{"id":17878,"date":"2026-05-20T14:54:10","date_gmt":"2026-05-20T13:54:10","guid":{"rendered":"https:\/\/hallmarq.net\/case-studies\/collateral-ligament-desmopathy-of-the-carpus\/"},"modified":"2026-05-20T17:03:04","modified_gmt":"2026-05-20T16:03:04","slug":"collateral-ligament-desmopathy-of-the-carpus","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/collateral-ligament-desmopathy-of-the-carpus\/","title":{"rendered":"Collateral Ligament Desmopathy of the Carpus"},"content":{"rendered":"\n<p>Historically, standing MRI has most commonly been used for investigation of foot lameness. However, in the case of this patient, the sequences obtained with MRI allowed detailed evaluation of soft tissue structures at the more proximal level of the limb. A diagnosis of collateral ligament desmopathy of the carpus was made. Let&#8217;s take a look&#8230;<\/p>\n\n<h2 class=\"wp-block-heading\">History<\/h2>\n\n<p>An 8-year-old Thoroughbred gelding presented with acute right forelimb lameness after briefly escaping from the yard; a traumatic event could not be excluded. Perineural analgesia of the lateral palmar nerve was negative. However, lameness improved following median and ulnar nerve block and intra-articular anaesthesia of the radiocarpal and middle carpal joints.<\/p>\n\n<h2 class=\"wp-block-heading\">MRI Findings<\/h2>\n\n<p>The horse underwent standing equine MRI of the right carpus. This revealed thickening of the proximal third of the medial collateral ligament of the carpus. The dorsal margins of the ligament were irregular, with moderate increased signal intensity on the dorsal aspect on T1W and T2*W GRE sequences and mild increased signal intensity on T2W FSE sequences. The periligamentous soft tissues were minimally thickened. The distal portion of the ligament appeared normal.<\/p>\n\n<p>There was no evidence of joint effusion or subchondral or trabecular bone abnormalities. The included portion of the suspensory ligament was normal.<\/p>\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1280\" height=\"720\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus.jpg\" alt=\"MRI scan showing: Transverse T1W GRE MI, T2W GRE iNAV and T2W* GRE MI showing the changes in the medial collateral ligament of the carpus.\" class=\"wp-image-17872\" style=\"object-fit:cover\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus.jpg 1280w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-300x169.jpg 300w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-1024x576.jpg 1024w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-768x432.jpg 768w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-500x281.jpg 500w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-1000x563.jpg 1000w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-540x304.jpg 540w, https:\/\/hallmarq.net\/app\/uploads\/2026\/05\/Fig-1-Pool-House-Collateral-Ligament-Desmothapy-of-the-Carpus-1080x608.jpg 1080w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><figcaption class=\"wp-element-caption\"><em>Figure 1: Transverse T1W GRE MI, T2W GRE iNAV and T2W* GRE MI showing the changes in the medial collateral ligament of the carpus.<\/em><\/figcaption><\/figure>\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n<p>The findings were consistent with desmopathy of the medial collateral ligament of the carpus involving its proximal third. MRI identified an unusual ligamentous lesion that was considered the most likely cause of the lameness. In addition, it excluded other significant osseous or soft tissue injury within the carpus. Although standing MRI is most commonly used for investigation of foot lameness, the sequences obtained allowed detailed evaluation of soft tissue structures at this more proximal level of the limb.<\/p>\n\n<p>\u00a0A traumatic aetiology was suspected based on the clinical history.<\/p>\n\n<p>With thanks to Dr Marianna Biggi and Dr Federica Cantatore, <a href=\"https:\/\/www.poolhouseequine.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pool House Equine Hospital<\/a>, UK for sharing this case with us.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>An 8-year-old Thoroughbred gelding presented with acute right forelimb lameness after briefly escaping from the yard; a traumatic event could not be excluded. The findings were consistent with desmopathy of the medial collateral ligament of the carpus involving its proximal third. MRI identified an unusual ligamentous lesion that was considered the most likely cause of the lameness and excluded other significant osseous or soft tissue injury within the carpus.<\/p>\n","protected":false},"author":2,"featured_media":17877,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[120],"class_list":["post-17878","studies","type-studies","status-publish","has-post-thumbnail","hentry","studies_category-equine-mri-us"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Collateral Ligament Desmopathy of the Carpus - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"Sequences obtained with MRI allowed detailed evaluation of soft tissue structures at the more proximal level of the limb\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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Horner","author_link":"https:\/\/hallmarq.net\/us\/author\/sara\/"},"uagb_comment_info":0,"uagb_excerpt":"An 8-year-old Thoroughbred gelding presented with acute right forelimb lameness after briefly escaping from the yard; a traumatic event could not be excluded. The findings were consistent with desmopathy of the medial collateral ligament of the carpus involving its proximal third. MRI identified an unusual ligamentous lesion that was considered the most likely cause of&hellip;","_links":{"self":[{"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/studies\/17878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/studies"}],"about":[{"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/types\/studies"}],"author":[{"embeddable":true,"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/users\/2"}],"version-history":[{"count":2,"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/studies\/17878\/revisions"}],"predecessor-version":[{"id":17880,"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/studies\/17878\/revisions\/17880"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/media\/17877"}],"wp:attachment":[{"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/media?parent=17878"}],"wp:term":[{"taxonomy":"studies_category","embeddable":true,"href":"https:\/\/hallmarq.net\/us\/wp-json\/wp\/v2\/studies_category?post=17878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}