Right Longitudinal Section
Throughout the majority of the length of the SDFT there is patchy
fibre alignment. Generally the tissue is hypoechogenic than would
be expected. The DDFT looks normal
Cross-section
The tissue density in the SDFT is satisfactory but is showing signs
of strain. The SDFT is slightly enlarged in its medio-lateral dimensions.
Summary
Scanning a horse with a relatively acute injury with the extent
of damage this horse has suffered to its left SDFT presents problems
because it is difficult to clearly and accurately differentiate
between tissue debris, blood, free fluid and the intact tissue
that remains. It addition even light pressure on the tendon from
the transducer head is often painful.
There is little or no recognizable tissue or fibre pattern in the
lower third of the SDFT until it reaches close to its insertion
point. The tendon is grossly enlarged which is mainly due to the
presence of fluid within the tendon sheath and also infiltrating
the tendon substance itself. However, much of the collagen fibrils
and the normal tissue matrix have been damaged.
The horse is relatively comfortable given the extent of the injury.
The attending veterinarian prescribed a course of pain relieving
medication.
Daffy Case-study continued |
