Flexor tendon transection and post-surgical external fixation in calves affected by severe metacarpophalangeal flexural deformity

This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe metacarpophalangeal flexural deformities (MPFD). The study comprised 17 forelimbs of 10 calves that were diagnosed at the Animal Medical Centre, Rakuno...

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Published inJournal of Veterinary Medical Science Vol. 82; no. 10; pp. 1480 - 1483
Main Authors KATO, Toshihide, SATO, Ayano, TAJIMA, Motoshi
Format Journal Article
LanguageEnglish
Published Tokyo JAPANESE SOCIETY OF VETERINARY SCIENCE 2020
Japan Science and Technology Agency
The Japanese Society of Veterinary Science
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Online AccessGet full text
ISSN0916-7250
1347-7439
1347-7439
DOI10.1292/jvms.20-0057

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Abstract This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe metacarpophalangeal flexural deformities (MPFD). The study comprised 17 forelimbs of 10 calves that were diagnosed at the Animal Medical Centre, Rakuno Gakuen University. The calves were treated via transection of the SDFT and DDFT with retention of the suspensory ligament, followed by external fixation according to a post-surgical gait test. The post-procedural prognosis was determined at 14 days post-surgery. Of the 17 limbs, 14 (82%) achieved non-lameness and a good prognosis. Surgical complications were not observed in any treated calves. The transection of SDFT and DDFT is an effective first-line surgical option for calves with severe MPFD.
AbstractList This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe metacarpophalangeal flexural deformities (MPFD). The study comprised 17 forelimbs of 10 calves that were diagnosed at the Animal Medical Centre, Rakuno Gakuen University. The calves were treated via transection of the SDFT and DDFT with retention of the suspensory ligament, followed by external fixation according to a post-surgical gait test. The post-procedural prognosis was determined at 14 days post-surgery. Of the 17 limbs, 14 (82%) achieved non-lameness and a good prognosis. Surgical complications were not observed in any treated calves. The transection of SDFT and DDFT is an effective first-line surgical option for calves with severe MPFD.
This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe metacarpophalangeal flexural deformities (MPFD). The study comprised 17 forelimbs of 10 calves that were diagnosed at the Animal Medical Centre, Rakuno Gakuen University. The calves were treated via transection of the SDFT and DDFT with retention of the suspensory ligament, followed by external fixation according to a post-surgical gait test. The post-procedural prognosis was determined at 14 days post-surgery. Of the 17 limbs, 14 (82%) achieved non-lameness and a good prognosis. Surgical complications were not observed in any treated calves. The transection of SDFT and DDFT is an effective first-line surgical option for calves with severe MPFD.This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe metacarpophalangeal flexural deformities (MPFD). The study comprised 17 forelimbs of 10 calves that were diagnosed at the Animal Medical Centre, Rakuno Gakuen University. The calves were treated via transection of the SDFT and DDFT with retention of the suspensory ligament, followed by external fixation according to a post-surgical gait test. The post-procedural prognosis was determined at 14 days post-surgery. Of the 17 limbs, 14 (82%) achieved non-lameness and a good prognosis. Surgical complications were not observed in any treated calves. The transection of SDFT and DDFT is an effective first-line surgical option for calves with severe MPFD.
This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe metacarpophalangeal flexural deformities (MPFD). The study comprised 17 forelimbs of 10 calves that were diagnosed at the Animal Medical Centre, Rakuno Gakuen University. The calves were treated via transection of the SDFT and DDFT with retention of the suspensory ligament, followed by external fixation according to a post-surgical gait test. The post-procedural prognosis was determined at 14 days post-surgery. Of the 17 limbs, 14 (82%) achieved non-lameness and a good prognosis. Surgical complications were not observed in any treated calves. The transection of SDFT and DDFT is an effective first-line surgical option for calves with severe MPFD.
Author TAJIMA, Motoshi
SATO, Ayano
KATO, Toshihide
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Cites_doi 10.1016/S0749-0720(15)30674-5
10.1002/9780470751138
10.1111/j.2042-3292.2002.tb00197.x
10.14737/journal.aavs/2014/2.7.369.376
10.1016/j.cvfa.2008.07.008
10.1136/vetreco-2017-000271
10.1016/B978-0-323-31665-1.00018-6
10.1016/j.cvfa.2013.11.002
10.1053/j.ctep.2006.09.003
10.1136/vr.85.6.140
10.3415/VCOT-11-11-0161
10.1016/j.cvfa.2016.05.012
10.1016/j.cveq.2017.03.004
10.1111/j.1751-0813.1974.tb02361.x
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References 16. Steiner, A., Anderson, D. E. and Desrochers, A. 2014. Diseases of the tendons and tendon sheaths. Vet. Clin. North Am. Food Anim. Pract. 30: 157–175, vi.
