Case Studies

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Case Study: Dealing with Diagnostic Blocking Conundrums

By Laurie Tyrrell-Schroeder, DVM | Updated on December 08, 2020 | Blocking, L Meehan, LT Schroeder

Case contributed by Lucy Meehan, BVSc, MSc, CertAVP(VDI), DipECVDI, MRCVS of Langford Vets University of Bristol This case illustrates two conundrums faced when working up a lameness – partial improvements from diagnostic analgesia (and the decision of when to stop) and when the lameness gets worse before it gets better. Signalment 5-year-old WB gelding used for eventing. History Recent LF lameness. Physical Exam and subjective lameness evaluation findings Mild wastage of the left suprascapular muscle. Upright, boxy front feet (left>right). 2/10 left forelimb lameness on straight line. 3/10 LF lameness lunging to the right. Baseline Objective Evaluation...

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Case Study: Primary and Compensatory Lameness

By Clara McShannon, MRCVS, ECP | Updated on July 30, 2019 | Blocking, C McShannon, Case Study, Certified Practitioner, Compensatory Lameness, Primary

Signalment: An 8-year-old Welsh-X Gelding mainly used for hunting and fun-rides History: The patient was presented for veterinary evaluation of a LH lameness after a 2-4 week history of progressive lameness. At this point the patient was managed with uncontrolled field turnout. Prior Veterinary/Non-Veterinary Evaluation History Previous examinations were performed by the farrier and two chiropractors/massage therapists. The farrier examination was unremarkable. The two other examinations described the issue to be related to back pain and the pelvis being “out”. This was reportedly corrected, and rest was advised for the residual back pain. Veterinary evaluation revealed a severe...

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Case Study: Medial Meniscal Injury in a Saddlebred

By Kevin G. Keegan, DVM, MS, DACVS | Updated on January 07, 2019 | Case Study, KG Keegan, Medial Meniscal Injury, Saddlebred

Signalment: 11-yo American Saddlebred gelding History: Presented for evaluation of a suspect hind limb lameness of 1-year duration. Over this time, multiple distal limb blocks were performed by a referring veterinarian without improvement in lameness. Radiographs of the hocks and stifles were previously obtained (and later assessed on referral) and found to be within normal limits. The gelding has been treated with firocoxib and methocarbamol with mild improvement and injections of hock, stifle, and SI joints were performed with limited short-term improvement. The hind limb lameness is intermittent but has been worsening with time. Objective and subjective lameness...

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Case Study: Multiple Limb Lameness That Could Be Undiagnosed with Subjective Evaluation

By Nicolas Ansoleaga, DVM, ECP, Austral University of Chile | Updated on July 19, 2018 | Case Study, Chilean Rodeo, Compensatory Lameness, Data Interpretation, Multiple Limb Lameness, N Ansoleaga

Signalment: 6-year-old Chilean gelding, intended for Chilean rodeo presented for right forelimb lameness. HISTORY: Horse suffered a lacerating wound just above the right front heel bulbs 11 months prior to evaluation. He was re-introduced to exercise 3 months ago, but the rider complained that the horse was not responding to reining commands as usual and started to refuse going forward when needed. No obvious lameness was observed according to the rider. Prior Veterinary/Non-Veterinary Evaluation History: A referring vet did a quick lameness evaluation believing that there is a subtle lameness on the right fore; however, no blocks were...

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