Dyson S
Equine Clinical Unit, Animal Health Trust, Newmarket, Suffolk, UK.
Br Vet J. 1994 May-Jun;150(3):279-91. doi: 10.1016/S0007-1935(05)80008-9.
Proximal suspensory desmitis of the hindlimb was diagnosed using local analgesic techniques and ultrasonography in 42 horses. Subtarsal analgesia resulted in substantial improvement in lameness in 36 of 41 horses in which local analgesic techniques were used. In the remaining five horses lameness was improved by perineural analgesia of the tibial nerve (three) or the tibial and fibular nerves. Intra-articular analgesia of the tarso-metatarsal joint produced a similar degree of improvement in two of 24 horses in which lameness had been improved by subtarsal analgesia. Ultrasonographic abnormalities of the proximal one third of the suspensory ligament of the lame limb only were detected in 36 of the 37 unilaterally lame horses. Abnormalities were detected in both suspensory ligaments in the five bilaterally lame horses and in one horse with unilateral lameness. Radiographic abnormalities of the proximal aspect of the third metatarsal bone of the lame or lamer limb were detected in 23 horses. Four horses have been in full work for more than 1 year without recurrent lameness. Two other horses resumed full work but had lameness due to another cause. Six horses are in light work despite mild lameness. Sixteen horses have been retired or humanely destroyed due to persistent or recurrent lameness.
采用局部镇痛技术和超声检查，对42匹马诊断出后肢近端悬韧带炎。在41匹采用局部镇痛技术的马中，跗关节以下镇痛使36匹马的跛行状况得到显著改善。其余5匹马，通过胫神经（3匹）或胫神经与腓总神经的神经周镇痛，跛行状况得到改善。跗跖关节内镇痛，在24匹经跗关节以下镇痛跛行状况得到改善的马中，有2匹马的改善程度相似。在37匹单侧跛行的马中，仅在36匹马的患侧跛行肢悬韧带近端三分之一处检测到超声异常。在5匹双侧跛行的马和1匹单侧跛行的马中，双侧悬韧带均检测到异常。在23匹马中，检测到跛行或更跛行肢的第三跖骨近端存在影像学异常。4匹马完全恢复工作超过1年，未再出现跛行。另外2匹马恢复了完全工作，但因其他原因出现跛行。6匹马尽管轻度跛行仍能进行轻度工作。16匹马因持续性或复发性跛行已退役或被人道处死。
