CPE Equine Station 3 Lameness

1. Signalment, including breed
2. Presenting complaint
3. Duration of presenting complaint
4. Previous treatment(s); response to those treatments
5. Intended use of affected animal

Nota:

• Signs of Lameness in Horses http://www.youtube.com/watch?v=c9Mn9RP39lE

1. Parts of stride
   1. Landing
   2. Length
   3. Sound
   4. Symmetry
   5. Normal
   6. Abnormal
2. Head or hip position in relation to stride
   1. Hind limb
   2. Fore Limb
3. Reasons for diagnosing the lameness in a specific limb

Nota:

• Equine Techniques: Diagnosing Lameness in the Horse http://www.youtube.com/watch?v=srdTgPc91nQ Lameness Exam Part 1 http://www.youtube.com/watch?v=zH4YySG1D_w&list=PLSS-sRPp2WZ478wYekQYPdIfwLtmFdZRn Lameness Exam Part 2 http://www.youtube.com/watch?v=n4B8yNJUn-U&list=PLSS-sRPp2WZ478wYekQYPdIfwLtmFdZRn

1. Characterization of digital pulses
2. Foot
   1. Picking up

      Nota:

      • The Safe and Smart Way to Pick Up Your Horse's Back Feet http://www.youtube.com/watch?v=vW1PvMRo2PU The Safe and Smart Way to Pick Up Your Horse's Front Feet http://www.youtube.com/watch?v=CoBrmRoJ2BE&list=PLfYc1fRT-ZniZBwklix42SFrjmeIVhBHF
      1. Examining

         Nota:

         • Anatomy of the Horse's Hoof http://www.youtube.com/watch?v=s2NkJY5vZqU Anatomy of the Horse's Hoof, part 2 http://www.youtube.com/watch?v=1pigvgNB0kI
      2. Applying hoof testers

         Nota:

         • Equine Techniques: Hoof Testing http://www.youtube.com/watch?v=T7zZxEVRKpY
3. Palpation of the limb
   1. identification of
      1. swellings
      2. Heat
      3. Pain
4. Manipulation of joints
5. Flexion test or justification for not performing any
6. Describing how to do nerve blocks
   1. Palmar/Plantar

      Nota:

      • Palmar Digital Block.mov http://www.youtube.com/watch?v=GiZu9fVLKQw&list=PLSS-sRPp2WZ478wYekQYPdIfwLtmFdZRn&index=53
   2. Abaxial Sesmoid
   3. Low and High volar
   4. Identification of landmarks , how to prepare the site, injection technique, appropriate drugs, and area desensitized by each nerve block
7. Requesting appropriate nerve/joint blocks, or justification for not requesting
8. Requesting imaging studies, or justification for not requesting
9. Identification of correct affected anatomical region
10. Communicating prognosis for return to use.
    1. short
    2. long-term

1. Lower Limbs
   1. Bones

      Nota:

      • The Horse's Skeleton: Forelimbs http://www.youtube.com/watch?v=CnbvCwlIOTI
      1. Cannon bone (MC III) Splint bones ( MC II / IV) Accessory carpal bone
   2. Joins

      Nota:

      • http://www.equioxx.com/SiteCollectionImages/joint-tool-swfs/HorseDemo_v6.swf
      1. Fetlock joint pouches (metacarpal-phalangeal joint)
   3. Ligaments / Tendons
      1. Suspensory ligament Superficial digital flexor/deep digital flexor tendon
   4. sulcus of the frog
2. Hips
   1. Coxofemoraljoint n. Greater trochanter Tuber ischii q. Tuber sacrale r. Tuber coxae
3. Hind Limbs
   1. Patella l. Medial patellar ligament
   2. Semitendinosus and semimembranosus muscles
   3. Calcaneus, Carpus
4. Front Limbs
   1. Point of shoulder
   2. Scapulohumeral joint
   3. Olecranon, Tarsus