Case Studies

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Case Study: Detection of low level bilateral suspensory desmitis with the aid of objective measurement

By Equinosis Certified Practitioner Mitch Byrd, DVM | Updated on September 06, 2022 | Bilateral Lameness, M Byrd

Signalment: 14yr Warmblood mare showing upper-level dressage. March 8, 2019 Previous RF check ligament injury. The horse presented March 8, 2019 with a complaint of performance limitations. The horse was examined, and a CBC/Chem and metabolic panel were run with no significant findings. April 25, 2019 The horse was re-evaluated after the owner was concerned the horse had tied up. Muscle palpation was normal. CK was mildly elevated. Hip high RH at walk, 2/5 RH at trot on grass. Upper limb flexions were positive on both rear limbs.Suspensory compressions on the hindlimbs were equivalent. April 27, 2019 Radiographs...

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Case Study: Multiple Issues, Multiple Solutions - Case management with 2 years of objective data

By Equinosis Certified Pracitioner Rhodes Bell, DVM, MS, DACVS | Updated on March 11, 2022 | Diagnostic Blocks, Quarter Horse, R Bell

May 2018 Signalment 5-year-old Quarter Horse mare used for barrel racing. Presenting Complaint Mare was noted to be off for the previous 3 weeks after initiating training for barrels. Initial physical and moving exam findings: Upon presentation the horse was bright, alert, and responsive. Her vital parameters were within normal clinical limits. Mild left femoropatellar joint and right forelimb fetlock joint effusion was palpable. She was not sensitive to application of hoof testers to any foot. A RF lameness was observed and measured (Head VS 29.6 mm). A mild RH impact lameness was also measured (Diff Min Pelvis...

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Case Study: Why Measuring Lameness is Helpful Even in the “Obvious” Cases

By Laurie Tyrrell-Schroeder, DVM | Updated on December 20, 2021 | LT Schroeder, OES Members Only

I know a few veterinarians who reserve their use of The Q for only the difficult cases, thinking “I don’t need the system when the horse is 3/5”. There are several reasons I encourage those who use it this way to reconsider this mindset. First, by using the system on every case, you will become a much more efficient and proficient user. Like any skill, being able to rapidly interpret and then assimilate the information received from the Q to the clinical picture requires practice. Understanding and applying the information on the “easy” cases will make the complicated ones easier...

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Case Study: Avoiding a Common Pitfall in the Evaluation of Diagnostic Analgesia in a Mild Lameness Case

By Kevin G. Keegan, DVM, MS, DACVS | Updated on September 14, 2021 | Diagnostic Blocks, KG Keegan, OES Members Only

Signalment and history A 17-year-old Quarter Horse gelding presented for evaluation of left hindlimb lameness of 8–10-week duration. He was diagnosed with a keratoma in the left front foot one year ago which does not seem to bother him. Physical Examination The horse stood with the left hindlimb slightly externally rotated. There was sensitivity on palpation of the lateral condyle of the femur in the left hindlimb. No stifle effusion was noted. There was palpable evidence of bone spavin on the dorsal medial surface of the left hock, but the Churchill test was negative. Picking up the left...

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