MANAGEMENT OF SOFT TISSUE LESIONS IN THE METATARSAL REGION

摘要

Management of suspensory ligament desmitis differs for two separate regions of the ligament - proximal and body and branch.Proximal suspensory desmitis (PSD) is one of the most common orthopaedic conditions in sports horses which, in contrast to its forelimb counterpart, is a more challenging condition to treat because of difficulties in making an accurate diagnosis and therarer occurrence of a simple desmitis uncomplicated by the involvement of adjacent tissues. There are stark differences in the prognosis for fore and hindlimb proximal suspensory desmitis. Acute forelimb proximal suspensory ligament desmitis carries a good prognosis with -90% returning to full work following conservative management.1 For the hindlimb equivalent, the prognosis for acute desmitis is much worse (13% sound and in full work at 6 months) with the prognosis for chronic hindlimb cases approaching 0%.2