1. Adams, S. B. and Santschi, E. M. 2000. Management of congenital and acquired flexural limb deformities. Proceedings Am. Assoc. Eq. Pract. 46: 117–125.
9. Kidd, J. A. and Barr, A. R. S. 2002. Flexural deformities in foals. Equine Vet. Educ. 14: 311–321.
11. Pentecost, R., Niehaus, A. J. and Anderson, D. E. 2016. Surgical management of fractures and tendons. Vet. Clin. North Am. Food Anim. Pract. 32: 797–811.
12. Sato, A., Ishii, O. and Tajima, M. 2018. Radiographic analysis of the angle in the lateromedial projection of the metacarpophalangeal joint and the distal interphalangeal joint in metacarpophalangeal flexural deformities in calves. Vet. Rec. Open 5: e000271.
13. Shupe, J. L., Binns, W., James, L. F. and Keeler, R. F. 1967. Lupine, a cause of crooked calf disease. J. Am. Vet. Med. Assoc. 151: 198–203.
8. Hartley, W. J. and Wanner, R. A. 1974. Bovine congenital arthrogryposis in New South Wales. Aust. Vet. J. 50: 185–188.
19. Weaver, A. 2005. Contracted flexor tendons. pp. 240–242. In: Bovine Surgery and Lameness, 2nd ed. (Weaver, A.D., St. Jean, G. and Steiner, A. eds.), Blackwell, Oxford.
17. Van Huffel, X. and DeMoor, A. 1987. Congenital multiple arthrogryposis of the forelimb in calves. Comp. Cont. Educ. Pract. 9: 333–339.
14. Simon, S., William, S. M. B., Rao, G. D., Sivashanker, R. and Kumar, S. 2010. Congenital Malformations in ruminants and its surgical management. Vet. World 3: 118–119.
2. Anderson, D. E., Desrochers, A. and St Jean, G. 2008. Management of tendon disorders in cattle. Vet. Clin. North Am. Food Anim. Pract. 24: 551–566, viii.
7. Gangwar, A. K., Devi, K. S., Singh, A. K., Patel, N. K. G. and Srivastava, S. 2014. Congenital anomalies and their surgical correction in ruminants. Adv. Anim. Vet. Sci. 2: 369–376.
18. Verschooten, F., De Moor, A., Desmet, P., Watte, R. and Gunst, O. 1969. Surgical treatment of congenital arthrogryposis of the carpal joint, associated with contraction of the flexor tendons in calves. Vet. Rec. 85: 140–142, passim.
4. Ducharme, N. G. 2017. Surgery of flexural and hyperextension deformities. pp. 519–523. In: Farm Animal Surgery, 2nd ed. (Ducharme, N. G, Desrochers, A. and Freeman, D. eds.), Elsevier, St. Louis.
5. Dyce, K., Sack, W. and Wensing, C. J. G. 2009. The forelimb of the ruminant. pp. 728–741. In: Textbook of Veterinary Anatomy, 4th ed. (Dyce, K., Sack, W. and Wensing, C. J. G. eds.), Elsevier, St. Louis.
3. Auer, J. A. 2006. Diagnosis and treatment of flexural deformities in foals. Clin. Tech. Equine Pract. 5: 282–295.
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20. Yardimci, C., Ozak, A. and Nisbet, O. 2012. Correction of severe congenital flexural carpal deformities with semicircular external skeletal fixation system in calves. Vet. Comp. Orthop. Traumatol. 25: 518–523.
6. Gaughan, E. M. 2017. Flexural limb deformities of the carpus and fetlock in foals. Vet. Clin. North Am. Equine Pract. 33: 331–342.
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1
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20
10
References_xml – reference: 14. Simon, S., William, S. M. B., Rao, G. D., Sivashanker, R. and Kumar, S. 2010. Congenital Malformations in ruminants and its surgical management. Vet. World 3: 118–119.
– reference: 16. Steiner, A., Anderson, D. E. and Desrochers, A. 2014. Diseases of the tendons and tendon sheaths. Vet. Clin. North Am. Food Anim. Pract. 30: 157–175, vi.
