ligament and distal sesamoid bone can be accurately assessed using a transcuneal approach. This paper describes the ultrasonographic technique and presents normal and abnormal ultrasound images of the infrasesamoidean part of the PTA.

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“…1990). Transcuneal ultrasonographic guided injection was presented as a safer procedure accessible in ambulatory practice (Spriet et al . 2004).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasonographic examination of the distal podotrochlear apparatus of the horse: A transcuneal approach

Jacquet¹,

Denoix²

2011

Equine Veterinary Education

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“…Successful centesis of the bursa can also be determined ultrasonographically (Spriet et al . ). For an ultrasonographic view of the navicular bone, the frog is trimmed to pliable tissue, and then soaked in warm water for 30–120 min; the time of soaking depends on the moisture content of the frog (Grewal ).…”

Section: Analgesia Of the Navicular Bursamentioning

confidence: 97%

“…), and the position of the needle tip is determined using a 7.5 MHz linear probe placed on the frog in a sagittal orientation (Spriet et al . ). The needle is properly placed when the tip of the needle contacts the flexor surface of the navicular bone ( Fig ).…”

Section: Analgesia Of the Navicular Bursamentioning

confidence: 97%

“…For an ultrasonographic view of the navicular bone, the frog is trimmed to pliable tissue, and then soaked in warm water for 30-120 min; the time of soaking depends on the moisture content of the frog (Grewal 2007). The needle is advanced into the navicular bursa, using Verschooten's method of centesis (Verschooten et al 1991), and the position of the needle tip is determined using a 7.5 MHz linear probe placed on the frog in a sagittal orientation (Spriet et al 2004). The needle is properly placed when the tip of the needle contacts the flexor surface of the navicular bone (Fig 12).…”

Section: Analgesia Of the Navicular Bursamentioning

confidence: 99%

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Diagnostic analgesia of the equine digit

Schumacher

Schramme²,

DeGraves

2013

Equine Veterinary Education

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Summary Analgesia usually occurs within 5 min after administration of local anaesthetic solution into joints or around nerves in the distal portion of the limb. Gait should be assessed within 10 min after diagnostic regional analgesia of the distal portion of the limb because rapid diffusion of anaesthetic solution can result in anaesthesia of other nerve branches, thus confusing results of the examination. A palmar digital nerve block (PDNB) anaesthetises most of the foot, including the distal interphalangeal (DIP) joint (coffin joint), rather than just the palmar half of the foot, as was once commonly believed. To avoid partially anaesthetising the proximal interphalangeal joint (pastern joint), the palmar digital nerves should be anaesthetised near or distal to the proximal margin of the collateral cartilages. Clinicians should be aware that an abaxial sesamoid nerve block (ASNB) may ameliorate or abolish pain within the metacarpo/metatarso‐phalangeal joint (fetlock joint). Mepivacaine administered into the DIP joint desensitises the DIP joint and probably the palmar digital nerves to also cause anaesthesia of the navicular bursa, the navicular bone, the toe region of the sole, the digital portion of the deep digital flexor tendon (DDFT) and the distal portions of the collateral ligaments of the DIP joint. When a large volume of mepivacaine HCl (e.g. 10 ml) is administered, the heel region of the sole may also be desensitised. Only a small percentage of horses with disease of the collateral ligament(s) of the DIP joint show a significant improvement in lameness after intra‐articular analgesia of the DIP joint, and no horse is likely to improve after intrabursal analgesia of the navicular bursa. A PDNB, however, improves lameness substantially in most horses that are lame because of disease of the collateral ligament(s) of the DIP joint, and all affected horses are likely to become sound after an abaxial sesamoid nerve block. The degree of improvement in lameness associated with injury to one or both collateral ligaments of the DIP joint after PDNB is determined by the extent of the injury and the level at which the palmar digital nerves are anaesthetised. The further proximal the level of the injury within the collateral ligament, the less likely that lameness is ameliorated by analgesia of the DIP joint or a PDNB. Verschooten's technique appears to be the most accurate technique for centesis of the navicular bursa. Even though analgesia of the DIP joint results in analgesia of the navicular bursa, analgesia of the navicular bursa does not result in analgesia of the DIP joint. Pain arising from the DIP joint can probably be excluded as a cause of lameness when lameness is attenuated by analgesia of the navicular bursa. Analgesia of the digital flexor tendon sheath (DFTS) is likely to desensitise only structures that are contained within or border on the sheath itself (i.e. the superficial and deep digital flexor tendons, the straight and oblique distal sesamoidean ligaments, the annular ligaments of the fetloc...

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Management of Wounds of the Distal Extremities

Schumacher¹,

Stashak²

2016

Equine Wound Management

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Ultrasonographic control of navicular bursa injection

Cited by 22 publications

References 12 publications

Ultrasonographic examination of the distal podotrochlear apparatus of the horse: A transcuneal approach

Ultrasonographic examination of the distal podotrochlear apparatus of the horse: A transcuneal approach

Diagnostic analgesia of the equine digit

Management of Wounds of the Distal Extremities

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