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Tenectomy of the superficial digital flexor tendon as a treatment of suspected septic tendinitis and tenosynovitis of the digital flexor tendon sheath followed by rehabilitation with an orthotic device
Equine Veterinary Education ( IF 0.9 ) Pub Date : 2020-12-17 , DOI: 10.1111/eve.13427
A. Lenoir 1 , M. Schramme 1 , E. Segard‐Weisse 1 , M. Zimmerman 1 , O. M. Lepage 1
Affiliation  

A 15-year-old Sports horse gelding was referred for nonweightbearing lameness of the left hindlimb. Septic cellulitis was diagnosed and managed medically. After 14 days, septic tenosynovitis of the digital flexor tendon sheath (DFTS), with septic tendinitis of the superficial (SDFT) and deep (DDFT) digital flexor tendons, became evident. Surgical resection of the intrathecal portion of the septic SDFT was performed. Post-operatively, a half-limb cast was placed on the operated limb for 10 weeks followed by an articulated orthotic support boot during a rehabilitation period of 6 weeks. The horse recovered and regained long-term pasture soundness. Ultrasonography demonstrated the presence of bridging connective tissue in the location of the resected SDFT.

中文翻译:

指屈肌腱浅表肌腱切除术作为疑似感染性肌腱炎和指屈肌腱鞘腱鞘炎的治疗,然后使用矫形器进行康复

一头 15 岁的运动马被转诊为左后肢非负重跛行。化脓性蜂窝织炎被诊断和治疗。14 天后,指屈肌腱鞘 (DFTS) 感染性腱鞘炎、浅表 (SDFT) 和深部 (DDFT) 指屈肌腱感染性肌腱炎变得明显。对脓毒性 SDFT 的鞘内部分进行了手术切除。术后,在手术肢体上放置半肢石膏 10 周,然后在 6 周的康复期间使用铰接式矫形支撑靴。这匹马恢复并恢复了长期的牧场健康。超声检查显示在切除的 SDFT 位置存在桥接结缔组织。
更新日期:2020-12-17
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