PMID- 17076464
OWN - NLM
STAT- MEDLINE
DCOM- 20061128
LR  - 20220311
IS  - 0036-7281 (Print)
IS  - 0036-7281 (Linking)
VI  - 148
IP  - 10
DP  - 2006 Oct
TI  - Treatment of chronic proximal suspensory desmitis in horses using focused 
      electrohydraulic shockwave therapy.
PG  - 561-8
AB  - The objective of the present clinical report was to investigate the short- and 
      long-term outcomes of chronic proximal suspensory desmitis (PSD) treated with 
      Extracorporeal Shockwave Treatment (ESWT). Fifty-two horses with chronic PSD in 
      the forelimb (34 cases) or hindlimb (22 cases) were included in the study. Three 
      horses had lesions in both hindlimbs and one in both forelimbs. The origin of the 
      suspensory ligament was treated every three weeks for a total of three treatments 
      using 2000 impulses applied by a focused ESWT device (Equitron) at an energy flux 
      density of 0.15 mJ/ mm2. This treatment regime was followed by box rest and a 
      controlled exercise program of 12 weeks duration. The horses were assessed 3, 6, 
      12, 24 weeks and one year after the first treatment. Of the 34 cases with 
      forelimb PSD, 21 (61.8%) had returned to full work by six months after diagnosis 
      and 19 cases (55.9%) were still in full work one year after ESWT. Of the 22 
      horses with hindlimb PSD, 9 (40.9%) had returned to full work by six months and 4 
      (18.2%) were still in full work one year after diagnosis. There was no 
      association (chi-square test) between the outcome and the severity of the initial 
      ultrasonographic and/or radiographic findings. Compared with the results of other 
      clinical studies, these findings suggest that in horses with PSD of fore- and 
      hindlimb, the prognosis for returning to full work six months after diagnosis can 
      be improved when ESWT and a controlled exercise program are used. However, a high 
      rate of recurrence occurred in the hindlimb despite treatment.
FAU - Lischer, C J
AU  - Lischer CJ
AD  - Weipers Centre for Equine Welfare, University of Glasgow, Scotland, UK. 
      C.Lischer@vet.gla.ac.uk
FAU - Ringer, S K
AU  - Ringer SK
FAU - Schnewlin, M
AU  - Schnewlin M
FAU - Imboden, I
AU  - Imboden I
FAU - Furst, A
AU  - Furst A
FAU - Stockli, M
AU  - Stockli M
FAU - Auer, J
AU  - Auer J
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PL  - Switzerland
TA  - Schweiz Arch Tierheilkd
JT  - Schweizer Archiv fur Tierheilkunde
JID - 0424247
SB  - IM
MH  - Animals
MH  - Female
MH  - Forelimb/diagnostic imaging
MH  - Hindlimb/diagnostic imaging
MH  - Horse Diseases/classification/diagnosis/*therapy
MH  - Horses
MH  - Lameness, Animal/classification/diagnosis/*therapy
MH  - Ligaments/diagnostic imaging/pathology
MH  - Lithotripsy/*veterinary
MH  - Male
MH  - Radiography
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ultrasonography
EDAT- 2006/11/02 09:00
MHDA- 2006/12/09 09:00
CRDT- 2006/11/02 09:00
PHST- 2006/11/02 09:00 [pubmed]
PHST- 2006/12/09 09:00 [medline]
PHST- 2006/11/02 09:00 [entrez]
AID - 10.1024/0036-7281.148.10.561 [doi]
PST - ppublish
SO  - Schweiz Arch Tierheilkd. 2006 Oct;148(10):561-8. doi: 
      10.1024/0036-7281.148.10.561.