Swelling of the long digital extensor tendon sheath

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    • #10761

      I have placed this here because the swelling from inflammation of the tendon sheath (bursitis) is seen on the front of the ankle of a hind leg. You see this occasionally and often responds poorly to just medical treatment and bandaging.
      DrO

      Vet Surg. 2019 Aug 24.
      Clinical findings and management of six horses with subtendinous bursitis of the long digital extensor tendon in the hind limb fetlock.
      Iglesias-García M1, Roquet I2, Jiménez J1, Martín-Cuervo M3, Fuentes-Romero B3, Ezquerra-Calvo LJ1.

      Author information:
      1. Department of Equine Surgery, Universidad de Extremadura, Cáceres, Spain.
      2. Department of Equine Surgery, Private practice, Barcelona, Spain.
      3. Department of Equine Internal Medicine, Universidad de Extremadura, Cáceres, Spain.
      Abstract
      OBJECTIVE:

      To describe the history, clinical signs, and management of six horses in which subtendinous bursitis of the long digital extensor tendon (LDET) in the hind limb fetlock had been diagnosed.
      STUDY DESIGN:

      Retrospective case series.
      SAMPLE POPULATION:

      Six privately owned horses.
      METHODS:

      The medical records of horses presented at the hospital with similar symptoms were evaluated and collected. Finally 6 horses met the inclusion criteria and the relevant data were compiled and analyzed. In three of the six cases a surgical treatment was carried out.
      RESULTS:

      All horses had similar clinical signs, mainly distention beneath the long digital extensor tendon (LDET) at the level of the hind limb fetlock without associated lameness; the major issues were the presence of cosmetic defects and concern about their functional use in the future. Three of the six horses were treated surgically with bursoscopic debridement. The cosmetic results were excellent in two of these three horses. One horse that underwent an operation experienced a recurrence. None of the horses with bursitis treated medically experienced resolution of the problem.
      CONCLUSION:

      Bursoscopy is a technique to consider for the management of bursitis of the LDET at the level of the fetlock combined with prolonged bandage application when medical treatment has failed to manage the condition.
      CLINICAL SIGNIFICANCE:

      To the best of our knowledge, subtendinous bursitis of the LDET in the hind limb is not a commonly diagnosed condition. This small case series provides some insight into methods for the clinical management of this issue.

    • #11140
      MB Read
      Member

      I have a swollen front left , just a little squishy, only on the front of foot on both sides of tendon. Its been about 2 weeks. No lameness..being ridden, not a windpuff..too far to the front i think. What could it be.mwill try to post pics.
      Thank you.

      How do I post a pic?

    • #11242

      Hello MB,
      Concerning uploading images this is being worked on and should be in place in a few days. Testing the various programs has shown some problems that we have to iron out first.
      Concerning your problem you describe the condition sounds very much like the one in the abstract above. Check out https://horseadvice.com/horse-equine/reference-material/equine-illustrations/muscoskeletal-anatomy-and-conformation/lower-limb-anatomy-front-and-rear-limbs/pastern-and-fetlock-anatomical-study/ to acquaint yourself with the anatomy.
      DrO

    • #11370

      MB use the attachments upload field at the bottom of the Topic / Reply form.

    • #11375
      MB Read
      Member

      Thank you and I did reread the good article. Mainly bc it is the front, only one..is the reason for checking again. Still no lameness, he is at a trainer working on collected canters, so really being light on front end. He is a big horse..and is hanging in a big stall with nice long sandy run. He is 16′ half friesian 10 yo. I will be picking him up Friday, and he will return to his life in pasture and trailriding. I guess I could ask if hose therapy or? Would be of any benefit?

      Sincerely,
      MB

    • #12017
      MB Read
      Member

      My pic exceed file size 512mb

    • #12156

      Hi MB,
      We restrict the size for three reasons. First we only have a limited amount of hard disk size and the typical phone will take a photo around 4 mb. It does not take too many files that size to fill up a disk. Second both upload and download time are important to users that have less than a very fast internet connection. Which leads to the third reason. At times everyone accesses us through their mobile devices. Reducing file size avoids using members limited and sometimes expensive download limits.

      We chose 512 kb because given the limitations of the internet and your browser to display images you can get excellent resolution at this file size. Proper file sizing works best when done in a particular way. Here is the order in which you should downsize a file’s size:

      1) Crop unnecessary areas of the image.
      2) Reduce the width of the image to 500 px (the appx. width of the column in which the image is displayed) or less while maintaining the aspect ratio.
      3) Compress the image information.

      Often just step 2 will get you under the file size limits. Most personal computer operating systems have software (Microsoft Paint) to accomplish these steps but there are also free online software (GIMP) and websites (Pixler) that offer these services.
      DrO

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