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Desmite Proximal do Ligamento Suspensor do Boleto
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Abstract(s)
A desmite proximal do ligamento suspensor do boleto (DPLSB) é a patologia de tecidos moles mais comum nos membros nos equinos, afetando pacientes de todas as modalidades deportivas e também cavalos de laser, causando redução de performance e perdas económicas significativas. Pode afetar tanto os membros anteriores como os posteriores, podendo manifestar-se uni ou bilateralmente e em ambos ao mesmo tempo.
As características únicas da composição do ligamento suspensor do boleto (LSB) associadas à complexidade anatómica das regiões do carpo e tarso, dificultam o diagnóstico desta lesão, que resulta da interpretação conjunta de informação do exame físico, da analgesia local e de técnicas de imagiologia distintas como a ecografia, radiografia, ressonância magnética, entre outras.
Como consequência, nas últimas décadas tem-se verificado uma evolução significativa nas opções terapêuticas, nomeadamente nas terapias regenerativas, eletrofísicas e cirúrgicas, permitindo recuperações mais rápidas e a melhorando o prognóstico a curto e longo prazo.
Proximal suspensory desmitis (PSD) is the most common injury in equine limbs, occurring in horses from all disciplines, including leisure horses, causing significant decrease of sport performance and economic losses to the owners. It can happen in both fore and hind limbs, uni or bilaterally and it’s possible that it can occur in both at the same time. The suspensory ligament unique composition allied to the anatomical complexity of the carpus and tarsus regions, makes the diagnosis of this condition a clinical challenge in equine practice as it depends on of the interpretation of clinical findings in the physical exam, local analgesia and different imaging modalities such as ecography, radiography, magnetic resonance and others. As a consequence, in the last decades there has been a development of new treatment techniques, such as regenerative medicine, eletrophysical therapy and surgical techniques, that help achieving a faster recovery and also improving the short and long-term prognosis of this injury.
Proximal suspensory desmitis (PSD) is the most common injury in equine limbs, occurring in horses from all disciplines, including leisure horses, causing significant decrease of sport performance and economic losses to the owners. It can happen in both fore and hind limbs, uni or bilaterally and it’s possible that it can occur in both at the same time. The suspensory ligament unique composition allied to the anatomical complexity of the carpus and tarsus regions, makes the diagnosis of this condition a clinical challenge in equine practice as it depends on of the interpretation of clinical findings in the physical exam, local analgesia and different imaging modalities such as ecography, radiography, magnetic resonance and others. As a consequence, in the last decades there has been a development of new treatment techniques, such as regenerative medicine, eletrophysical therapy and surgical techniques, that help achieving a faster recovery and also improving the short and long-term prognosis of this injury.
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Keywords
Equino Ligamento suspensor Desmite proximal Células estaminais Laser PRP Equine Suspensory ligament Proximal desmitis Steam cells Laser therapy