{"id":9194,"date":"2022-09-28T15:18:38","date_gmt":"2022-09-28T14:18:38","guid":{"rendered":"https:\/\/hallmarq.net\/?post_type=studies&#038;p=9194"},"modified":"2025-07-04T11:49:36","modified_gmt":"2025-07-04T10:49:36","slug":"thoroughbred-mare-with-an-acute-exacerbation-of-an-intermittent-low-grade-right-hindlimb-lameness","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/thoroughbred-mare-with-an-acute-exacerbation-of-an-intermittent-low-grade-right-hindlimb-lameness\/","title":{"rendered":"Acute Exacerbation of Intermittent Low-Grade Lameness"},"content":{"rendered":"\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color\">Acute Exacerbation of an Intermittent Low-Grade Right Hindlimb Lameness<\/h2>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading has-black-color has-text-color\">History<\/h4>\n\n\n\n<p class=\"is-style-default\">In this case, the mare blocked sound after a low-six point and intra-articular fetlock block, a diagnosis could not be made using radiographic or ultrasonographic imaging. MR imaging showed evidence of extensive active and active on chronic bony injury of the fetlock. Soft tissue injury, affecting the lateral collateral ligament and bilateral suspensory branches was also present, and likely related. This pattern of injury could suggest a developing fracture in the distal diaphysis, so recommendations were made to stop training.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-black-color has-text-color\">Initial Scan Images and Findings<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-1-1-1-1024x462.png\" alt=\"Marked STIR MRI images showing hyperintensity indicated by arrows in frontal, transverse and sagittal planes of MT3.\" class=\"wp-image-9212\"\/><\/figure>\n<\/div>\n\n\n<p><strong>Figure 1:<\/strong> Marked STIR hyperintensity indicated by arrows in frontal, transverse and sagittal planes of MT3.  <\/p>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-2-1-1-1024x462.png\" alt=\"T2* MRI images showing hypervascularity and fluid-based bone pathology to the third metatarsal bone and a corresponding lesion in the proximal phalanx (arrows).\" class=\"wp-image-9213\"\/><\/figure>\n<\/div>\n\n\n<p><strong>Figure 2:<\/strong> T2* images showing hypervascularity and fluid-based bone pathology to the third metatarsal bone and a corresponding lesion in the proximal phalanx (arrows).  <\/p>\n\n\n\n<h4 class=\"wp-block-heading has-black-color has-text-color\">Repeat Scan Images and Case Conclusion<\/h4>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-3-2-1024x462.png\" alt=\"\" class=\"wp-image-9214\"\/><\/figure>\n<\/div>\n\n\n<p class=\"is-style-default\"><strong>Figure 3:<\/strong> Performed 2 months later after the horse returned to training (against recommendations) and lameness recurred. STIR hyperintensity is more marked than the first scan now extending across the midline with extending fluid signal in the proximal phalanx in an area at risk of catastrophic fracture.  <\/p>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"462\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Fig-4-1024x462.png\" alt=\" T2* MRI images showing osseous fluid signal and fat:fluid cancellation artefact (arrowheads).\" class=\"wp-image-9215\"\/><\/figure>\n<\/div>\n\n\n<p><strong>Figure 4: <\/strong>T2* images showing osseous fluid signal and fat:fluid cancellation artefact (arrowheads).   <\/p>\n\n\n\n<h4 class=\"wp-block-heading has-black-color has-text-color\">Conclusion<\/h4>\n\n\n\n<p class=\"is-style-default\">In this particular case of acute exacerbation of an intermittent low-grade right hindlimb lameness, MRI findings showed more extensive bone injury occurring when the horse returned to training. Accordingly, more extended rest was advised. Repeat imaging to monitor progress and manage rehabilitation eventually enabled the horse to resume normal training.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-black-color has-text-color\">Access to advanced imaging for your patients <\/h4>\n\n\n\n<p class=\"is-style-default\">MRI scan performed in a <a href=\"https:\/\/hallmarq.net\/us\/products-services\/standing-equine-mri\/\" target=\"_blank\" rel=\"noreferrer noopener\">Hallmarq Standing Equine MRI<\/a> system with images read by <a href=\"https:\/\/www.vet-ct.com\/gb\/\" target=\"_blank\" rel=\"noreferrer noopener\">VetCT<\/a> who, together, are on a mission to raise awareness on the accessibility and benefits of using advanced diagnostic imaging for your equine practice. Images and interpretation provided in collaboration with VetCT.  <\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Read how MRI positively impacted case management in a Thoroughbred mare with an acute exacerbation of an intermittent low-grade right hindlimb lameness.<\/p>\n","protected":false},"author":5,"featured_media":14367,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[120],"class_list":["post-9194","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>Acute Exacerbation of Intermittent Low-Grade Lameness - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"MRI positively impacted case management in a Thoroughbred mare with acute exacerbation of an intermittent low-grade right hindlimb lameness.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hallmarq.net\/us\/case-studies\/thoroughbred-mare-with-an-acute-exacerbation-of-an-intermittent-low-grade-right-hindlimb-lameness\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acute Exacerbation of Intermittent Low-Grade Lameness - Hallmarq Veterinary Imaging\" \/>\n<meta property=\"og:description\" content=\"MRI positively impacted case management in a Thoroughbred mare with acute exacerbation of an intermittent low-grade right hindlimb lameness.\" \/>\n<meta property=\"og:url\" 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