Infrasesamoidean lesions
Ultrasonography : Radiology
If MRI is not available, ultrasonography can contribute to a diagnosis in infrasesamoidean ligamentous pain.
Other than chronic navicular lameness, true lesions of the infrasesamoidean navicular apparatus can be challenging in diagnosis and therapy. Acute onset of higher degree lameness, that does not respond to the classical infiltrations, are suspicious. Even fracture mimicking disorders with marked turning pain and positive palpation can occur. Theses lesions remain a difficult differential diagnosis.
Radiology
Like in fracture detection, changes in the enthesis of affected structures might be diagnosed. See also last blog.
Ultrasonography
This is the perfect tool for triage of syndromes in the field. Transcuneal approach is appropriate to assess infrasesamoidean affections.
??? what the … ???
enthesiopathy ddft, getting clearer with time (sequestration?)
lesion DSL: distal (impar) sesamoidean ligament
DSL transversal
DDFT tendinopathy, acute 4/5 lameness LF
DDFT tendinopathy, convex probe, enthesiopathy, see also x-rays at the beginning of this post, lame4/5 RF, acute onset SEE SWELLING AFFECTING DSL, DDAL
severe tendinopathy ddft, RF medial:lateral, convex probe, 4/5, acute, enthesis?, swelling affecting distal digital angular ligament
DISCUSSION:
Foot pain is very common in horses. In most cases the differential diagnosis is not too difficult. However, true ligamentous lesions are an emergency and proper management (shoeing!!!) is only possible with appropriate diagnostic imaging.
DR. MATTHIAS KELLER, ISELP cert. | PFERDESPORTPRAXIS
