Document Detail


Modified tenoscopic method for carpal flexor retinaculum release in a horse.
MedLine Citation:
PMID:  20210974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report the use of a proximolateral endoscopic portal with a distolateral instrument portal for carpal retinaculum release in a horse clinically affected with carpal canal syndrome.
STUDY DESIGN: Clinical report.
ANIMALS: A 4-year-old Thoroughbred female.
METHODS: Carpal canal syndrome secondary to traumatic suppurative tenosynovitis was treated by accessory carpal bone debridement and carpal retinaculum release using a tenoscopic approach to the carpal flexor synovial sheath through a proximolateral endoscope portal and a distolateral instrument portal.
RESULTS: Resolution of carpal sheath effusion and lameness occurred allowing racing 14 months later. Use of a distolateral instrument portal was not associated with complications or iatrogenic damage to neurovascular structures and reduced endoscope and instrument interference and offered easier access to the distal aspect of the carpal sheath.
CONCLUSIONS: Carpal retinaculum release may be safely accomplished with a distolateral instrument portal when access to the distal aspect of the carpal sheath is needed.
CLINICAL RELEVANCE: The distolateral instrument portal described may be a useful alternative to a proximolateral portal when distal carpal sheath instrument access is necessary or advantageous.
Authors:
Christopher R Byron; Britany M Benson; William M Karlin; Allison A Stewart
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  39     ISSN:  1532-950X     ISO Abbreviation:  Vet Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-05-07     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  239-43     Citation Subset:  IM    
Affiliation:
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL, USA. cbyron98@aol.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Arthroscopy / methods,  veterinary*
Carpal Tunnel Syndrome / surgery,  veterinary*
Carpus, Animal / surgery*
Female
Horse Diseases / surgery*
Horses / surgery
Lameness, Animal / surgery
Tendons / surgery
Tenosynovitis / veterinary

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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