| Clinical, magnetic resonance, and sonographic imaging findings in horses with proximal plantar metatarsal pain. | |
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MedLine Citation:
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PMID: 20166387 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sonography is commonly used for diagnosis of desmopathy of the proximal part of the suspensory ligament in horses. However, magnetic resonance (MR) imaging has been stated to be superior for detecting disease and localizing lesions. In this retrospective study of 39 horses or 46 hind limbs with lameness due to proximal plantar metatarsal pain, the clinical and diagnostic findings are discussed and sonography and MR imaging compared for examination of the proximal part of the suspensory ligament. With MR imaging interpreted as the clinical gold standard, desmopathy of the proximal part of the suspensory ligament was diagnosed in 21 hind limbs, proximal plantar metatarsal pain of unknown cause in 12, an osseous injury at the origin of the suspensory ligament in four and a condition unrelated to the suspensory ligament in nine. Based on these findings, sonography had a sensitivity of 0.77 and 0.66 and specificity of 0.33 and 0.31 for diagnosing proximal suspensory desmopathy and for accurately localizing lesions, respectively. MR imaging changes consistent with proximal suspensory desmopathy were signal hyperintensities and an increase in cross-sectional area compared with the contralateral limb. Anesthesia of the deep branch of the lateral plantar nerve is not specific neither for proximal suspensory desmopathy, as conditions unrelated to the suspensory ligament were diagnosed, nor for diagnosis of proximal plantar metatarsal pain, as conditions outside the proximal plantar metatarsal region were also diagnosed. |
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Authors:
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Raphael Labens; Michael C Schramme; Ian D Robertson; Donald E Thrall; W Rich Redding |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association Volume: 51 ISSN: 1058-8183 ISO Abbreviation: Vet Radiol Ultrasound Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-02-19 Completed Date: 2010-06-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9209635 Medline TA: Vet Radiol Ultrasound Country: United States |
Other Details:
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Languages: eng Pagination: 11-8 Citation Subset: IM |
Affiliation:
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College of Veterinary Medicine, North Carolina State University, Hillsborough Street 4700, Raleigh, NC 27606, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Animals Female Horse Diseases / diagnosis*, ultrasonography Horses Lameness, Animal / diagnosis*, ultrasonography Magnetic Resonance Imaging / methods, standards, veterinary* Male Metatarsal Bones / radiography* Pain / diagnosis, ultrasonography, veterinary* Retrospective Studies Sensitivity and Specificity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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