Equine tendon injuries Hevosten jännevammat

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Equine tendon injuries

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Cited from here: At the Dubai International Equine Symposium, Mimi Porter, a physiotherapist from the United States of America, spoke on rehabilitation of injuries. Treadmill and round pen design with a walker can be useful in rehabilitation. Early in the healing process, stimulation of blood supply to tendon and stimulation of muscle with manual stretching, is useful.

Dr. Carol Gillis presented information on exercise programmes for tendon and ligament rehabilitation. Ultrasound rechecks are very useful for assessing progress of the healing and ultimately, the prognosis for further athletic activities. The best response is found in mild injuries.

Concepts: initial rest for 3-4 weeks and then controlled exercise to stimulate healing of the tendon and also to recondition the horse.
Mild damage – the first 90days: Confine to stall
0-30 days – hand walk 30 minutes
30-60 days – hand walk 40 minutes
60-90 days – ride at walk 20-40 minutes

Re-assessment with ultrasound examination is useful at 90 days to classify progress as good, fair or poor. After the 90 day examination, if there is good progress, controlled exercise is useful, perhaps using a treadmill. At 4th month the amount of exercise can be increased to 60 minutes riding at the walk over a period up to 6 months after injury. Examination again using ultrasound should be undertaken at 180 days after injury. Rehabilitation from 7-9 months should includetrotting, 5 minutes every 2 weeks, with 5 minutes cantering being added every 2 weeks and at 9 months, the horse can return to full work, if the tendon has a good appearance on the ultrasound examination.

This presentation highlighted the importance of controlled exercise and regular ultrasound examinations during rehabilitation of tendon injuries.
Reference: C Gillis, Tendon and Ligament Rehabilitation Dubai International Equine Symposium “The Equine Athlete: Tendon, ligament and Soft Tissue Injuries” 1996. pg. 417

Case Study—Torn Flexor Tendon

Case Study: the Efficacy of Equine Cymatherapy Bioresonance on a Superficial Digital Flexor Tendon Core Lesion of a Thoroughbred Racehorse Colt (PDF available on cited site)

Fortier LA, Smith RK.

Department of Clinical Sciences, VMC C3-181, Cornell University, Ithaca, NY 14853, USA. laf4[@]cornell.edu

After tendon injury, the scar tissue that replaces the damaged tendon results in a substantial risk for reinjury. The goal of regenerative therapies is to restore normal structural architecture and biomechanical function to an injured tissue. Successful restoration processes for any tissue are thought to recapitulate those of development, in which there are spatial and temporal interactions between scaffold, growth factors, and cell populations.

PMID: 18314043 [This Abstrac copied by PubMed - indexed for MEDLINE]

Herthel, D.J. (2001). Enhanced Suspensory Ligament Healing in 100 Horses by Stem Cells and Other Bonw Marrow Components. AAEP Proceedings Vol. 47 pp.319-321. (PDF)

Harnessing the stem cell for the treatment of tendon injuries: heralding a new dawn?
Smith and Webbon Br J Sports Med.2005; 39: 582-584

Links

American’s Healthy Horse

Diagnostic Ultrasound …

Equine Digital Flexor Tendon Injures

Equine Sport Medicine

Equine Wellness Magazine

Healing the Bowed Tendon

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The Liphook Equine Hospital [...]What are the first signs of tendon injury?

Damage to a tendon causes inflammation, heat and swelling. Minor fibre damage leads to slight enlargement of the affected part which will feel warmer than the corresponding area on the other limb. Mild strains do not cause lameness. In severe damage, the limb may become very painful and swollen and the horse may be severely lame. If the tendon is ruptured, the horse may walk with the toe tipped up. If a tendon sheath becomes infected, the horse will also be very lame.[...]

MAGNETIC RESONANCE, ULTRASOUND AND HISTOPATHOLOGIC CORRELATION OF ACUTE AND HEALING EQUINE TENDON INJURIES
Authors:
R. Crass, MD¹¹Department of Radiology, MetroHealth Medical Center, Case Western Reserve University, 3395 Scranton Road, Cleveland, OH 44109,

Ronald L. Genovese, VMD²²Randall Park Veterinary Hospital,

James A. Render, DVM³³The Animal Health Diagnostic Laboratory, Michigan State University.,

Department of Radiology, MetroHealth Medical Center, Case Western Reserve University, 3395 Scranton Road, Cleveland, OH 44109

Department of Radiology, MetroHealth Medical Center, Case Western Reserve University, 3395 Scranton Road, Cleveland, OH 44109 Randall Park Veterinary Hospital <span cThe Animal Health Diagnostic Laboratory, Michigan State University.

Neovascularisation in chronic tendon injuries detected with colour Doppler ultrasound in horse and man: implications for research and treatmen (by Mads Kristoffersen, Lars Öhberg, Christopher Johnston and Håkan Alfredson)

New Method for trating tendon damage in horses

Orthopedic shoeing techniques in the prevention and treatment of tendon and articular pathologies

Preventing Tendon Injures

Gillis, C. L. (1997). Rehabilitation of Tendon and Ligament Injuries (PDF)

Tendinitis

Tendon Injures….(Sharma & Maffulli, Abstract )

Tendon Injures (by Laura Werner)

Tendon Injures (Ultrasonic photos)

Tendon injures (photos)

Tendon suspensory ligament injures-active

Treatment of Tendon and Ligament Injures with UBM Powder (PDF available) by Richard D. Mitchell, D.V.M.

Understanding Tendon Injures (by Seamour Rathore)

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KANTASOLUJEN KÄYTTÖ HOIDOISSA (Katso teksti)
- Eläimillä
o Jännehoidot – tendinopatiat – hevonen SDFT
o Artriitti – OA/DJD, post-infektiiviset tilat, ruston regeneraatio
o OCD-nivelkystat (hevonen)
o Neurologiset vammat
selkäydinvauriot/diskus – koira
- ’Anecdotal evidence’ ts. julkaistua tietoa vähän

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