Computed tomography navicular disease

  • How do you check for navicular?

    Most veterinarians use hoof testers as an aid in the diagnosis of this condition.
    Applying pressure with hoof testers over the frog area produces pain, and the horse may flinch if the disease is present (Figure 3)..

  • How do you diagnose navicular syndrome?

    X-rays: radiographs are taken from several angles to look at the navicular bone.
    Ultrasound scan: can occasionally be useful but the hoof wall makes scanning this area difficult.
    Bone scan: nuclear scintigraphy is occasionally used to aid diagnosis but is not usually needed..

  • How do you identify a navicular bone?

    The navicular bone is one of the seven bones which make up the tarsus of the Ankle and Foot.
    It is located on the medial aspect of the foot, next to the cuboid bone, anterior to the head of the talus and posterior to the cuneiform bones.
    It is one of the five bones of the midfoot..

  • How do you spot navicular?

    Typically, when a horse develops navicular disease, they will show signs through low-grade bilateral lameness.
    Another sign would be head-bobbing, especially at the trot.
    The progression of navicular disease is slow, and lameness may only be noticeable from time to time..

  • How is navicular diagnosed?

    Most veterinarians use hoof testers as an aid in the diagnosis of this condition.
    Applying pressure with hoof testers over the frog area produces pain, and the horse may flinch if the disease is present (Figure 3).
    The hindfeet should be tested with hoof testers to compare the reaction with that of the forefeet..

  • How is navicular syndrome diagnosed?

    Diagnosis can also include radiographs to correctly diagnose the syndrome.
    Radiographs show changes in the navicular bone and can rule out other potential causes of pain.
    Both hooves should be radiographed because changes frequently occur in both hooves even if lameness is seen in only one hoof..

  • What causes navicular disease?

    This disease is believed to be genetic but can occur due to the conformation of the distal limbs.
    Structure associated with Navicular syndrome includes excessively long toes, under-run heels, and a “broken back” hoof-pastern axis..

  • What is the disease of the navicular?

    Navicular syndrome, often called navicular disease, is a syndrome of lameness problems in horses.
    It most commonly describes an inflammation or degeneration of the navicular bone and its surrounding tissues, usually on the front feet.
    It can lead to significant and even disabling lameness..

  • What is the recommended treatment for navicular disease?

    The most common effective treatments include NSAID administration and corrective shoeing.
    Phenylbutazone is the most commonly used NSAID, but it must be used with caution because of adverse effects (renal and GI injury)..

  • Where is the navicular bursa located?

    The navicular bursa is a small synovial structure situated between the navicular bone and deep digital flexor tendon (DDFT) within the foot.
    It measures about two centimetres from top to bottom, and if not filled with excess fluid, is only a couple of millimetres thick..

  • Which part of a horse is affected by navicular disease?

    Navicular disease typically affects both front feet, although one foot is often worse than the other, so your horse may initially appear lame on one front leg.
    However, on the lunge the horse may show lameness on the inside leg in both directions..

  • Although it's found in all breeds of horses, it's most typically diagnosed in quarter horses, thoroughbreds and warmbloods.
    Underrun heels, sheared heels, contracted heels, mismatched hoof angles, and disproportionally small feet may all be contributing factors in a predisposition towards navicular.
  • Navicular syndrome is a degenerative disorder of the distal half of the flexor surface of the proximal sesamoid bone that is predisposed by faulty foot conformation.
  • The most common effective treatments include NSAID administration and corrective shoeing.
    Phenylbutazone is the most commonly used NSAID, but it must be used with caution because of adverse effects (renal and GI injury).
  • The navicular bone itself has cartilage on both sides and is part of the coffin joint, then on the back side there's cartilage where the deep digital flexor runs.” Ortved said the term “navicular” is the most common term because that's the bone that shows up on X-rays.
  • Typically, when a horse develops navicular disease, they will show signs through low-grade bilateral lameness.
    Another sign would be head-bobbing, especially at the trot.
    The progression of navicular disease is slow, and lameness may only be noticeable from time to time.
Radiographic evaluation of navicular syndrome is problematic because of its inconsistent correlation with clinical signs. Scintigraphy often yields false 
Therefore, we assessed the use of computed tomography and magnetic resonance imaging in a horse with clinical and radiographic signs of navicular syndrome.

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