Роль рентгенографії у діагностиці захворювань локомоторного апарату у коня (клінічний випадок)

Abstract

У статті наведений клінічний випадок встановлення діагнозу захворювання опорно-рухового апарату у коня за даними клінічних, ультразвукових та рентгенологічних досліджень. Наведені дані свідчать, що здійснення рентгенографії є одним з ведучих діагностичних прийомів та повинна здійснюватися у двох проекціях (прямій та боковій), що значно підвищує інформативність стану морфоструктури кісток.

The article presents the clinical case of the diagnosis of the disease of the locomotor apparatus in a horse according to clinical, ultrasound and X-ray studies. The given data testify that the implementation of radiography is one of the leading diagnostic methods and should be carried out in two projections (direct and lateral), which significantly increases the informativeness of the state of the morphostructure of the bones. The material for the study was a stallion of dark-skinny mascara, aged 4 years. For the diagnosis of diseases of locomotor apparatus horse used clinical studies, both in a state of rest, and when wiring in a circle. This type of diagnosis was carried out before and after novocaine perineural anesthesia of the tibialis (n. peronaeus profundus) nerves. Ultrasound studies of the tendon-binding apparatus, X-ray examination of all bones and joints of the distal part of the pelvic extremity, as well as X-ray of the knee joint, were performed. The horse was purchased in 2016. The general condition was normal. Hold a horse in a separate batch. Every day the horse was in training. In unknown circumstances, after 2 months, the horse started limping on the right pelvic floor. The performed clinical, X-ray and ultrasound investigations revealed the presence of damage to the tendon-binding apparatus in the area of ​​the bone marrow, inflammation of the intestinal muscle. X-ray examination of phalanges of the fingers of the limbs and knee joints of lesions of the destruction or bone densification was not revealed. At the end of May the horse was resection of the branch of the nerve. The result was negative ‒ plantar flexion and lameness remained unchanged. In September, the horse's husbandman turned to the specialists of the Department of Surgery. professor I.O. Kalashnik KDZVA, which was assigned an additional X-ray from the dorsal and planktonic surface of the pharyngeal joint. Additional X-ray findings have been found: epiphyseal, proximal, partially shifted to the tibia on the medial surface, and is composed of aseptic, diffuse periostitis with signs of detachment of the foam bone germ. In the inflammatory traumatic process, the tendons of the superficial and deep flexor and intercostal muscle are involved. The results of clinical studies indicate a chronic course of the disease. The forecast is cautious. All the above results of the research gave reason to pass that in this case the cause of the disease was the self-trauma of the right pelvis horse's limb. The results of our research and their conclusions were confirmed by experts from St. Petersburg and Berlin. The horse was prescribed: a dose-wiring for 10-15 minutes twice a day, intramuscular administration to the zone of affected tissues of dexamethasone in a dose of 4 ml with a 0.5% solution of novocaine every other day and the use of dimethoxide-novocaine-ihtiol compress, daily for 15 days At 35-40, signs of plantar flexion have almost disappeared. At this time, the horse is under the supervision of specialists in veterinary medicine, therapeutic measures are adjusted.