Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection

Objective To document the clinical presentation, diagnosis, and surgical treatment of mineralization of the equine palmar/plantar annular ligament (PAL). Study Design Retrospective study. Animals Ponies (n=7). Methods Case records from 2 referral hospitals were examined to identify cases with lamene...

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Veröffentlicht in:Veterinary surgery 2016-07, Vol.45 (5), p.602-608
Hauptverfasser: Garvican, Elaine R., Wylie, Claire E., Payne, Richard J., Smith, Roger K.W., Head, Marcus J.
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container_end_page 608
container_issue 5
container_start_page 602
container_title Veterinary surgery
container_volume 45
creator Garvican, Elaine R.
Wylie, Claire E.
Payne, Richard J.
Smith, Roger K.W.
Head, Marcus J.
description Objective To document the clinical presentation, diagnosis, and surgical treatment of mineralization of the equine palmar/plantar annular ligament (PAL). Study Design Retrospective study. Animals Ponies (n=7). Methods Case records from 2 referral hospitals were examined to identify cases with lameness associated with PAL mineralization treated surgically. Follow‐up information was obtained from the owners by telephone questionnaire. Results Duration of lameness before referral ranged from 5 weeks to 6 months, and degree of lameness from grade 1 to 5 out of 10. In 3 cases, records noted obvious pain when pressure was applied over the PAL. Pain resulting in lameness was localized to this area and all cases were treated surgically, although the extent of resected tissue varied among cases. Histological examination of resected tissue (4 cases) revealed fibrocartilaginous and/or osseous metaplasia. Following surgery, 6 of the 7 ponies became sound. Conclusion Based on this limited case series, surgical treatment for mineralization of the PAL offers a favorable success rate without severe complications where conservative methods have failed.
doi_str_mv 10.1111/vsu.12503
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Study Design Retrospective study. Animals Ponies (n=7). Methods Case records from 2 referral hospitals were examined to identify cases with lameness associated with PAL mineralization treated surgically. Follow‐up information was obtained from the owners by telephone questionnaire. Results Duration of lameness before referral ranged from 5 weeks to 6 months, and degree of lameness from grade 1 to 5 out of 10. In 3 cases, records noted obvious pain when pressure was applied over the PAL. Pain resulting in lameness was localized to this area and all cases were treated surgically, although the extent of resected tissue varied among cases. Histological examination of resected tissue (4 cases) revealed fibrocartilaginous and/or osseous metaplasia. Following surgery, 6 of the 7 ponies became sound. 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source MEDLINE; Wiley Journals
subjects Animals
Calcinosis - pathology
Calcinosis - surgery
Calcinosis - veterinary
Female
Horse Diseases - pathology
Horse Diseases - surgery
Horses
Lameness, Animal - pathology
Lameness, Animal - surgery
Ligaments, Articular - pathology
Ligaments, Articular - surgery
Male
Mineralization
Retrospective Studies
Surgery
Veterinary medicine
title Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection
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