– reference: 6. Gaughan, E. M. 2017. Flexural limb deformities of the carpus and fetlock in foals. Vet. Clin. North Am. Equine Pract. 33: 331–342.
– reference: 19. Weaver, A. 2005. Contracted flexor tendons. pp. 240–242. In: Bovine Surgery and Lameness, 2nd ed. (Weaver, A.D., St. Jean, G. and Steiner, A. eds.), Blackwell, Oxford.
– reference: 20. Yardimci, C., Ozak, A. and Nisbet, O. 2012. Correction of severe congenital flexural carpal deformities with semicircular external skeletal fixation system in calves. Vet. Comp. Orthop. Traumatol. 25: 518–523.
– reference: 7. Gangwar, A. K., Devi, K. S., Singh, A. K., Patel, N. K. G. and Srivastava, S. 2014. Congenital anomalies and their surgical correction in ruminants. Adv. Anim. Vet. Sci. 2: 369–376.
– reference: 10. Leipold, H. W., Hiraga, T. and Dennis, S. M. 1993. Congenital defects of the bovine musculoskeletal system and joints. Vet. Clin. North Am. Food Anim. Pract. 9: 93–104.
– reference: 5. Dyce, K., Sack, W. and Wensing, C. J. G. 2009. The forelimb of the ruminant. pp. 728–741. In: Textbook of Veterinary Anatomy, 4th ed. (Dyce, K., Sack, W. and Wensing, C. J. G. eds.), Elsevier, St. Louis.
– reference: 18. Verschooten, F., De Moor, A., Desmet, P., Watte, R. and Gunst, O. 1969. Surgical treatment of congenital arthrogryposis of the carpal joint, associated with contraction of the flexor tendons in calves. Vet. Rec. 85: 140–142, passim.
– reference: 13. Shupe, J. L., Binns, W., James, L. F. and Keeler, R. F. 1967. Lupine, a cause of crooked calf disease. J. Am. Vet. Med. Assoc. 151: 198–203.
– reference: 17. Van Huffel, X. and DeMoor, A. 1987. Congenital multiple arthrogryposis of the forelimb in calves. Comp. Cont. Educ. Pract. 9: 333–339.
– reference: 12. Sato, A., Ishii, O. and Tajima, M. 2018. Radiographic analysis of the angle in the lateromedial projection of the metacarpophalangeal joint and the distal interphalangeal joint in metacarpophalangeal flexural deformities in calves. Vet. Rec. Open 5: e000271.
– reference: 1. Adams, S. B. and Santschi, E. M. 2000. Management of congenital and acquired flexural limb deformities. Proceedings Am. Assoc. Eq. Pract. 46: 117–125.
– reference: 3. Auer, J. A. 2006. Diagnosis and treatment of flexural deformities in foals. Clin. Tech. Equine Pract. 5: 282–295.
– reference: 2. Anderson, D. E., Desrochers, A. and St Jean, G. 2008. Management of tendon disorders in cattle. Vet. Clin. North Am. Food Anim. Pract. 24: 551–566, viii.
– reference: 4. Ducharme, N. G. 2017. Surgery of flexural and hyperextension deformities. pp. 519–523. In: Farm Animal Surgery, 2nd ed. (Ducharme, N. G, Desrochers, A. and Freeman, D. eds.), Elsevier, St. Louis.
– reference: 11. Pentecost, R., Niehaus, A. J. and Anderson, D. E. 2016. Surgical management of fractures and tendons. Vet. Clin. North Am. Food Anim. Pract. 32: 797–811.
– reference: 15. Sprake, P. 2015. Diseases of the bones, joints and connective tissues. p. 1106. In: Large Animal Internal Medicine, 5th ed. (Smith B. P. ed.), Elsevier, St. Louis.
– reference: 9. Kidd, J. A. and Barr, A. R. S. 2002. Flexural deformities in foals. Equine Vet. Educ. 14: 311–321.
– reference: 8. Hartley, W. J. and Wanner, R. A. 1974. Bovine congenital arthrogryposis in New South Wales. Aust. Vet. J. 50: 185–188.
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  doi: 10.1136/vr.85.6.140
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This study aimed to evaluate the transection of superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT) in calves with severe...
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SubjectTerms bovine
deformity
external fixation
Gait
orthopedic surgery
Prognosis
Surgery
Tendons
Title Flexor tendon transection and post-surgical external fixation in calves affected by severe metacarpophalangeal flexural deformity
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