Peer-reviewed veterinary case report
Modified tenoscopic method for carpal flexor retinaculum release in a horse.
- Journal:
- Veterinary surgery : VS
- Year:
- 2010
- Authors:
- Byron, Christopher R et al.
- Affiliation:
- Department of Veterinary Clinical Medicine · United States
- Species:
- horse
Plain-English summary
A 4-year-old female Thoroughbred horse was treated for carpal canal syndrome, which is a condition that affects the wrist area due to inflammation from an injury. The treatment involved a specialized surgical technique that used small instruments to release the tight band of tissue around the carpal area and clean out the inflamed area. After the surgery, the horse showed improvement, with no more swelling or lameness, and was able to return to racing 14 months later. This method was found to be safe and effective, providing easier access to the area without causing additional damage. Overall, the treatment worked well for this horse.
Abstract
OBJECTIVE: To report the use of a proximolateral endoscopic portal with a distolateral instrument portal for carpal retinaculum release in a horse clinically affected with carpal canal syndrome. STUDY DESIGN: Clinical report. ANIMALS: A 4-year-old Thoroughbred female. METHODS: Carpal canal syndrome secondary to traumatic suppurative tenosynovitis was treated by accessory carpal bone debridement and carpal retinaculum release using a tenoscopic approach to the carpal flexor synovial sheath through a proximolateral endoscope portal and a distolateral instrument portal. RESULTS: Resolution of carpal sheath effusion and lameness occurred allowing racing 14 months later. Use of a distolateral instrument portal was not associated with complications or iatrogenic damage to neurovascular structures and reduced endoscope and instrument interference and offered easier access to the distal aspect of the carpal sheath. CONCLUSIONS: Carpal retinaculum release may be safely accomplished with a distolateral instrument portal when access to the distal aspect of the carpal sheath is needed. CLINICAL RELEVANCE: The distolateral instrument portal described may be a useful alternative to a proximolateral portal when distal carpal sheath instrument access is necessary or advantageous.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/20210974/