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Alternative treatment for proximal suspensory desmitis in the hind limb: retrospective study in seven horses

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P. TYRNENOPOULOU (Π. ΤΥΡΝΕΝΟΠΟΥΛΟΥ), N. DIAKAKIS (Ν. ΔΙΑΚΑΚΗΣ)
P. TYRNENOPOULOU (Π. ΤΥΡΝΕΝΟΠΟΥΛΟΥ), N. DIAKAKIS (Ν. ΔΙΑΚΑΚΗΣ)

Abstract


Proximal suspensory desmitis (PSD) has become a frequently diagnosed condition commonly affecting athletic horses. In this study, seven horses with PSD in a pelvic limb were included. Definitive diagnosis was based on clinical signs, results of local anesthesia and ultrasonographic and radiographic examination. Following the initial anti-inflammatory treatment, PSD was treated with an alternative, minimally invasive method, including series of periligamentous injections containing mepivacaine hydrochloride, heparin sodium, a preparation containing natural ingredients and deproteinised haemoderivative of calf blood. Depending on the severity of each case, all horses returned to full work after 8 to 12 weeks.


Keywords


hindlimb; horse; proximal suspensory desmitis

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Alkhamesi NA, Schlachta CM (2013) The role of aerosolized intraperitoneal heparin and hyaluronic acid in the prevention of postoperative abdominal adhesions. Surg Endosc 27:4663-4669.

Antonova IN (2008) Changes in the masticatory muscles, periodontal tissues, and the pharyngeal ring in Wistar rats in chronic psychophysical stress. Neurosci Behav Physiol 38:891-896.

Astashkin EI, Glezer MG, Vinokurov MG, Egorova ND, Orekhova NS, Novikova, AN, Sobolev KE (2013). Actovegin reduces the ROS level in blood samples of heart failure patients and diminishes necrosis of SK-N-SH human neuroblastoma cells. Doklady Biological Sciences 448:57-60.

Bertone AL (2011) The Metacarpus and Metatarsus. In: (εd: Gary M Baxter). Adam’s &Stashak’s Lameness in Horses. 6th edn. Wiley-Blackwell, Chichester pp. 621-659.

Bosch G, van Schie HT, de Groot MW, Cadby JA, van de Lest CH, Barneveld A, van Weeren PR (2010) Effects of platelet-rich plasma on the quality of repair of mechanically induced core lesions in equine superficial digital flexor tendons: A placebocontrolled experimental study J Orthop Res 28:211-217.

Costa ML, Shepstone L., Donell ST, Thomas TL (2005) Shock wave therapy for chronic Achilles tendon pain: a randomized placebo-controlled trial. Clin orthop Rel Res 440:199-204.

Crowe O, Dyson S, Wright IM, Schramme MC, Smith R. (2002) Treatment of 45 cases of chronic hindlimb proximal suspensory desmitis by radial extracorporeal shock wave therapy Proceedings of the American Association of Equine Practitioners 48:322–325.

de Vega CG, Speed C, Wolfarth B, González J (2013) Traumeel vs. diclofenac for reducing pain and improving ankle mobility after acute ankle sprain: A multicentre, randomised, blinded, controlled and non-inferiority trial. Int J Clin Pract. 67:979-989.

Diakakis N, Patsikas MN, Dessiris AK (2005) Osseous lesion of the calcaneus following the use of shock wave therapy in a horse. J Vet Med 52:481–483.

Dragani L, Colozzi A, Schiavone C, Obletter G, Celiberti V, Radico S, Vecchiet, L (1989) A heparin glucuronylglucosaminoglycan combination for topical use. An evaluation of the therapeutic effects in induced experimental muscle damage and in minor sports injuries. Minerva Medica, 80:397-403.

Dyson S (1991) Proximal suspensory desmitis:clinical, ultrasonographic and radiographic features. Equine Vet J 23:25-31.

Dyson S (1994) Proximal suspensory desmitis in the hindlimb: 42 cases. Br Vet J 150:279-291.

Dyson S (1998) The suspensory apparatus. In: (eds: Rantanen N, McKinnon A) Equine Diagnostic Ultrasonography. Williams & Wilkins, Baltimore, pp. 447–558

Dyson S (2000) Proximal suspensory desmitis in the forelimb and in the hindlimb. Proceedings of the American Association of Equine Practitioners 46:137-142.

Dyson S (2007) Diagnosis and management of common suspensory lesions in the forelimbs and hindlimbs of sport horses. Clin Tech Equine Pract 6:179-188.

