Injury to the origin of the gastrocnemius muscle as a possible cause of lameness in four horses

Four horses were evaluated because of hind limb lameness. Two had a distinct gait abnormality at the walk characterized by lateral rotation of the point of the calcaneus and medial rotation of the toe during the stance phase. Nuclear scintigraphy revealed a focal area of intense radioisotope uptake in the caudodistal aspect of the femur in all 4 horses, and 3 of the horses had a corresponding proliferative reaction on the caudodistal cortex of the femur on radiographs. In all 4 horses, a diagnosis of injury to the origin of the gastrocnemius muscle was made. Three of the horses returned to athletic endeavors after an extended period of rest and a gradual return to exercise. The fourth improved after 5 months of rest but became lame again when returned to exercise and was euthanatized.     

Tendon avulsion as a cause of lameness in turkeys

Avulsion of the lateral intertarsal tendon is a common cause of hock deformity and lameness in turkeys. The clinical and pathological features of this condition are described.     

High intraosseous pressure as a cause of lameness in a horse with a degloving injury of the metatarsus

A 6-year-old Paint mare undergoing treatment for a degloving injury of the right metatarsus developed a non-weight-bearing lameness 19 days after admission. Diagnostic nerve blocks localized the source of pain to the area between the tarsus and the metatarsophalangeal joint. Radiography of the metatarsus and metatarsophalangeal joint, arthrocentesis of the metatarsophalangeal joint, and ultrasonography of the flexor tendons, flexor tendon sheath, and suspensory ligament failed to identify the cause of the lameness. The horse was anesthetized and intraosseous pressure was measured in the left and right third metatarsal bones, using a self-tapping cannulated screw attached to a pressure transducer. Pressure in the affected limb (46 mm Hg) was 3.5 times as high as pressure in the unaffected limb (13 mm Hg). The day after pressures were measured and fenestration was performed, signs of lameness were substantially improved. High intraosseous pressure in the affected limb was most likely secondary to edema, inflammation, and partial venous thrombosis, in combination with bone neovascularization, that impaired intraosseous venous drainage from the medullary cavity. Fenestration of the affected bone relieved the excessive pressure and allowed for resolution of pain.     

Sesamoid disease as a cause of lameness in young dogs

A degenerative disease of the volar sesamoid bones of the metacarpophalangeal and metatarsophalangeal joints is described in young dogs of the larger breeds. It is characterized by degenerative changes in the articular cartilage of the sesamoid bones and by calcification within their ligamentous attachments. The lesion can be associated with lameness although it can also be asymptomatic. In many cases, other orthopaedic lesions are present in the dog which makes clinical assessment difficult. Treatment is by surgical removal of the affected sesamoid bone. This is the first report of this particular clinical entity which has been designated sesamoid disease.     

Teres minor myopathy as a cause of lameness in a dog

A case of a teres minor myopathy causing chronic lameness in a flve-yearold working iabrador retriever Is described. Uitrasonography was used to assist in detection of the condition and a definitive diagnosis was made by histological examination after muscle excision. Medical treatment was ineffective, but excision of the affected muscle resulted in complete resolution of the lameness with no apparent adverse affects on joint function. The aetiology of this condition Is unknown.     

Bilateral lameness in horses a kinematic study

Summary

The kinematic pattern of mild bilateral lameness was studied by inducing a supporting limb lameness in both forelimbs of 11 sound Dutch Warmblood horses. The kinematics of the horses were recorded while they trotted (3.5 m/s) on a treadmill. The locomotion analysis system CODA‐3 was used to determine the temporal stride patterns, limb movements as well as head and trunk movement patterns. The transient lameness model, by which pressure‐induced pain is evoked on the hoof sole, was used. Differences between left and right limbs as well as between the sound and the lame condition were tested using a paired t‐test.

Stride and stance duration did not change significantly (p < 0.05) during bilateral lameness compared to the pattern of sound horses. Diagonal advanced placement changed to an earlier placement of both forelimbs. Fetlock hyperextension decreased also in both forelimbs, while the pro‐ and retraction, hoof impact angle, maximal hoof height, and all hind limb variables remained unchanged. Vertical head and trunk movements tended to decrease, but these changes were not significant.

