Lameness case 5
Introduction to Case Study
Patient Background:
Local dressage rider brings two Warmblood geldings, Bert and Ernie.
Both are 3 years old, nearly 17 hands tall.
Recently started training with increased intensity.
Owner concerned over gradual worsening hind limb lameness.
No known specific injuries or previous history of lameness.
Both are unshod and regularly trimmed (last done 3 weeks ago).
Static Examination
General Observation:
Examination from a distance shows good conformation and symmetrical muscling.
Findings:
Fluid-filled joint effusions identified in front and inside of the right stifle in both horses.
Mild discomfort noted upon palpation of swelling.
Joint Analysis:
Femoro-patellar Joint:
Located on the cranial aspect of the stifle joint.
Usually easily palpated, effusion clearly visible.
Medial Femoro-tibial Joint:
Found on the medial aspect; effusion can be difficult to palpate.
Communicates with femoro-patellar joint in approximately 65% of horses.
Lateral Femoro-tibial Joint:
Also part of the stifle joint configuration.
Dynamic Examination
Lameness Assessment:
During straight walk, horses appear sound.
Observed while trotting from behind shows right gluteal muscles move more significantly:
Indication of lameness on the right hind leg.
Lameness Grading:
Severity Assessment:
Right hind lameness graded as3/5 (moderately severe and consistent).
Dynamic Exam – Lunging and Flexion Tests
Examination Results:
Lameness Scores on Various Surfaces:
3/5 right hind lame at trot on right lunge (hard surface)
2/5 right hind lame at trot on left lunge (hard surface)
2/5 right hind lame at trot on right lunge (soft surface)
1/5 right hind lame at trot on left lunge (soft surface)
Negative responses to left hind distal, right hind distal, and left hind proximal flexion.
Significantly positive response for right hind proximal flexion.
Baseline Lameness Findings
Establishment of Baseline:
Identified large effusions in right hind femoro-patella and medial femoro-tibial joints.
Confirmed as 3/5 right hind lame in straight line.
Variation: Lameness more severe on right hind proximal limb flexion, unaffected by distal flexion.
Regional Anaesthesia Decision
Anaesthesia Considerations:
Option to undertake regional anaesthesia for confirmation of lameness location.
Due to signalment and signs indicating stifle pathology, often skip to diagnostic imaging.
If pursuing anaesthesia: Focus on intra-articular anaesthesia of the stifle joints as this can abolish lameness.
Diagnostic Imaging Choice
Imaging Modalities:
The preferred initial imaging modality is radiography due to high suspicion of bone-related diseases in young warmbloods that show lameness at training onset.
Radiographic Findings for Bert
Description of View:
It’s a latero-medial image of Bert's right hind stifle. Positioning is not perfect, but lesions identifiable.
Lesion Analysis for Bert
Findings:
Multiple small, rounded radiodense lesions adjacent to the dorsal aspect of the lateral trochlear ridge of the right hind distal femur analyzed.
Represents multiple small bone fragments - diagnosis is osteochondritis dissecans (OCD) of the lateral trochlear ridge.
Treatment Plan for Bert
OCD Management:
Recommended treatment involves arthroscopic removal of loose bone fragments and debridement of necrotic bone/cartilage.
Prognosis for full athletic use is generally good, as seen in initial arthroscopic images.
Radiographic Findings for Ernie
Ernie's Radiography View:
Caudo-cranial image observed. Focus on radiographic abnormalities is necessary when describing for remote assessment.
Lesion Description for Ernie
Lytic Lesion Identification:
Single, large, oval, radiolucent lesion noted in the medial condyle of the femur depicting an area of bone lysis.
This indicates a subchondral bone cyst.
Treatment Options for Ernie
Subchondral Bone Cyst Management:
Treatments include corticosteroid injection or arthroscopic debridement of cyst contents.
Preferred method: Lag screw insertion across the cyst, promoting bone formation. Prognosis remains poor for athletic careers if untreated.
Osteochondrosis Overview
Conditions Explained:
OCD and bone cysts are manifestations of osteochondrosis.
Develop due to rapid growth (12-24 months) and poor endochondral ossification.
Symptoms can appear during exercise training at ages of 2-3 years for racehorses, and 3-5 years for dressage/eventing horses.
Predilection sites for OCD are where one bone surface over another, e.g., the lateral trochlear ridge of the femur; cysts at medial femoral condyle.