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Non-Weight Bearing Lameness

Non-Weight Bearing Lameness. John W. Gray, DVM UTCVM Large Animal Intern. History. Basic information Signalment Current lameness Past lameness Specific information Type of activity Other info . Causes. Subsolar abscess Fracture Septic joint, tendon sheath Penetrating injury

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Non-Weight Bearing Lameness

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  1. Non-Weight Bearing Lameness John W. Gray, DVM UTCVM Large Animal Intern

  2. History • Basic information • Signalment • Current lameness • Past lameness • Specific information • Type of activity • Other info

  3. Causes • Subsolar abscess • Fracture • Septic joint, tendon sheath • Penetrating injury • Joint dislocation • Cellulitits • Quittor

  4. Lateral Cartilages

  5. Subsolar Absess

  6. Non Weight Bearing Lameness • Usually involves one foot/ leg • Most likely cause is subsolar abscess • Don’t transport until assessed by your vet

  7. Subsolar AbscessClinical Signs • Increased digital pulse • Area of sensitivity in sole • Check coronary band for lesion (“Gravel”)

  8. Subsolar AbscessClinical Signs • Swelling • Sudden, severe lameness (Grade 3-4 of 5) • Affected foot is warmer

  9. Subsolar Abscess Causes • Penetrating wound in white line, nail hole, or deep sub-solar bruise • Cause is often not identified

  10. Diagnosis • History • Clinical signs • Careful paring • Gray/black malodorous liquid • Radiographs • Poultice foot • Warm foot baths

  11. Treatment • Establish drainage • Soak in Epsom salt water • Drawing agents • Magnapaste • Ichthammol • Animalintex • Keep Clean • Bandage until defect closed • NSAIDs

  12. Subsolar Abscess • Drawing agents • Soaking in Epsom Salts

  13. Subsolar Abscess • Drawing agents • Soaking in Epsom Salts

  14. Subsolar Abscess • Drawing agents • Soaking in Epsom Salts

  15. Subsolar Abscess • Bandage with drawing agents • Magna paste • Icthamol

  16. Subsolar Abscess • Bandage with drawing agents • Magna paste • Icthamol

  17. Subsolar Abscess • Bandage with drawing agents • Magna paste • Icthamol

  18. Subsolar Abscess • Bandage with drawing agents • Magna paste • Icthamol

  19. Subsolar Abscess • Bandage with drawing agents • Magna paste • Icthamol

  20. Complicated Absess

  21. Complicated Absess

  22. Complicated Absess

  23. Subsolar AbscessTreatment • If the coffin bone is involved… • Regional anesthesia/ antibiotics • Tetanus prophylaxis • Soak foot in warm Epsom salt solution • Aftercare depends on extent of infection & environment

  24. Subsolar AbscessAftercare • Shoe w/ removable hospital (boiler or medicine) plate • Antibiotic & analgesic therapy is seldom required

  25. Subsolar AbscessPrognosis • Usually excellent w/ uncomplicated subsolar abscess

  26. Questions??

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