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Veterinary Clinics of North America. Equine Practice

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https://www.readbyqxmd.com/read/30342806/wound-management
#1
EDITORIAL
Earl M Gaughan
No abstract text is available yet for this article.
October 17, 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30342805/choosing-the-best-approach-to-wound-management-and-closure
#2
REVIEW
Louis Kamus, Christine Theoret
This article aims to help the practitioner by providing the tools to decide which type of closure or healing is best in a given situation. An overview of the main criteria and the different approaches to wound closure is presented. Each wound must be considered as a unique problem that requires a clinician to take into account all of its characteristics and limits to determine the best management approach.
October 17, 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30342804/equine-wound-management-bandages-casts-and-external-support
#3
REVIEW
Randy B Eggleston
Successful management of equine wounds relies on knowledge of the stages of wound healing, factors that can alter those stages, how healing stages can be manipulated, and adherence to the principles of wound healing. Challenges that complicate wound management include the inability to immobilize and/or confine equine patients, and maintain a clean environment during the critical initial stages of healing. Because of these challenges, the equine practitioner relies heavily on bandaging and external coaptation techniques to successfully treat and manage wounds...
October 17, 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30342803/medical-therapy-in-equine-wound-management
#4
REVIEW
R Reid Hanson
Suitable use of prophylactic antimicrobial drugs for wounds depends on the accurate selection of appropriate antibiotics, dosing regimen, and duration of use. Regional intravenous delivery and intraosseous infusion of antibiotics are pivotal to a successful outcome for deep-rooted infections, inadequately perfused tissue, and infected wounds containing biofilm. Antibiotic-impregnated polymethylmethacrylate beads are predominantly helpful for wounds that have a poor blood supply and for those containing surgical implants that must remain in place...
October 17, 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007453/equine-sports-medicine-our-daily-challenge
#5
EDITORIAL
José M García-López
No abstract text is available yet for this article.
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007452/lower-airway-disease-in-the-athletic-horse
#6
REVIEW
Melissa R Mazan
The airways are the first part of the pathway in the oxygen transport chain that is critical to excellent athletic performance, and the lower airways are considered the final gatekeeper before oxygen enters the blood and carbon dioxide exits. Horses are blessed with large airways and lungs that allow them to be superb athletes, but the down side of this largesse on the part of evolution is that unless they are truly elite athletes they may withstand noninfectious disease of the lower respiratory tract for months to years before the owner or trainer notices...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007451/cardiac-cardiovascular-conditions-affecting-sport-horses
#7
REVIEW
Katherine B Chope
Cardiac murmurs are not uncommonly detected in the equine athlete. Although most are benign in nature, differentiation and quantification of murmurs due to valvular regurgitation are important for prognosis and recommendations. Arrhythmias can be associated with structural disease or occur independently and may range in severity from minimal clinical effect to poor performance to presenting a safety risk to rider and horse. This article discusses commonly encountered cardiac conditions in the sport horse. Physical examination, diagnostic approach, valvular disease, and arrhythmias with an impact on performance or ridden safety are discussed...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007450/understanding-the-basic-principles-of-podiatry
#8
REVIEW
Raul J Bras, Ric Redden
Foot-related lameness is one of the most frequently encountered problems in the equine industry. Therapeutic shoeing is a frequently used preventative discipline for the treatment of many causes of lameness. The primary goal for therapeutic applications is to offset the mechanical limitations and enhance the healing environment. Equine podiatry is a blend of the 2 highly respected professions each contributing to the task at hand, but neither formally educated and trained as collaborative team members with a common thread of podiatry principles...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007449/borreliosis-in-sport-horse-practice
#9
REVIEW
Eric Lockwood Swinebroad
Given the variable clinical signs attributed to Borrelia burgdorferi, including infectious arthritis, neurologic disease, and behavioral changes, B burgdorferi is an important differential for decreased performance in sport horses. The primary vectors (Ixodes tick species) are expanding their range and thus Borrelia species are located in a wider area, making exposure more likely. Due to regionally high seroprevalence and vague clinical signs, diagnosis of Lyme disease in the horse is believed overestimated...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007448/neurologic-conditions-affecting-the-equine-athlete
#10
REVIEW
Daniela Bedenice, Amy L Johnson
EPM, CVSM, and EDM are currently recognized as the 3 most common neurologic diseases in US horses, with the latter 2 conditions being most prevalent in young animals. Moreover, horses competing at shows and performance events are at greater risk for exposure to highly contagious, neurologic EHV-1 outbreaks. A clinical diagnosis of any neurologic disease should be based on a careful history, complete neurologic examination, and appropriate diagnostic testing and interpretation. However, mild or early neurologic signs can often mimic or be mistaken for an orthopedic condition when horses present for performance-related concerns...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007447/diagnosis-of-skeletal-injury-in-the-sport-horse
#11
REVIEW
Kathryn B Wulster
This article discusses the basis of image formation of radiography, scintigraphy, PET, computed tomography (fan beam and cone beam), and magnetic resonance as it relates to imaging of musculoskeletal injury in the sport horse. The benefits and drawbacks of each modality are discussed with particular emphasis on sensitivity, specificity, and accuracy of identification of subchondral bone injury. Examples of straightforward as well as confounding lesions are provided, emphasizing the need for appropriate clinical workup and diagnostic analgesia, where appropriate...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/30007446/lameness-evaluation-of-the-athletic-horse
