Avaliação da eficácia da bursoscopia navicularno tratamento de patologia podotroclear em cavalos de desporto
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2020
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O síndrome navicular apresenta-se como um estado patológico degenerativo que tem vindo a ser alvo de muitos estudos. A sua etiologia multifatorial, influência sobre várias estruturas anatómicas e complexidade há muito que intriga a comunidade veterinária, que tem vindo a desenvolver um conjunto de procedimentos de diagnóstico e terapêuticos para desvendar esta complexa patologia. A bursoscopia navicular permitiu aumentar a capacidade diagnóstica e terapêutica em casos que apresentavam uma relação patológica entre o osso navicular, bursa podotroclear e o tendão flexor digital profundo (TFDP).
Este trabalho tem como objetivo a avaliação da eficácia terapêutica da bursoscopia navicular em nove equinos com síndrome navicular.
Este estudo de carácter retrospetivo, avaliou nove casos diagnosticados com patologia podotroclear que foram submetidos a bursoscopia navicular e consequente seguimento, baseado nos registos hospitalares.
Todos os equinos apresentaram tendinopatia do tendão flexor digital profundo e consequente fibrilhação. De entre os casos, 88,9% recuperaram, sendo que 44,4% retornaram ao nível de atividade prévio e 11,1% agravaram.
A bursoscopia navicular é um procedimento cirúrgico eficaz na resolução de casos de fibrilhação do tendão flexor digital profundo localizados ao nível da bursa do navicular. O resultado está relacionado com o grau de tendinopatia do tendão flexor digital profundo.
Navicular syndrome presents itself as a degenerative pathological state that has been the subject of many studies. Its multifactorial etiology, influence on various anatomical structures and complexity has long intrigued the veterinary community, which has been developing a set of diagnostic and therapeutic procedures to unravel this complex pathology. Navicular bursoscopy increased the diagnostic and therapeutic capacity in cases that presented a pathological relationship between the navicular bone, podotrochlear bursa and the deep digital flexor tendon. This work aims to evaluate the therapeutic efficacy of navicular bursoscopy in nine horses with navicular syndrome. This retrospective study evaluated nine cases diagnosed with podotrochlear pathology that underwent navicular bursoscopy and consequent follow-up, based on hospital records. All horses presented deep digital flexor tendinopathy and consequent fibrillation. The success rate was 88.9%, with 44.4% returning to the previous activity level and 11.1% worsening. Navicular bursoscopy is an effective surgical procedure in the resolution of cases of deep digital flexor tendon fibrillation located at the level of the navicular bursa. The result is directly related to the degree of deep digital flexor tendinopathy.
Navicular syndrome presents itself as a degenerative pathological state that has been the subject of many studies. Its multifactorial etiology, influence on various anatomical structures and complexity has long intrigued the veterinary community, which has been developing a set of diagnostic and therapeutic procedures to unravel this complex pathology. Navicular bursoscopy increased the diagnostic and therapeutic capacity in cases that presented a pathological relationship between the navicular bone, podotrochlear bursa and the deep digital flexor tendon. This work aims to evaluate the therapeutic efficacy of navicular bursoscopy in nine horses with navicular syndrome. This retrospective study evaluated nine cases diagnosed with podotrochlear pathology that underwent navicular bursoscopy and consequent follow-up, based on hospital records. All horses presented deep digital flexor tendinopathy and consequent fibrillation. The success rate was 88.9%, with 44.4% returning to the previous activity level and 11.1% worsening. Navicular bursoscopy is an effective surgical procedure in the resolution of cases of deep digital flexor tendon fibrillation located at the level of the navicular bursa. The result is directly related to the degree of deep digital flexor tendinopathy.
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Orientação: Ana Maria Araújo ; co-orientação: Jairo Jaramillo Cárdenas e Mafalda Vaz Pinto
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MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, MEDICINA VETERINÁRIA, EQUÍDEOS , CAVALOS, SÍNDROME NAVICULAR, CLAUDICAÇÃO, BURSITE, VETERINARY MEDICINE, EQUIDS, HORSES, NAVICULAR SYNDROME, LAMENESS , BURSITIS