{"id":10713,"date":"2023-05-23T09:22:44","date_gmt":"2023-05-23T08:22:44","guid":{"rendered":"https:\/\/hallmarq.net\/case-studies\/mare-presenting-3-5-right-forelimb-lameness\/"},"modified":"2025-07-04T11:44:37","modified_gmt":"2025-07-04T10:44:37","slug":"mare-presenting-3-5-right-forelimb-lameness","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/mare-presenting-3-5-right-forelimb-lameness\/","title":{"rendered":"3\/5 Right Forelimb Lameness"},"content":{"rendered":"\n
<\/div>\n\n\n\n

Mare Presenting 3\/5 Right Forelimb Lameness<\/h2>\n\n\n\n
<\/div>\n\n\n\n

History<\/h4>\n\n\n\n

In a case study, kindly provided by Pferdeklinik Seeburg<\/a>, we examine how MRI and CT were used to diagnose acute lameness in a 4.5yr old Trakehner mare. The mare was 3\/5 right forelimb lame at a trot in a straight line.<\/p>\n\n\n\n

Pain was exacerbated when walking in a circle. In addition, an increase in lameness was elicited on soft ground when the horse was lunged. The mare was right forelimb flexion positive.<\/p>\n\n\n\n

Clinical Examination<\/h4>\n\n\n\n

A positive response to lateral palmar nerve block, ultrasonographic and radiographic findings suggest suspensory origin pathology. Therefore, no further diagnostic analgesia was undertaken. Additionally, standing low field MRI was performed followed by CT for further interest.<\/p>\n\n\n\n

\"Ultrasound
Ultrasound and X-ray images insertion of proximal suspensory<\/em> region<\/figcaption><\/figure>\n\n\n\n

MRI Findings<\/h4>\n\n\n\n

MR imaging illustrates signal increase in proximal palmar MCIII at the level of the suspensory origin. This is consistent with a high grade of bone edema at the origin of the suspensory ligament. It is not possible to visualize a bone fragment. However, in combination with x-ray, ultrasound findings and the severity of the other MR findings, a bone avulsion like lesion can be assumed.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n

CT Findings<\/h4>\n\n\n\n

Avulsion fragment is clearly visible on the palmaro-medially proximal MCIII.<\/p>\n\n\n\n

\"Avulsion<\/figure>\n\n\n\n

Diagnosis<\/h4>\n\n\n\n

In this case, proximal suspensory ligament desmopathy and enthesopathy associated with an avulsion fracture.<\/p>\n\n\n\n

With thanks to Pferdeklinik Seeburg<\/a> for providing this case study. <\/p>\n\n\n\n

<\/div>\n","protected":false},"excerpt":{"rendered":"

In the case of a 4.5yr old Trakehner mare presenting with acute lameness of the front right, we look at how both MRI and CT were used in diagnosis. The mare was 3\/5 right forelimb lame at a trot in a straight line.<\/p>\n","protected":false},"author":5,"featured_media":14299,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[122,120],"class_list":["post-10713","studies","type-studies","status-publish","has-post-thumbnail","hentry","studies_category-equine-ct-us","studies_category-equine-mri-us"],"acf":[],"yoast_head":"\n3\/5 Right Forelimb Lameness - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"In the case of a 4.5yr old Trakehner mare presenting with acute lameness of the front right, we look at how both MRI and CT were used in diagnosis. 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