#12
REVIEW
Elizabeth J Davidson
Lameness examination is commonly performed in the athletic horse. A skilled lameness diagnostician must have keen clinical and observational skills. Evaluation starts with a detailed history and thorough physical examination. Next, gait evaluation in the moving horse is performed. Lame horses have asymmetrical body movement due to unconscious shift of body weight. Recognition of the resultant head nod and pelvic hike is the basis for lameness diagnosis. Lameness identification is enhanced by circling, limb flexions, and riding...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29857966/equine-manual-therapies-in-sport-horse-practice
#13
REVIEW
Kevin K Haussler
Manual therapies involve the application of the hands to the body, with a diagnostic or therapeutic intent. Touch therapies, massage, joint mobilization, and manipulation are all critical components in the management of muscular, articular, and neurologic components of select injuries in performance horses. Musculoskeletal conditions that are chronic or recurring, not readily diagnosed, or are not responding to conventional veterinary care may be indicators that manual therapy evaluation and treatment is needed...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29857965/endocrine-disorders-of-the-equine-athlete
#14
REVIEW
Nicholas Frank
Equine athletes are affected by 2 major endocrine/metabolic disorders, insulin dysregulation (ID) and pituitary pars intermedia dysfunction. ID is a risk factor for laminitis in horses, which poses the greatest threat to performance because of the damage that it causes to hoof structures. This article includes an in-depth discussion of ID and other risk factors for laminitis that are grouped together as equine metabolic syndrome. As horses age, the risk of pituitary pars intermedia dysfunction increases, and this endocrine disorder may exacerbate preexisting ID and further increase the risk of laminitis...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29853158/muscle-conditions-affecting-sport-horses
#15
REVIEW
Stephanie J Valberg
Optimal function of skeletal muscle is essential for successful athletic performance. Even minor derangements in locomotor muscle function will impact power output, coordination, stamina, and desire to work during exercise. In this review, the presenting clinical signs, differential diagnoses, approach to diagnostic testing and treatment of muscle atrophy and weakness, focal muscle strain, and exertional myopathies are discussed. Exertional myopathies include polysaccharide storage myopathies, recurrent exertional rhabdomyolysis, malignant hyperthermia, and myofibrillar myopathy...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29853157/diagnosis-of-soft-tissue-injury-in-the-sport-horse
#16
REVIEW
Kirstin A Bubeck, Stacie Aarsvold
For successful diagnosis of soft tissue injuries in the sport horse, localizing the area of injury during clinical and lameness evaluation will be followed in most cases by an ultrasonographic examination. With MRI more available in equine veterinary clinics, this modality can allow for a complete evaluation of soft tissue and osseous structures and is especially useful for evaluation of structures within the hoof capsule. This article discusses special ultrasonographic techniques, an overview of MRI image generation, and the use of contrast computed tomography for diagnosis of soft tissue injuries...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29853156/neck-back-and-pelvic-pain-in-sport-horses
#17
REVIEW
José M García-López
Pain localized to the neck, back, and or pelvis can result in a profound effect on the horse's performance. These conditions can present with a varied and nonspecific set of clinical signs. A careful and thorough examination of these areas by means of physical examination, lameness evaluation both in hand and under saddle, diagnostic anesthesia, and the use of multiple imaging modalities in combination is often necessary to have an accurate prognosis. Medical and surgical management where appropriate of the conditions highlighted in this article are discussed as well as their individual prognosis...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29803299/regenerative-medicine-and-rehabilitation-for-tendinous-and-ligamentous-injuries-in-sport-horses
#18
REVIEW
Kyla F Ortved
Tendon and ligament injuries are a common source of lameness in the athletic horse. Although tendons and ligaments have the ability to spontaneously heal, lesions tend to fill with biomechanically inferior fibrous tissue such that the horse is prone to reinjury. Regenerative medicine is used to improve quality of repair tissue and prevent reinjury. Platelet-rich plasma, stem cells, and autologous conditioned serum are the most commonly used orthobiologics in the horse. A tailored rehabilitation program is key to returning horses to athleticism following injury...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29793735/upper-airway-conditions-affecting-the-equine-athlete
#19
REVIEW
Eric J Parente
Many abnormalities of the upper airway that can inhibit performance are determined on a critical resting endoscopic evaluation. Some dynamic abnormalities can only be seen during an exercising endoscopic evaluation, which should be performed whenever the history of abnormal noise or performance limitations is not completely consistent with the resting endoscopic findings. Head and neck position may play a critical role in the evaluation process and the exact position during performance should be reproduced during the clinical examination to definitively define the abnormality...
August 2018: Veterinary Clinics of North America. Equine Practice
https://www.readbyqxmd.com/read/29793734/management-and-rehabilitation-of-joint-disease-in-sport-horses
#20
REVIEW
Erin K Contino
Joint disease is one of the most common issues effecting sport horses. Because there is no cure for joint disease, treatment goals surround slowing progression of the disease, minimizing pain, increasing function, and optimizing performance. Accomplishing these goals often requires a multimodal approach that combines systemic medications or supplements; intra-articular therapies, such as corticosteroids or biologics; management considerations; and physical therapy exercises.
August 2018: Veterinary Clinics of North America. Equine Practice
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