Radiocarpal: arthroscopy in Horses (Equis) | Vetlexicon
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Radiocarpal: arthroscopy

ISSN 2398-2977

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Introduction

  • Arthroscopy is a useful tool for both diagnosis and treatment of radiocarpal joint lesions   Joint: arthroscopy - overview   but it is a procedure which should only be carried out by specialists in the field.

Uses

Advantages

  • Minimally invasive with reduced trauma and fewer complications.
  • Improved visibility.
  • Multiple arthroscopies can be performed in multiple joints on one occasion.
  • Good cosmetic appearance following surgery.
  • Shorter operating time vs. arthrotomy.
  • Reduced convalescence vs. arthrotomy.
  • Better prognosis for return to previous level of performance (and beyond) vs. arthrotomy.

Disadvantages

  • Expensive equipment.
  • High levels of surgical expertise, knowledge and experience of technique required.

Technical problems

  • The radiocarpal joint is more difficult to operate on than other carpal joints because the joint capsule is stretched tighter against the dorsal surface of the bones leaving less room for manipulation of instruments.
  • Holding the limb in approximately 30° of flexion facilitates access to this joint for surgery.

Alternative techniques

  • Arthrotomy.

Time required

Preparation

Procedure

  • Depends on whether diagnostic and/or surgical procedures are undertaken: 30120 min.

Decision taking

Criteria for choosing test

  • Identification on radiography or scintigraphy of lesion amenable to arthroscopic surgery.
  • Lameness localized to carpal joint by intra articular anesthesia in absence of conclusive diagnosis.

Requirements

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Preparation

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Technique

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

Other sources of information

  • Ross M W & Dyson S J (2003) Eds. Diagnosis and Management of Lameness in the Horse. Saunders.
  • McIlwraith C W & Robertson J T (1998) Equine Surgery Advanced techniques. 2nd edn. Williams & Wilkins.