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Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures

(2011) EQUINE VETERINARY JOURNAL. 43(6). p.660-668
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Abstract
To determine the prevalence of LTs of the digital flexor tendons in a large population of horses undergoing diagnostic tenoscopy of the DFTS and to assess the outcome of surgical treatment and the factors influencing the outcome. Methods: Medical records of 130 horses with chronic tenosynovitis of the DFTS that had tenoscopic surgery between 1999 and 2009 were evaluated. One hundred and thirty-five DFTSs were examined. LTs were diagnosed in 104 DFTSs in 101 horses and long-term follow-up was obtained. Results: Seventy-eight percent of the horses with a nonseptic tenosynovitis of the DFTS had a LT. Preoperative ultrasonographic examination diagnosed tears in 76% of the cases. In showjumpers forelimbs were more frequently affected than hindlimbs (88 vs. 12%), with the right front having a higher incidence of injury than the left front (76 vs. 24%). Seventy-nine percent of the tears involved the deep digital flexor tendon (DDFT) and 87% were located on the lateral tendon border. Thirty-seven horses (38%) returned to an equal or higher level of work. The use of a radiofrequency probe (coblation) was associated with a lower level of performance and decreased the cosmetic end result. Persistence of marked post operative distension of the DFTS carried a poor prognosis for return to previous level of work. Conclusions and potential relevance: A guarded prognosis for future soundness should be given to horses presented for treatment of LTs of the digital flexor tendons. The use of coblation wands had a negative effect on the final outcome.
Keywords
ANNULAR LIGAMENT CONSTRICTION, tears, JUMPING HORSES, FETLOCK, JOINT, horse, tenoscopy, digital flexor tendons, palmar/plantar annular ligament

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Citation

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MLA
Arensburg, L, H Wilderjans, O Simon, et al. “Nonseptic Tenosynovitis of the Digital Flexor Tendon Sheath Caused by Longitudinal Tears in the Digital Flexor Tendons: a Retrospective Study of 135 Tenoscopic Procedures.” EQUINE VETERINARY JOURNAL 43.6 (2011): 660–668. Print.
APA
Arensburg, L., Wilderjans, H., Simon, O., Dewulf, J., & Boussauw, B. (2011). Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures. EQUINE VETERINARY JOURNAL, 43(6), 660–668.
Chicago author-date
Arensburg, L, H Wilderjans, O Simon, Jeroen Dewulf, and B Boussauw. 2011. “Nonseptic Tenosynovitis of the Digital Flexor Tendon Sheath Caused by Longitudinal Tears in the Digital Flexor Tendons: a Retrospective Study of 135 Tenoscopic Procedures.” Equine Veterinary Journal 43 (6): 660–668.
Chicago author-date (all authors)
Arensburg, L, H Wilderjans, O Simon, Jeroen Dewulf, and B Boussauw. 2011. “Nonseptic Tenosynovitis of the Digital Flexor Tendon Sheath Caused by Longitudinal Tears in the Digital Flexor Tendons: a Retrospective Study of 135 Tenoscopic Procedures.” Equine Veterinary Journal 43 (6): 660–668.
Vancouver
1.
Arensburg L, Wilderjans H, Simon O, Dewulf J, Boussauw B. Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures. EQUINE VETERINARY JOURNAL. 2011;43(6):660–8.
IEEE
[1]
L. Arensburg, H. Wilderjans, O. Simon, J. Dewulf, and B. Boussauw, “Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures,” EQUINE VETERINARY JOURNAL, vol. 43, no. 6, pp. 660–668, 2011.
@article{2055476,
  abstract     = {To determine the prevalence of LTs of the digital flexor tendons in a large population of horses undergoing diagnostic tenoscopy of the DFTS and to assess the outcome of surgical treatment and the factors influencing the outcome. 
Methods: Medical records of 130 horses with chronic tenosynovitis of the DFTS that had tenoscopic surgery between 1999 and 2009 were evaluated. One hundred and thirty-five DFTSs were examined. LTs were diagnosed in 104 DFTSs in 101 horses and long-term follow-up was obtained. 
Results: Seventy-eight percent of the horses with a nonseptic tenosynovitis of the DFTS had a LT. Preoperative ultrasonographic examination diagnosed tears in 76% of the cases. In showjumpers forelimbs were more frequently affected than hindlimbs (88 vs. 12%), with the right front having a higher incidence of injury than the left front (76 vs. 24%). Seventy-nine percent of the tears involved the deep digital flexor tendon (DDFT) and 87% were located on the lateral tendon border. Thirty-seven horses (38%) returned to an equal or higher level of work. The use of a radiofrequency probe (coblation) was associated with a lower level of performance and decreased the cosmetic end result. Persistence of marked post operative distension of the DFTS carried a poor prognosis for return to previous level of work. 
Conclusions and potential relevance: A guarded prognosis for future soundness should be given to horses presented for treatment of LTs of the digital flexor tendons. The use of coblation wands had a negative effect on the final outcome.},
  author       = {Arensburg, L and Wilderjans, H and Simon, O and Dewulf, Jeroen and Boussauw, B},
  issn         = {0425-1644},
  journal      = {EQUINE VETERINARY JOURNAL},
  keywords     = {ANNULAR LIGAMENT CONSTRICTION,tears,JUMPING HORSES,FETLOCK,JOINT,horse,tenoscopy,digital flexor tendons,palmar/plantar annular ligament},
  language     = {eng},
  number       = {6},
  pages        = {660--668},
  title        = {Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures},
  url          = {http://dx.doi.org/10.1111/j.2042-3306.2010.00341.x},
  volume       = {43},
  year         = {2011},
}

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