Dyson S, Genovese R (2010) The suspensory apparatus. In: (eds: Ross M, Dyson S) Diagnosis and Management of Lameness in the Horse, 2nd end. Elsevier, St. Louis, pp. 738-760

Gardner PR, Raineri I, Epstein LB, White CW (1995) Superoxide radical and iron modulate aconitase activity in mammalian cells. J Biol Chem 270:13399-13405.

Heinrich P, Löffler G, Petrides PE (2006) Biochemie und Pathobiochemie, 8th end. ,Springer-Lehrbuch. Berlin: Springer.

Herthel DJ (2001) Enhanced suspensory ligament healing in 100 horses by stem cell and other bone marrow components. Proceedings of the American Association of Equine Practitioners 47:319-321.

Incandela L, Belcaro G, Nicolaides AN, Geroulakos G, Cesarone MR, De Sanctis, MT (2001) Microcirculation after standardized application of essaven gel on normal skin: a placebo-cntrolled, randomized study. Angiology 52:5-10.

Kasaba T, Onizuka S, Takasaki M (2003) Procaine and mepivacaine have less toxicity in vitro than other clinically used local anesthetics. Anesth Analg.97:85-90.

Lee P, Rattenberry A, Connelly S, Nokes L (2011) Our experience on Actovegin, is it cutting edge? Int J Sports Med 32:237-241.

Lussignoli S, Bertani S, Metelmann H, Bellavite P, Conforti A (1999) Effect of Traumeel S®, a homeopathic formulation, on blood-induced inflammation in rats. Complement Ther Med 7:225–230.

Marks D (1999). Pre-purchase examination of jumpers and dressage horses. Proceedings of the American Association of Equine Practitioners 45:4-12

Mitchell RD (2006) Treatment of tendon and ligament injuries with UBM powder. Proceedings of the Conference on Equine Sports Medicine and Science (Cambridge, UK ), pp. 213–217.

Murray R, Dyson S, Tranquille C and Adams V (2006). Association of type of sport and performance level with anatomical site of orthopaedic injury and injury diagnosis. Eq Vet J Suppl 36:411-416.

Nordvik B (2002) Actovegin. new aspects of clinical application In: (ed: Rumyantseva SA) Collected Book of Research and Practice Articles, MAPO, St. Petersburg, pp. 18-24.

Orchard JW, Best TM., Mueller-Wohlfahrt HW, Hunter G, Hamilton BH, Webborn N, Jaques R, Kenneally D, Budgett R, Phillips N, Becker C, Glascow P (2008) The early management of muscle strains in the elite athlete: Best practice in a world with a limited evidence basis. Br J Sports Med 42:158-159.

Park J, Sutradhar BC, Hong G, Choi SH, Kim G (2011) Comparison of thecytotoxic effects of bupivacaine, lidocaine, and mepivacaine in equine articular chondrocytes. Vet Anaesth Analg. 38:127-133.

Pilsworth R (2002) The European thoroughbred. In: (eds: Ross MW, Dyson SJ) Diagnosis and Management of Lameness in the Horse. Saunders, Philadelphia, pp. 879-894.

Porozov S, Cahalon L, Weiser M, Branski D, Lider O, Oberbaum M (2004) Inhibition of IL-1-beta and TNF-alpha secretion from resting and activated human immunocytes by the homeopathic medication Traumeel S. Clin Dev Immunol 2:143–149.

Rindermann G, Cislakova M, Arndt G and Carstanjen B (2010) Autologous conditioned plasma as therapy of tendon and ligament lesions in seven horses. J Vet Sci 11:173-175

Smith RK (2008) Mesenchymal stem cell therapy for equine tendinopathy. Disabil Rehabil 30:1752-1758

Toth F, Schumacher J, Schramme M, Holder T, Adair H and Donnell R (2008) Compressive damage to the deep branch of the lateral plantar nerve associated with lameness caused by proximal suspensory desmitis. Vet Surg 37:328-335

Virchenko O, Aspenberg P, Lindahl TL (2008) Low molecular weight heparin impairs tendon repair. J Bone Joint Surg Br 90:388–392

Waselau M, Sutter WW, Genovese RL, Bertone AL (2008). Intralesional injection of platelet-rich plasma followed by controlled exercise for midbody suspensory ligament desmitis in Standarbred horses. J Am Vet Med Assoc 232:1515-1520

Wehling P, Moser C, Frisbie D, McIlwraith CW, Kawcak CE, Krauspe R, Reinecke JA (2007) Autologous conditioned serum in the treatment of orthopedic diseases: the orthokine therapy. BioDrugs 21:323-332.


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Copyright (c) 2017 P. TYRNENOPOULOU (Π. ΤΥΡΝΕΝΟΠΟΥΛΟΥ), N. DIAKAKIS (Ν. ΔΙΑΚΑΚΗΣ)