Iglesias-García Manuel, Roquet Imma, Jiménez Joaquin, Martín-Cuervo Maria, Fuentes-Romero Beatriz, Ezquerra-Calvo Luis J
Department of Equine Surgery, Universidad de Extremadura, Cáceres, Spain.
Department of Equine Surgery, Private practice, Barcelona, Spain.
Vet Surg. 2019 Nov;48(8):1514-1519. doi: 10.1111/vsu.13315. Epub 2019 Aug 24.
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.
Retrospective case series.
Six privately owned horses.
The medical records of horses presented at the hospital with similar sypmtoms were evaluated and collected. Finally 6 horses met the inclusion criteria and the relevant data were compiled and analysed. In three of the six cases a surgical treatment was carried out.
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.
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.
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.
描述6匹被诊断为后肢球节长指伸肌腱（LDET）腱下黏液囊炎的马匹的病史、临床症状及治疗情况。
回顾性病例系列研究。
6匹私人拥有的马匹。
对医院收治的有类似症状马匹的病历进行评估和收集。最终6匹马符合纳入标准，并对相关数据进行整理和分析。6例中有3例进行了手术治疗。
所有马匹均有相似的临床症状，主要为后肢球节水平的长指伸肌腱（LDET）下方肿胀，无相关跛行；主要问题是存在外观缺陷以及对其未来功能使用的担忧。6匹马中有3匹接受了关节镜清创术手术治疗。这3匹马中有2匹的外观效果极佳。1匹接受手术的马出现了复发。所有接受药物治疗的黏液囊炎马匹的问题均未得到解决。
当药物治疗无法控制病情时，关节镜检查是一种可考虑用于治疗球节水平LDET黏液囊炎的技术，并结合长时间包扎。
据我们所知，后肢LDET腱下黏液囊炎并非常见的诊断疾病。这个小病例系列为该问题的临床管理方法提供了一些见解。
