• PD positive, Xray negative, what next?

    PD positive, Xray negative, what next?

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    Review of the Seldom was a question easier answered. This horse needs an MRI scan. The palmar digital nerve block is non specific. It will usually anaesthetises all of the sole of the foot, the coffin joint, often the pastern joint and sometimes the fetlock joint. X-Rays are unhelpful in the diagnosis of foot lameness. Bone conditions such as navicular flexor cortical erosions are difficult to detect, and soft tissue conditions such as deep digital flexor tendonitis, which cause most foot lameness, are undetectable. Analgesia of the coffin joint is not specific to the joint, and anaesthetises the navicular bursa, the sole, and the deep digital flexor tendon. This is not time dependent, but a positive response may confirm the lameness is within the foot. Several papers have shown a good response to medication of the navicular bursa with corticosteroids and the duration of soundness was up to 18 months.

    Equine

    Presented by:

    Chair: Dr Rhiannon Morgan, BSc BVSc CertAVP MVetMed(Hons) PhD DipECVDI MRCVS EBVS, European Specialist in Veterinary Diagnostic Imaging Lecturer in Equine Diagnostic Imaging, Royal Veterinary College


    Speaker: Bruce Bladon, BVM&S CertEP DESTS DipECVS FRCVS RCVS, Specialist in Equine Surgery, European Veterinary Specialist in Equine Surgery and Clinical Director, Donnington Grove Veterinary Group

    Presented at London Vet Show 2021
    RVC Equine Theatre 2

    Friday, November 12th 09:20 AM

    Please note this session is not RACE-approved but you can still earn a CPD certificate.