University of Calgary, Faculty of Veterinary Medicine, 11877 85th Street NW, Calgary, Alberta T3R 1J3 (Toner); TD Equine Veterinary Group, 64134 198 Avenue W, Calgary, Alberta T1S 2W4 (Crosby).
Can Vet J. 2023 Mar;64(3):268-274.
A 6-year-old chestnut Dutch Warmblood gelding was presented for right front lameness 1 mo after being cast in a stall at a 1.20-meter jumping event. Lameness work-up revealed mild lameness on the right and left front legs, with diffuse swelling over the right front pastern. Ultrasonic evaluation yielded suspicion of collateral desmopathy of the proximal interphalangeal joint that was subsequently confirmed MRI. Two weeks after initial evaluation, the proximal and distal interphalangeal joints were injected with Pro-Stride Autologous Protein Solution, immediately followed by Extracorporeal Shockwave Therapy of the lateral and medial collateral ligaments. Follow-up at 2 and 3 mo after treatment revealed reduced joint effusion of the proximal and distal interphalangeal joints, as well as improved fiber organization of the associated collateral ligaments. This should inform practitioners that multimodal therapeutic treatments including biologics and stimulation of healing through sound waves can aid in ligamentous injuries in sport horses.
一匹 6 岁的栗色荷兰温血公马在 1.20 米跳跃赛事中被关在马厩里后，1 个月出现右前肢跛行。跛行检查发现右前肢和左前肢轻度跛行，右前球节弥漫性肿胀。超声检查怀疑掌侧副侧副韧带近端指间关节病，随后 MRI 确诊。初次评估后 2 周，对近端和远端指间关节进行 Pro-Stride 自体蛋白溶液注射，随后立即对侧副和内副侧副韧带进行体外冲击波治疗。治疗后 2 个月和 3 个月的随访显示，近端和远端指间关节的关节积液减少，相关侧副韧带的纤维组织得到改善。这应该告知从业者，包括生物制剂和通过声波刺激愈合在内的多模式治疗方法可以帮助治疗运动马的韧带损伤。
