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My Horse University and eXtension’s HorseQuest  welcome you to this live Webcast. Lameness in the Performance Horse Ann Rashmir-Raven, DVM, MS Diplomate, American College of Veterinary Surgeons Michigan State University, College of Veterinary Medicine
Meet our presenter: ,[object Object],[object Object],[object Object],Narelle Stubbs Michigan State University Question facilitator:
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],National Animal Health Monitoring System: National estimate of economic costs  (NAHMS Study)
Lameness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Photos courtesy of Dr. Tia Nelson
Barefoot horse in  stockyard, before  & after trimming Before & after trimming Photos courtesy of Dr. Tia Nelson
Pick a good farrier ,[object Object],Photo courtesy of Dr. Tia Nelson
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Photos courtesy of Dr. Tia Nelson
Photos courtesy of Dr. Tia Nelson
Posterior support at the heels.  Photos courtesy of Dr. Tia Nelson
Thermography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SADDLE FIT ,[object Object],[object Object],[object Object],[object Object]
ENGLISH SADDLE Thermographic image-post ride  Courtesy of Dr. Jim Waldsmith
WESTERN SADDLE Thermographic image-post ride Courtesy of Dr. Jim Waldsmith
Lameness Evaluation-Standing ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Lameness Evaluation-Standing
Forelimb lameness  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hindlimb lameness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Even subtle lameness can affect performance ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Nerve and joint blocks   ,[object Object],[object Object],[object Object],[object Object]
Gait Analysis Courtesy of Dr. Hilary Clayton  McPhail Center Michigan State University State-of-the-art system 10 cameras with 6 imbedded force plates
Gait analysis of Piaffe ,[object Object],Courtesy of Dr. Hilary Clayton
Gait analysis of the lame horse ,[object Object],[object Object],Courtesy of Dr. Hilary Clayton
Radiographs/Xrays ,[object Object],[object Object],[object Object],[object Object],[object Object],Normal Arthritis Arthritis
Diagnostic Ultrasound ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ULTRASOUNDS “ Bowed Tendons” Superficial digital flexor tendonitis
[object Object],[object Object],[object Object],[object Object]
Some contribution factors: tendonitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bone Scan images ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nuclear Scintigraphy (“Bone Scan”)  Normal front foot Abnormal front foot
Magnetic Resonance Imaging (MRI) Michigan State University
Magnetic Resonance Imaging (MRI) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common causes of lameness in the performance horse (Abbreviated list) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Navicular Disease Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Front to back (AP)
Front view (AP) Normal Increased channels
Enlarged vascular channels ,[object Object],Normal
Classical treatment of navicular syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lameness treatment choices- What’s new  for Navicular Disease, Arthritis, Tendon and Ligament injuries? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
irap TM  Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],irap TM  Therapy
Bone marrow derived  ,[object Object],Fat derived  ,[object Object],[object Object],[object Object]
 
Tildren (Non-nitrogenous bisphosphonate) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rehabilitation and physical therapy ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chondroprotectants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anti-arthritis medications ,[object Object],[object Object],[object Object]
Adequan ®  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sodium Hylauronate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hylauronic acid Molecular weight is likely key If being used in the joint ask for the best, not the least expensive Hylartin V 3.5x10 6 3-18 mg 20mg Hyvisc 2.1x10 6 4-18 20mg Map-5 7.5x10 5 5-20 20mg** (topical) Legend 3x10 5 40-100 20mg IA or 40 IV
Corticosteroids are Controversial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Compounded Drugs ,[object Object],[object Object],[object Object],[object Object]
Give us your feedback! ,[object Object]
Upcoming Webcasts ,[object Object],[object Object],[object Object],[object Object]
Thank you for attending this live web presentation! For more information about  My Horse University please visit us at: www.myhorseuniversity.com info@myhorseuniversity.com | www.myhorseuniversity.com | 517-353-3123

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Lameness in the Performance Horse (Rashmir)

  • 1. My Horse University and eXtension’s HorseQuest welcome you to this live Webcast. Lameness in the Performance Horse Ann Rashmir-Raven, DVM, MS Diplomate, American College of Veterinary Surgeons Michigan State University, College of Veterinary Medicine
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  • 7. Barefoot horse in stockyard, before & after trimming Before & after trimming Photos courtesy of Dr. Tia Nelson
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  • 10. Photos courtesy of Dr. Tia Nelson
  • 11. Posterior support at the heels. Photos courtesy of Dr. Tia Nelson
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  • 14. ENGLISH SADDLE Thermographic image-post ride Courtesy of Dr. Jim Waldsmith
  • 15. WESTERN SADDLE Thermographic image-post ride Courtesy of Dr. Jim Waldsmith
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  • 23. Gait Analysis Courtesy of Dr. Hilary Clayton McPhail Center Michigan State University State-of-the-art system 10 cameras with 6 imbedded force plates
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  • 28. ULTRASOUNDS “ Bowed Tendons” Superficial digital flexor tendonitis
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  • 32. Magnetic Resonance Imaging (MRI) Michigan State University
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  • 37. Front view (AP) Normal Increased channels
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  • 52. Hylauronic acid Molecular weight is likely key If being used in the joint ask for the best, not the least expensive Hylartin V 3.5x10 6 3-18 mg 20mg Hyvisc 2.1x10 6 4-18 20mg Map-5 7.5x10 5 5-20 20mg** (topical) Legend 3x10 5 40-100 20mg IA or 40 IV
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  • 57. Thank you for attending this live web presentation! For more information about My Horse University please visit us at: www.myhorseuniversity.com info@myhorseuniversity.com | www.myhorseuniversity.com | 517-353-3123

Editor's Notes

  1. Although catastrophic failure of the SDFT can occur, several factors have been named as possible causes for microtrauma to the core region of the tendon. Accumulated microtrauma is thought to weaken the tendon, culminating in a partial or total rupture of the SDFT. These deleterious factors include the uniform galloping training regimen, ischemia and hypoxia during maximal loading, hyperthermia in the core of the tendon, reperfusion injury, conformation and vascular factors (tied in behind the knee, low hoof angle, long pasterns) and age. The traumatized SDFT core has a gross pink or purple appearance. The damaged tendon core matrix contains an increased amount of total sulfated glycosaminoglycans, Type III collagen, and cellularity. Type l and Type III collagen have differing biomechanical characteristics, predisposing the tendon to recurring damage and reduced gliding function.
  2. Injuries of the core or central zone of the mid-metacarpal region of the superficial digital flexor tendon are among the most common career-limiting or career-ending injuries in performance horses. This kind of injury can also occur in the deep digital flexor tendon and its accessory ligament and the suspensory ligament in the fore and hind limbs. These injuries occur frequently in horses required to gallop or jump at high speeds, and consequently affect horses engaged in flat racing, steeplechasing, and eventing . Approximately 30% of horses in training for the aforementioned types of competition are thought to be affected by bowed tendons.