non-weight bearing lameness john w. gray, dvm utcvm large animal intern
TRANSCRIPT
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Non-Weight Bearing Non-Weight Bearing LamenessLameness
John W. Gray, DVMJohn W. Gray, DVMUTCVM Large Animal InternUTCVM Large Animal Intern
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HistoryHistory
• Basic informationBasic information– SignalmentSignalment– Current lamenessCurrent lameness– Past lamenessPast lameness
• Specific Specific informationinformation– Type of activityType of activity– Other info Other info
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CausesCauses
• Subsolar abscessSubsolar abscess
• FractureFracture
• Septic joint, tendon Septic joint, tendon sheathsheath
• Penetrating injuryPenetrating injury
• Joint dislocationJoint dislocation
• Cellulitits Cellulitits
• QuittorQuittor
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Lateral CartilagesLateral Cartilages
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Subsolar AbsessSubsolar Absess
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Non Weight Non Weight Bearing LamenessBearing LamenessNon Weight Non Weight Bearing LamenessBearing Lameness
•Usually involves one foot/ legUsually involves one foot/ leg
•Most likely cause is subsolar Most likely cause is subsolar abscessabscess
•Don’t transport until Don’t transport until assessed by your vetassessed by your vet
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Subsolar AbscessSubsolar AbscessClinical SignsClinical SignsSubsolar AbscessSubsolar AbscessClinical SignsClinical Signs
• Increased digital Increased digital pulsepulse
• Area of sensitivity in Area of sensitivity in solesole
• Check coronary band Check coronary band for lesion (“Gravel”)for lesion (“Gravel”)
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Subsolar AbscessSubsolar AbscessClinical SignsClinical SignsSubsolar AbscessSubsolar AbscessClinical SignsClinical Signs
• SwellingSwelling
• Sudden, severe Sudden, severe lameness (Grade 3-4 of lameness (Grade 3-4 of 5)5)
• Affected foot is warmerAffected foot is warmer
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Subsolar Abscess Subsolar Abscess CausesCauses
• Penetrating wound Penetrating wound in white line, nail in white line, nail hole, or deep sub-hole, or deep sub-solar bruisesolar bruise
• Cause is often not Cause is often not identifiedidentified
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DiagnosisDiagnosis
• History History
• Clinical signsClinical signs
• Careful paringCareful paring
• Gray/black Gray/black malodorous liquidmalodorous liquid
• RadiographsRadiographs
• Poultice footPoultice foot
• Warm foot bathsWarm foot baths
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TreatmentTreatmentTreatmentTreatment
•Establish drainageEstablish drainage•Soak in Epsom salt waterSoak in Epsom salt water•Drawing agentsDrawing agents
– MagnapasteMagnapaste– IchthammolIchthammol– AnimalintexAnimalintex
•Keep CleanKeep Clean•Bandage until defect closedBandage until defect closed•NSAIDsNSAIDs
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Drawing agentsDrawing agents
– Soaking in Epsom SaltsSoaking in Epsom Salts
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Drawing agentsDrawing agents
– Soaking in Epsom SaltsSoaking in Epsom Salts
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Drawing agentsDrawing agents
– Soaking in Epsom SaltsSoaking in Epsom Salts
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Bandage with drawing agentsBandage with drawing agents
– Magna pasteMagna paste– IcthamolIcthamol
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Bandage with drawing agentsBandage with drawing agents
– Magna pasteMagna paste– IcthamolIcthamol
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Bandage with drawing agentsBandage with drawing agents
– Magna pasteMagna paste– IcthamolIcthamol
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Bandage with drawing agentsBandage with drawing agents
– Magna pasteMagna paste– IcthamolIcthamol
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Subsolar AbscessSubsolar AbscessSubsolar AbscessSubsolar Abscess•Bandage with drawing agentsBandage with drawing agents
– Magna pasteMagna paste– IcthamolIcthamol
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Complicated Complicated AbsessAbsess
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Complicated Complicated AbsessAbsess
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Complicated Complicated AbsessAbsess
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Subsolar AbscessSubsolar AbscessTreatmentTreatment
• If the coffin bone is If the coffin bone is involved…involved…– Regional anesthesia/ Regional anesthesia/
antibioticsantibiotics– Tetanus prophylaxisTetanus prophylaxis– Soak foot in warm Soak foot in warm
Epsom salt solutionEpsom salt solution– Aftercare depends Aftercare depends
on extent of on extent of infection & infection & environmentenvironment
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Subsolar AbscessSubsolar AbscessAftercareAftercare
• Shoe w/ removable Shoe w/ removable hospital (boiler or hospital (boiler or medicine) platemedicine) plate
• Antibiotic & Antibiotic & analgesic therapy analgesic therapy is seldom requiredis seldom required
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Subsolar AbscessSubsolar AbscessPrognosisPrognosis
• Usually excellent Usually excellent w/ uncomplicated w/ uncomplicated subsolar abscesssubsolar abscess
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Questions??Questions??