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Sonographic Abnormalities of the Dorsal Tarsal Region
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1. Introduction
The tarsal region is a frequent site of injury in the horse. Radiographs are an invaluable diagnostic tool in such cases; however, the information obtained is limited. Ultrasonographic imaging of the tarsal region provides important additional information regarding the integrity of soft tissue structures, joint contents, and bone surfaces, but can be daunting because of the complicated anatomy of this region. Detailed descriptions of the sonographic anatomy of the equine tarsus and a review of the types of soft tissue injuries that can be encountered have been described previously. The peroneus tertius, long digital extensor tendon and sheath, cranial tibial tendon, and dorsal aspect of the tarsocrural joint were specifically included in those reviews.1,2
It is not unusual in the authors’ experience for horses to present for evaluation of swelling limited to the dorsal tarsal region, yet there is little in the literature describing pathologic conditions in this location. Based on our experience, there are several abnormalities in addition to those detailed in previous reports that may be discovered during the sonographic evaluation of the dorsal tarsal region in horses with dorsal swelling as well as generalized swelling. Recognition of these injuries or abnormalities may result in improved prognostication and treatment. The purpose of this study is to describe the abnormalities discovered during sonographic evaluation of the dorsal tarsal region in horses presented to the first author over a 3-yr period. [...]
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