Análise crítica a administrações intrassinoviais em cavalos
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2017
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O presente trabalho centra-se no estudo de administrações intrassinoviais em
cavalos.
O objetivo dos tratamentos intrassinoviais são a diminuição da dor e interrupção
do processo inflamatório, limitando o processo degenerativo a eles associado.
Neste estudo estão descritos 11 casos clínicos, os quais foram submetidos a
tratamento intrassinovial. Foram recolhidos os seguintes dados, em todos os cavalos:
população, raça, idade, desporto, indicação para tratamento, local de lesão, grau de
claudicação, molécula utilizada, resultados a curto prazo e a médio prazo.
Os cavalos estudados eram Puro-Sangue Lusitano ou Português de Desporto, em
atividade desportiva, com uma média de idades de 14anos, com doença degenerativa
articular, principalmente na tarsometatársica, navicular e metacarpofalângica, tratados
essencialmente com metilprednisolona. A maioria dos cavalos teve uma melhoria
superior a 75% do grau de claudicação a curto prazo e uma a melhoria completa a médio
prazo.
Como esperado, os corticosteroides foram os fármacos mais utilizados, e o seu
uso adequado conduziu a melhoria, sem complicação. Apesar dos resultados positivos
obtidos na população estudada, é importante a realizar mais estudos sobre os tratamentos
intrassinoviais, nomeadamente sobre a sua real eficácia e potenciais riscos, assim como
estudo de alternativas aos corticosteroides.
The present paper focuses on joint administration, also known as intra-synovial administration. The purpose of this procedure is to decrease the pain and intra-synovial inflamation, limiting the associated degenerative process. In this study 11 clinical cases that have been submited to treatment were addressed. The following data have been collected: population, breed, age, sport, treatment indication, OA site, degrre of lameness, molecule used, results in short and med-term. The horse study were Puro-Sangue Lusitano and Portugês de Desporto, in sport career, with an avarege of 14 years old, with degenerative joint disease, mostely in tarsometatarsal joint, navicular and metacarpophalangica, treated especially with methylprednisolone. Most of the horses had an improvement of over 75% of the lameness degree in a short-term and a complet response in mid-term As expected the corticosteroids were the most used drug and the correct use has led to improvement with out complications. Despite the positive results obtained it can be conclude that more studies should be done about intra-synovial treatments, especially about its real effectiveness and potential risks, as well as the study of alternatives to corticosteroids.
The present paper focuses on joint administration, also known as intra-synovial administration. The purpose of this procedure is to decrease the pain and intra-synovial inflamation, limiting the associated degenerative process. In this study 11 clinical cases that have been submited to treatment were addressed. The following data have been collected: population, breed, age, sport, treatment indication, OA site, degrre of lameness, molecule used, results in short and med-term. The horse study were Puro-Sangue Lusitano and Portugês de Desporto, in sport career, with an avarege of 14 years old, with degenerative joint disease, mostely in tarsometatarsal joint, navicular and metacarpophalangica, treated especially with methylprednisolone. Most of the horses had an improvement of over 75% of the lameness degree in a short-term and a complet response in mid-term As expected the corticosteroids were the most used drug and the correct use has led to improvement with out complications. Despite the positive results obtained it can be conclude that more studies should be done about intra-synovial treatments, especially about its real effectiveness and potential risks, as well as the study of alternatives to corticosteroids.
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Orientação : Manuel Pequito
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MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, MEDICINA VETERINÁRIA, OSTEOARTRITE, ADMINISTRAÇÃO DE MEDICAMENTOS, ARTICULAÇÕES, METILPREDNISOLONA, CAVALOS, VETERINARY MEDICINE, OSTEOARTHRITIS, MEDICATION ADMINISTRATION, JOINTS, METHYLPREDNISOLONE, HORSES, EQUÍDEOS, EQUIDS