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[The history of neurectomy in horses with navicular disease].

The genetic predisposition to navicular disease is proven nowadays, but otherwise, etiology and pathogenesis are still unclear. Causal therapy isn't possible and because of the poor prognosis, neurectomy is still of bearing. This operation was performed already 200 years ago, but in the middle of the last century, critical voices have been raised in regard to the surgical procedure and its indication both for medical reasons and breeding. Clear instructions for exclusion of diseased animals from breeding are also older than one hundred years. These facts call for ethic considerations which concern both breeding and use of these animals. In earlier times, horses were used for basic human requirements mainly, but nowadays their employment occurs mainly for pleasure. Ethic reflections are our task, as our specialized knowledge forms their basis. Our philosophy has to be applicable in practice, what can be achieved best with utilitarianistic reasoning. The possibilities of our influence on the sport are limited, but in breeding our commitment has to be vigorous and unrestricted. Due to the development of immunogenetic studies, legal problems may arise in the near future as well.

Animals↗

The effect of diagnostic regional nerve blocks in the fore limb on the locomotion of clinically sound horses.

The practice of applying diagnostic nerve blocks relies on the assumption that the blocks in themselves do not alter the horse's gait. This assumption has recently been challenged. In the present paper a series of sequential nerve blocks (low palmar digital block, abaxial sesamoid block, high palmar block) was applied to clinically sound horses. Before and after each block the gait was clinically scored and Ground Reaction Forces (GRF) were measured. Clinical scoring did not change after any of the nerve blocks. None of the GRF variables changed significantly except for a slight alteration of the time at which the longitudinal GRF changed from a decelerative to a propulsive force. It is concluded that the basic assumption that diagnostic nerve blocks do not essentially alter the gait of a sound horse is correct.

Animals↗

Criteria for fibular sesamoidectomy in hallux abducto valgus correction.

Fibular sesamoidectomy is necessary in certain instances to achieve permanent correction of hallux abducto valgus deformities. The decision to remove the fibular sesamoid is usually based on the position of the tibial sesamoid (which is determined by clinical and radiographic examination). If the fibular sesamoid is in positions 4 to 7, it is difficult, if not impossible, to maintain the correction of the hallux abducto valgus; if the position is 1 through 3, the sesamoids can be moved medially and maintained by the crista which is still intact.

Hallux↗

The hallucal sesamoid complex.

The hallucal sesamoids are vitally important to normal weight bearing and foot mechanics. The sesamoid complex of the hallux normally transmits up to 50% of body weight and during push-off can transmit loads >300%. These high stresses may lead to both acute and chronic pathologies of the hallucal sesamoids. Sesamoidal problems may occur in the weekend warrior or the elite-level athlete. Thus, patients with sesamoid pathology may present to a general orthopaedic surgeon, sports medicine physician, foot and ankle specialist, or podiatrist. Physical examination, radiographs, and other specialized studies assist with the classification of sesamoid pathology. Initial treatment almost always involves an accommodative orthosis, but surgical intervention may be necessary in recalcitrant cases. Surgical options for managing problems of the hallucal sesamoid complex include curettage, bone grafting, shaving, internal fixation, and partial or complete excision.

Cumulative Trauma Disorders↗

Silastic ball spacer arthroplasty in the management of hallux valgus and hallux rigidus.

Sixty-two feet in 39 patients who were treated by insertion of a silastic ball spacer prosthesis into the first metatarsophalangeal joint for hallux valgus or hallux rigidus have been reviewed with a follow-up time of between 2 and 6 years. Twenty-one results (34%) were excellent, 27 (43%) were fair, 13 (21%) were poor, and one was revised. Seventeen feet (27%) had some metatarsalgia at followup. Results were disappointing in the young patients; in 19 cases of hallux valgus under the age of 45, 8 were either poor or had been revised. The original concept of the silastic ball spacer was to maintain great toe length and prevent proximal migration of the sesamoids. However 60% of these feet showed settling of the prosthesis or new bone formation around the prosthesis and 54% had more than 2 mm proximal migration of the sesamoid bones. The symptomatic results in these patients were similar to those in whom great toe length had been successfully maintained. The silastic ball spacer infrequently achieves its aims, however maintenance of hallux length does not seem to be important in the symptomatic result.

Adult↗

Sesamoiditis.

Explore the source record for details and available documents.

Athletic Injuries↗

Use of autogenous cancellous bone grafting in the treatment of septic navicular bursitis and distal sesamoid osteomyelitis in horses.

Six horses with septic navicular bursitis or distal sesamoid osteomyelitis were treated by means of surgical debridement and lavage, followed by packing of the wound created in the bottom of the foot with an autogenous cancellous bone graft. Two horses were euthanatized, one 18 months after surgery because of complications in the contralateral support limb, and one 68 days after surgery because of continuing severe lameness. Four horses were alive 9, 16, 21, and 42 months after surgery. One horse was used as a broodmare and did not have observable lameness. Two horses were being ridden. The remaining horse had improved markedly, but was still lame. It appears that cancellous bone grafts can be used successfully, in conjunction with debridement and antimicrobial treatment, in horses with septic navicular bursitis and distal sesamoid osteomyelitis.

Animals↗

Tibial and fibular sesamoid fractures on the same metatarsal: a review of two cases.

Fractures of the great toe sesamoids occur much less frequently than fractures of other bones, and, as such, the literature is sparse in dealing with this topic. Two cases of a rare occurrence of tibial and fibular sesamoid fractures on the same metatarsal are reported. Each case had a traumatic origin, and successful healing occurred in one case following 6 weeks of short leg casting. Total excision of both sesamoids was required in case 2 after complete healing was not achieved by short leg casting alone.

Adult↗

Evidence of a false thumb in a fossil carnivore clarifies the evolution of pandas.

The "false thumb" of pandas is a carpal bone, the radial sesamoid, which has been enlarged and functions as an opposable thumb. If the giant panda (Ailuropoda melanoleuca) and the red panda (Ailurus fulgens) are not closely related, their sharing of this adaptation implies a remarkable convergence. The discovery of previously unknown postcranial remains of a Miocene red panda relative, Simocyon batalleri, from the Spanish site of Batallones-1 (Madrid), now shows that this animal had a false thumb. The radial sesamoid of S. batalleri shows similarities with that of the red panda, which supports a sister-group relationship and indicates independent evolution in both pandas. The fossils from Batallones-1 reveal S. batalleri as a puma-sized, semiarboreal carnivore with a moderately hypercarnivore diet. These data suggest that the false thumbs of S. batalleri and Ailurus fulgens were probably inherited from a primitive member of the red panda family (Ailuridae), which lacked the red panda's specializations for herbivory but shared its arboreal adaptations. Thus, it seems that, whereas the false thumb of the giant panda probably evolved for manipulating bamboo, the false thumbs of the red panda and of S. batalleri more likely evolved as an aid for arboreal locomotion, with the red panda secondarily developing its ability for item manipulation and thus producing one of the most dramatic cases of convergence among vertebrates.

Animals↗