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Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases
BACKGROUND: Tendinopathy and desmopathy are significant causes of morbidity in horses. AIM: To evaluate the use of percutaneous ultrasonic debridement (PUD) as a treatment for chronic tendinopathy and desmopathy in the horse. METHODS: Eight adult horses with 10 affected limbs presented for lameness,...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Faculty of Veterinary Medicine
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576587/ https://www.ncbi.nlm.nih.gov/pubmed/37842115 http://dx.doi.org/10.5455/OVJ.2023.v13.i9.10 |
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author | Vlahos, Ted P. |
author_facet | Vlahos, Ted P. |
author_sort | Vlahos, Ted P. |
collection | PubMed |
description | BACKGROUND: Tendinopathy and desmopathy are significant causes of morbidity in horses. AIM: To evaluate the use of percutaneous ultrasonic debridement (PUD) as a treatment for chronic tendinopathy and desmopathy in the horse. METHODS: Eight adult horses with 10 affected limbs presented for lameness, ranging from 60–700 days postinjury. Diagnostic ultrasound identified the following: suspensory branch desmitis (n = 1), suspensory body desmitis (n = 2), Achilles tendinopathy (n = 1), desmitis of the accessory ligament of the deep digital flexor (DDF) tendon (n = 1), DDF tendinopathy (n = 2), and superficial digital flexor tendinopathy (n = 3). All horses had demonstrated lameness ranging from grade 1 to 4 [American Association of Equine Practitioners (AAEP) scale], with a mean pretreatment grade of 2.7. All horses underwent PUD using the Tenex Health TX(®) System. RESULTS: Follow-up results were available from 6 to 41 months (mean, 23.2 months). Follow-up ultrasound imaging demonstrated improvement in fiber alignment and architectural change in all cases. All horses had a reduction in lameness from the treated tendon or ligament (AAEP grade 0–1; mean AAEP grade, 0.2) following a single treatment; lameness completely resolved in 8 of 10 treated limbs. No adverse events occurred in any case. No horses in this study developed a recurrence of their original lesion. CONCLUSION: Horses in this study demonstrated improvement following the PUD procedure. The procedure was well-tolerated and safe. Removal of tendinopathic scar tissue with PUD resulted in a return to function and without recurrence of the original lesion in all horses. |
format | Online Article Text |
id | pubmed-10576587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Faculty of Veterinary Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-105765872023-10-15 Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases Vlahos, Ted P. Open Vet J Original Research BACKGROUND: Tendinopathy and desmopathy are significant causes of morbidity in horses. AIM: To evaluate the use of percutaneous ultrasonic debridement (PUD) as a treatment for chronic tendinopathy and desmopathy in the horse. METHODS: Eight adult horses with 10 affected limbs presented for lameness, ranging from 60–700 days postinjury. Diagnostic ultrasound identified the following: suspensory branch desmitis (n = 1), suspensory body desmitis (n = 2), Achilles tendinopathy (n = 1), desmitis of the accessory ligament of the deep digital flexor (DDF) tendon (n = 1), DDF tendinopathy (n = 2), and superficial digital flexor tendinopathy (n = 3). All horses had demonstrated lameness ranging from grade 1 to 4 [American Association of Equine Practitioners (AAEP) scale], with a mean pretreatment grade of 2.7. All horses underwent PUD using the Tenex Health TX(®) System. RESULTS: Follow-up results were available from 6 to 41 months (mean, 23.2 months). Follow-up ultrasound imaging demonstrated improvement in fiber alignment and architectural change in all cases. All horses had a reduction in lameness from the treated tendon or ligament (AAEP grade 0–1; mean AAEP grade, 0.2) following a single treatment; lameness completely resolved in 8 of 10 treated limbs. No adverse events occurred in any case. No horses in this study developed a recurrence of their original lesion. CONCLUSION: Horses in this study demonstrated improvement following the PUD procedure. The procedure was well-tolerated and safe. Removal of tendinopathic scar tissue with PUD resulted in a return to function and without recurrence of the original lesion in all horses. Faculty of Veterinary Medicine 2023-09 2023-09-30 /pmc/articles/PMC10576587/ /pubmed/37842115 http://dx.doi.org/10.5455/OVJ.2023.v13.i9.10 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Vlahos, Ted P. Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases |
title | Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases |
title_full | Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases |
title_fullStr | Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases |
title_full_unstemmed | Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases |
title_short | Percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: A report of 10 cases |
title_sort | percutaneous ultrasonic debridement of equine tendinopathy and desmopathy: a report of 10 cases |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576587/ https://www.ncbi.nlm.nih.gov/pubmed/37842115 http://dx.doi.org/10.5455/OVJ.2023.v13.i9.10 |
work_keys_str_mv | AT vlahostedp percutaneousultrasonicdebridementofequinetendinopathyanddesmopathyareportof10cases |