Image: Chayanan via Getty Images
2 min. read
Since 2018, Rusty has been a steady, trusted partner at Thorncroft Equestrian Center, a leader in adaptive riding and equine-assisted services. The 20-year-old Quarter Horse helps riders with physical and cognitive disabilities build strength, confidence, and independence.
But when Rusty developed lameness in his right hind leg, his future as an adaptive riding horse became uncertain. The initial diagnosis was suspected suspensory desmitis, a common ligament injury in horses; Rusty was referred to Penn Vet’s New Bolton Center for further evaluation and possible surgery.
At the Kennett Square campus, David Levine, associate professor of clinical large animal surgery at Penn’s School of Veterinary Medicine, and Rusty’s care team performed an ultrasound. The results showed a mild enlargement of two areas—the suspensory and the inferior check ligaments, findings that didn’t correlate with the severity of Rusty’s lameness.
The team first performed a series of nerve blocks on the limb to help identify the region causing discomfort. Rusty showed marked improvement when they reached the two nerves that target structures in the tarsus or hock, akin to an ankle in humans.
“Following this block Rusty was nearly sound. This localization strongly suggested the source of pain was within the tarsus,” says Levine.
With this information, Levine then used New Bolton Center’s state-of-the-art Robotic CT to quickly and safely pinpoint the root cause of his lameness. Unlike traditional CT scanners, New Bolton Center’s robotic system allows horses to remain awake and standing, eliminating the need for general anesthesia and reducing risk and cost.
The scans, interpreted in real time by New Bolton Center’s board-certified radiologists, provided Rusty’s team with high-quality, multiplanar reconstructions and 3D images, offering a level of detail not achievable with ultrasound alone.
“If we had gone straight to surgery, we wouldn’t have addressed the source of the problem. Instead, advanced imaging allowed us to see what was happening with Rusty and develop a treatment plan tailored to his condition,” says Levine.
In the end, surgery was unnecessary. Rusty received an injection of corticosteroids to reduce inflammation and pain. He was also prescribed medication to treat pain and inflammation and placed on a strict stall rest regimen with limited hand-walking.
“With proper rest and ongoing joint therapy, Rusty will likely return to work,” Levine says.
Read more at Penn Vet News.
Sacha Adorno
Image: Chayanan via Getty Images
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