Department of Surgery and Radiology with Clinic, Faculty of Veterinary Medicine, University of Warmia and Mazury, Oczapowskiego 14, Olsztyn, 10-719, Poland.
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, al. Warszawska 30, 10-082, Olsztyn, Poland.
Pol J Vet Sci. 2022 Jun;25(2):311-316. doi: 10.24425/pjvs.2022.141816.
Desmopathy of the collateral ligaments of the equine interphalangeal joint is caused by a combination of factors, including hoof shape, excessive loading and ground surface. This complex problem poses a diagnostic challenge due to the non-specificity of perineural analgesia and the limitations associated with the most popular imaging methods such as radiography and ultrasonography. The aim of this study was to retrospectively determine the prevalence of desmopathy of the collateral ligaments of the equine distal interphalangeal joint in Poland between 2016 and 2019, and to establish the frequency and type of the associated pathologies. Desmopathy of the collateral ligaments of the distal interphalangeal joint was diagnosed in 14% of 152 horses examined by magnetic resonance imaging (MRI). In 64% of the cases, other changes were observed in the equine digit, and in 36% of the cases, desmopathy was the only diagnosed problem. Desmopathy of the collateral ligaments is not a frequently reported pathology in the distal part of the equine limb. The diagnostic difficulties described in this article suggest that considerable caution should be exercised when formulating the final diagnosis, prognosis and treatment options.
马球节侧副韧带的黏液样变性是由多种因素共同引起的，包括蹄形、过度负重和地面状况。由于神经周围镇痛的非特异性以及最流行的成像方法（如放射摄影和超声检查）的局限性，这个复杂的问题给诊断带来了挑战。本研究的目的是回顾性地确定 2016 年至 2019 年期间波兰马球节侧副韧带黏液样变性的患病率，并确定相关病变的频率和类型。通过磁共振成像（MRI）检查，152 匹马中有 14%被诊断为球节侧副韧带黏液样变性。在 64%的情况下，马的其他部位也观察到了其他变化，而在 36%的情况下，黏液样变性是唯一诊断出的问题。在马的四肢远端，球节侧副韧带黏液样变性并不是一种经常报道的病理学现象。本文描述的诊断困难表明，在制定最终诊断、预后和治疗方案时应非常谨慎。
