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Non-Weight Bearing Lameness John W. Gray, DVM UTCVM Large Animal Intern.

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Presentation on theme: "Non-Weight Bearing Lameness John W. Gray, DVM UTCVM Large Animal Intern."— Presentation transcript:

1 Non-Weight Bearing Lameness John W. Gray, DVM UTCVM Large Animal Intern

2 History Basic information Basic information –Signalment –Current lameness –Past lameness Specific information Specific information –Type of activity –Other info

3 Causes Subsolar abscess Subsolar abscess Fracture Fracture Septic joint, tendon sheath Septic joint, tendon sheath Penetrating injury Penetrating injury Joint dislocation Joint dislocation Cellulitits Cellulitits Quittor Quittor

4 Lateral Cartilages

5 Subsolar Absess

6 Non Weight Bearing Lameness Usually involves one foot/ leg Usually involves one foot/ leg Most likely cause is subsolar abscess Most likely cause is subsolar abscess Don’t transport until assessed by your vet Don’t transport until assessed by your vet

7 Subsolar Abscess Clinical Signs Increased digital pulse Increased digital pulse Area of sensitivity in sole Area of sensitivity in sole Check coronary band for lesion (“Gravel”) Check coronary band for lesion (“Gravel”)

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11 Subsolar Abscess Clinical Signs Swelling Swelling Sudden, severe lameness (Grade 3-4 of 5) Sudden, severe lameness (Grade 3-4 of 5) Affected foot is warmer Affected foot is warmer

12 Subsolar Abscess Causes Penetrating wound in white line, nail hole, or deep sub-solar bruise Penetrating wound in white line, nail hole, or deep sub-solar bruise Cause is often not identified Cause is often not identified

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14 Diagnosis History History Clinical signs Clinical signs Careful paring Careful paring Gray/black malodorous liquid Gray/black malodorous liquid Radiographs Radiographs Poultice foot Poultice foot Warm foot baths Warm foot baths

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16 TreatmentTreatment Establish drainage Establish drainage Soak in Epsom salt water Soak in Epsom salt water Drawing agents Drawing agents –Magnapaste –Ichthammol –Animalintex Keep Clean Keep Clean Bandage until defect closed Bandage until defect closed NSAIDs NSAIDs

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20 Subsolar Abscess Drawing agents Drawing agents –Soaking in Epsom Salts

21 Subsolar Abscess Drawing agents Drawing agents –Soaking in Epsom Salts

22 Subsolar Abscess Drawing agents Drawing agents –Soaking in Epsom Salts

23 Subsolar Abscess Bandage with drawing agents Bandage with drawing agents –Magna paste –Icthamol

24 Subsolar Abscess Bandage with drawing agents Bandage with drawing agents –Magna paste –Icthamol

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26 Subsolar Abscess Bandage with drawing agents Bandage with drawing agents –Magna paste –Icthamol

27 Subsolar Abscess Bandage with drawing agents Bandage with drawing agents –Magna paste –Icthamol

28 Subsolar Abscess Bandage with drawing agents Bandage with drawing agents –Magna paste –Icthamol

29 Complicated Absess

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32 Subsolar Abscess Treatment If the coffin bone is involved… If the coffin bone is involved… –Regional anesthesia/ antibiotics –Tetanus prophylaxis –Soak foot in warm Epsom salt solution –Aftercare depends on extent of infection & environment

33 Subsolar Abscess Aftercare Shoe w/ removable hospital (boiler or medicine) plate Shoe w/ removable hospital (boiler or medicine) plate Antibiotic & analgesic therapy is seldom required Antibiotic & analgesic therapy is seldom required

34 Subsolar Abscess Prognosis Usually excellent w/ uncomplicated subsolar abscess Usually excellent w/ uncomplicated subsolar abscess

35 Questions??


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