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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.12503</identifier><identifier>PMID: 27357271</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Veterinary surgery, 2016-07, Vol.45 (5), p.602-608</ispartof><rights>Copyright 2016 by The American College of Veterinary Surgeons</rights><rights>Copyright 2016 by The American College of Veterinary Surgeons.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4593-d39698bd3ffde53291a78ae236d5d66ff55669de9ee6afad5bad93db176b32183</citedby><cites>FETCH-LOGICAL-c4593-d39698bd3ffde53291a78ae236d5d66ff55669de9ee6afad5bad93db176b32183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.12503$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.12503$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27357271$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garvican, Elaine R.</creatorcontrib><creatorcontrib>Wylie, Claire E.</creatorcontrib><creatorcontrib>Payne, Richard J.</creatorcontrib><creatorcontrib>Smith, Roger K.W.</creatorcontrib><creatorcontrib>Head, Marcus J.</creatorcontrib><title>Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection</title><title>Veterinary surgery</title><addtitle>Veterinary Surgery</addtitle><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.</description><subject>Animals</subject><subject>Calcinosis - pathology</subject><subject>Calcinosis - surgery</subject><subject>Calcinosis - veterinary</subject><subject>Female</subject><subject>Horse Diseases - pathology</subject><subject>Horse Diseases - surgery</subject><subject>Horses</subject><subject>Lameness, Animal - pathology</subject><subject>Lameness, Animal - surgery</subject><subject>Ligaments, Articular - pathology</subject><subject>Ligaments, Articular - surgery</subject><subject>Male</subject><subject>Mineralization</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Veterinary medicine</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1P3DAQhq2qqCwLh_6BylIvcAhrx7EdHwHxJbZbymfVi-XEE-olm4CdAMuvr7cLHJAqdaTRSNYzr97xi9BnSrZprNFD6Ldpygn7gAaUszRRnPz8iAaECpqwTKlVtBbClBCisox9QqupZFymkg7Qr2-uAW9q92w61za4rXD3G_D-fR_f8ampZ8aPTmvTdMbjnabp6zjH7sbMoOnwhQfTgcXFHJ_3_saVpsZnEKBcaK2jlcrUATZe5hBdHuxf7B0l4--Hx3s746TMuGKJZUqovLCsqixE84oamRtImbDcClFVnAuhLCgAYSpjeWGsYragUhQspTkbos2l7p1v73sInZ65UEIdTUPbB01zkos8Hi7_B6VZtJCLiH59h07b3jfxkAVFGKOxI7W1pErfhuCh0nfexS-ba0r0Ihsds9F_s4nslxfFvpiBfSNfw4jAaAk8uhrm_1bSV-eXr5LJcsOFDp7eNoy_1UIyyfX15FDzbLJL5I-xPmF_AJZ2pw4</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Garvican, Elaine R.</creator><creator>Wylie, Claire E.</creator><creator>Payne, Richard J.</creator><creator>Smith, Roger K.W.</creator><creator>Head, Marcus J.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>7QO</scope></search><sort><creationdate>201607</creationdate><title>Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection</title><author>Garvican, Elaine R. ; Wylie, Claire E. ; Payne, Richard J. ; Smith, Roger K.W. ; Head, Marcus J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4593-d39698bd3ffde53291a78ae236d5d66ff55669de9ee6afad5bad93db176b32183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Animals</topic><topic>Calcinosis - pathology</topic><topic>Calcinosis - surgery</topic><topic>Calcinosis - veterinary</topic><topic>Female</topic><topic>Horse Diseases - pathology</topic><topic>Horse Diseases - surgery</topic><topic>Horses</topic><topic>Lameness, Animal - pathology</topic><topic>Lameness, Animal - surgery</topic><topic>Ligaments, Articular - pathology</topic><topic>Ligaments, Articular - surgery</topic><topic>Male</topic><topic>Mineralization</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garvican, Elaine R.</creatorcontrib><creatorcontrib>Wylie, Claire E.</creatorcontrib><creatorcontrib>Payne, Richard J.</creatorcontrib><creatorcontrib>Smith, Roger K.W.</creatorcontrib><creatorcontrib>Head, Marcus J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garvican, Elaine R.</au><au>Wylie, Claire E.</au><au>Payne, Richard J.</au><au>Smith, Roger K.W.</au><au>Head, Marcus J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Veterinary Surgery</addtitle><date>2016-07</date><risdate>2016</risdate><volume>45</volume><issue>5</issue><spage>602</spage><epage>608</epage><pages>602-608</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>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.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27357271</pmid><doi>10.1111/vsu.12503</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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