Desmite do ligamento suspensor do boleto : revisão bibliográfica e relato de casos clínicos
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2023
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A presente dissertação de mestrado debruça-se sobre a desmite do ligamento suspensor do boleto em equinos destinados tanto ao desporto como ao trabalho de patrulhamento policial. Ao longo dos anos tem havido alguma evolução no que diz respeito ao diagnóstico e tratamento desta lesão, embora estas evoluções não estejam ao alcance de todos os tutores. Com a melhoria das técnicas de diagnóstico, nomeadamente com o recurso à ressonância magnética que permite uma avaliação completa, o diagnóstico pode ser feito num só ato, podendo assim ajustar o tratamento mais correto, com a maior brevidade, de forma a não com- prometer a evolução e melhorar o prognóstico. O relatório de casos clínicos apresentados baseia-se em casos reais, observados durante o estágio curricular no Hospital Veterinário da Guarda Nacional Republicana, tendo sido observados sinais clínicos comuns, como o caso de relutância ao exercício físico e claudicação contínua. Em todos os casos recorreu-se ao protocolo de diagnóstico, incluindo bloqueios perineurais e ecografia como exames complementares de diagnóstico. No primeiro caso diagnosticado como desmite proximal do ligamento suspensor do boleto, o paciente continuou a sua atividade, embora com redução do nível de trabalho. No segundo caso o paciente foi diagnosticado com desmite do ramo medial do ligamento suspensor do boleto, tendo apresentado diversas recaídas no seu tratamento, encontrando-se por isso à data com limitações no exercício de funções. No terceiro caso, o paciente foi diagnosticado com desmite crónica do ligamento suspensor do boleto, tendo sido submetido a cirurgia e retirado das funções a que estava normalmente destinado, embora mantendo-se no ativo na instituição. As lesões de desmite do ligamento suspensor do boleto são muito comuns e carecem de uma boa complacência durante o seu tratamento, de forma a levar à risca o plano traçado pelo médico veterinário, melhorando o prognóstico do paciente. Palavras-chave: Equino; desmite; ligamento; suspensor; boleto; casos clínicos
The present master's dissertation focuses on the desmitis of the fetlock suspensory ligament in horses intended both for sport and for police patrol work. Over the years there has been some evolution with regard to the diagnosis and treatment of this injury, although these developments are not within the reach of all tutors. Withthe improvement of diagnostic techniques, namely with the use of magnetic resonance imaging that allows a complete evaluation, the diagnosis can be made in a single act, thus being able to adjust the most correct treatment, as soon as possible, in order not to compromise the evolution and improve the prognosis. The report of clinical cases presented is based on real cases, observed during the curricular internship at the Veterinary Hospital of Guarda Nacional Republicana, where common clinical signs were observed, such as the case of reluctance to exercise and continuous lame- ness. In all cases, the diagnostic protocol was used, including perineural blocks and ultrasound as complementary diagnostic tests. In the first case diagnosed as proximal desmitis of the suspensory ligament of the fetlock, the patient continued his activity, although with a reduction in the level of work. In the second case, the patient was diagnosed with desmitis of the medial branch of the fetlock ligament, having presented several relapses in his treatment, and therefore, to date, with limitations in the exercise of functions. In the third case, the patient was diagnosed with chronic desmitis of the suspensory ligament of the fetlock, having been submitted to surgery and withdrawn from the functions to which he was normally assigned, although he remained active in the institution. Desmitis lesions of the fetlock suspensory ligament are very common and require good compliance during their treatment, in order to follow the plan drawn up by the veterinarian to the letter, improving the patient's prognosis. Keywords: Equine; desmitis; ligament; suspensory; fetlock; clinical cases
The present master's dissertation focuses on the desmitis of the fetlock suspensory ligament in horses intended both for sport and for police patrol work. Over the years there has been some evolution with regard to the diagnosis and treatment of this injury, although these developments are not within the reach of all tutors. Withthe improvement of diagnostic techniques, namely with the use of magnetic resonance imaging that allows a complete evaluation, the diagnosis can be made in a single act, thus being able to adjust the most correct treatment, as soon as possible, in order not to compromise the evolution and improve the prognosis. The report of clinical cases presented is based on real cases, observed during the curricular internship at the Veterinary Hospital of Guarda Nacional Republicana, where common clinical signs were observed, such as the case of reluctance to exercise and continuous lame- ness. In all cases, the diagnostic protocol was used, including perineural blocks and ultrasound as complementary diagnostic tests. In the first case diagnosed as proximal desmitis of the suspensory ligament of the fetlock, the patient continued his activity, although with a reduction in the level of work. In the second case, the patient was diagnosed with desmitis of the medial branch of the fetlock ligament, having presented several relapses in his treatment, and therefore, to date, with limitations in the exercise of functions. In the third case, the patient was diagnosed with chronic desmitis of the suspensory ligament of the fetlock, having been submitted to surgery and withdrawn from the functions to which he was normally assigned, although he remained active in the institution. Desmitis lesions of the fetlock suspensory ligament are very common and require good compliance during their treatment, in order to follow the plan drawn up by the veterinarian to the letter, improving the patient's prognosis. Keywords: Equine; desmitis; ligament; suspensory; fetlock; clinical cases
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VETERINARY MEDICINE, HORSES, EQUIDS, SUSPENSORY LIGAMENT DESMITIS, CASE REPORTS, MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, MEDICINA VETERINÁRIA, CAVALOS, EQUÍDEOS, DESMITE DO LIGAMENTO SUSPENSOR, CASOS CLÍNICOS, Mestrado Integrado em Medicina Veterinária