It was concluded that fetlock hyperextension and diagonal advanced placement indicate locomotor disturbances, but that mild bilateral lameness may be difficult to distinguish from individual patterns in single assessments because of the lack of locomotor asymmetries. Evaluation of these variables at regular intervals may allow an early detection of bilateral lameness, which then could be confirmed by diagnostic local anaesthesia.     

Malignant melanoma of the pelvis as a possible cause of pelvic limb lameness in two gray mares

Two grey mares, a 12-year-old Arabian and a 13-year-old Lippizaner cross, were referred for chronic pelvic limb lameness and abduction of the limb during the non supporting phase of the stride. The clinical examination revealed melanomas under the tail and on the perineum, and oedema of the proximal lame limb. A mass in the pelvic area was detected on rectal palpation. Laparoscopy was performed and the provisional diagnosis of malignant melanoma was made. Histological examination of the biopsy taken under laparoscopic control from the mass in the pelvis confirmed the diagnosis of malignant melanoma. In the postmortem examination a large black mass in the pelvis and metastases in several organs were diagnosed. The process under the tail showed microscopically the characteristics of dermal melanomatosis. The metastases showed the appearance of a malignant melanoma. The lameness and abduction during the non supporting phase of the stride were possibly caused by a combination of pain, a mechanical limitation, and paresis/paralysis. When an older grey horse with melanomas on the predilection sites is submitted with pelvic limb lameness and abduction of the limb during the non supporting phase of the stride, a malignant melanoma in the pelvis is one of the differential diagnoses and a rectal examination should be performed. Diagnostic laparoscopy in the standing horse can be useful to confirm the provisional diagnosis.     

Vascular hamartoma as the cause of hind limb lameness in a horse

We report a 5-year-old gelding with a rare benign tumour of 2-month duration in the subcutis of the hind limb that presented with lameness. Physical examination revealed normal vital signs. Laboratory findings were within normal ranges. No bone abnormalities were detected on radiographic examination of the affected area. Bloody fluid was obtained by aspiration. Through an I-shape skin incision the tumour was excised en-block. Microscopic study showed a vascular hamartoma characterized by cavernous haemangiomatous tissue and proliferation of multiple vessels of variable diameter. This report highlights the importance of limb vascular hamartoma, as an infrequent lesion, in the differential diagnosis of lameness in the horse.     

Actinomyces species as a cause of abscesses in nine horses

The characteristics, history, clinical signs, treatment and outcome of nine horses with abscesses caused by Actinomyces species were reviewed. dna sequencing was used to determine the species of one of the isolates. The horses were one to 11 years of age, and the abscesses were most commonly located in the submandibular and retropharyngeal regions. The bacterium was usually cultured as the sole isolate and the horses were most often affected in the autumn. Most of the abscesses were treated with antimicrobials and drainage, but some of them recurred. The horses with submandibular abscesses had residual scar tissue that in some cases did not resolve.     

Agreement between two inertial sensor gait analysis systems for lameness examinations in horses

Gait analysis is gaining popularity for quantification of lameness and 2 commonly used inertial sensor systems assess trunk movement symmetry: can these be used interchangeably in multi‐centre studies? We compared head and pelvic movement symmetry between 2 inertial sensor gait analysis systems in 13 horses equipped simultaneously with the 2 systems. The first system quantified dorsoventral movement in the local reference frame (System A) and the second system global vertical movement (System B). Widths of limits of agreement were calculated employing a well established regression method dealing with systematically changing differences over the range of measured values. Widths of limits of agreement between Systems A and B were narrower for pelvic movement than head movement. For head movement, they ranged from 6.4 to 6.9 mm for in‐hand trot and from 7.3 to 9.7 mm on the lunge and for pelvic movement from 2.5 to 4.4 mm in‐hand and from 3.6 to 5.3 mm on the lunge. Widths of limits of agreement between the 2 investigated inertial sensor gait analysis systems are of comparable magnitude (some equivalent, some marginally higher) to the currently proposed thresholds of 6 mm for head and 3 mm for pelvic movement used in lameness investigations. Differences in measurements with 2 different systems (A and B) obtained from the same horse falling within the reported values should not be seen as a sign of a change in lameness.