CLEAR DIAGNOSTICS. BETTER OUTCOMES. standing mri offers no stress, no anesthesia, JUST INFORMATION.


HISTORY CASE STUDY NO. 3 A 3-year-old Standardbred colt presenting with severe left hind limb lameness DIAGNOSTICS


Physical exam: Nerve blocks: Radiographs:


 


Nuclear Scintigraphy: N/A Ultrasound:


 


STANDING MRI Findings


A standing MRI of the leſt hind pastern revealed a marked STIR and T2 hyperintensity and moderate T1 and T2* hypointensity in the plantar and proximal aspect of the middle phalanx, indicating fluid accumulation in the trabecular bone, or bone edema pattern (Fig. 1-2). In addition, a well-defined round lesion in the mid to medial aspect of the distal scutum near its insertion onto P2 (Fig. 3) and an irregular pattern in the straight sesamoidean ligament.


TREATMENT: Post MRI Results


Treatment with tiludronate was recommended to promote bone healing by slowing bone turnover and decreasing intraosseous inflammation. Continued confinement to a yard for four months took place before a gradual return to training. To find out how the horse is currently doing visit www.hallmarq.net.


Fig. 3


Generalized pastern swelling after a traumatic paddock incident (fracture suspected).


Local anesthesia of the tendon sheath yielded 90% improvement of the lameness at the walk.


Unremarkable Unremarkable


Fig. 1


Fig. 2


To locate a Hallmarq standing equine MRI machine near you, visit www.hallmarq.net.


Standing Equine MRI


Special thanks to Ballarat Veterinary Practice, Victoria, Australia, for the case study. ©2015 Hallmarq, LLC. All rights reserved.

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