Iranian Journal of Veterinary Surgery (Mar 2007)
Evaluation of Palmar Digital Nerve Block and Distal Interphalangeal Joint Analgesia in Lame Horses Associated with Hoof Pain due to Sidebone Fracture
Abstract
Objective- To determine if the pain of the third phalanx due to sidebone fracture in horses can be attenuated by analgesia of the distal interphalangeal joint and palmar digital nerve block. Design- Clinical study. Animals- Seven horses with unilateral forelimb lameness associated with hoof pain due to sidebone fracture. Procedures- Seven mix breed show jumping horses were selected from horses with unilateral forelimb lameness. Selection of the horses was based on the results of radiographic examination for fracture of the sidebone, response to the palmar digital nerve block and analgesia of the navicular bursa. Horses examined at walk and trot. Flexion tests and hoof tester examination of the lame forelimb were positive. Dorsopalmar radiograph examination revealed sidebone fracture. No abnormality was seen in other parts of the limb in lateral view radiographs. The horses did not shown any improvement 10 minutes after analgesia of the navicular bursa but the lameness improved profoundly after palmar digital nerve block. The lameness score was graded by the scale described by American Association of Equine Practitioners. Results- The lameness score was significantly reduced 5 minutes after palmar digital nerves block in walk and trot (P0.05), but significant difference was seen in lameness grading 15 minutes after distal interphalangeal joint analgesia both in walk and trot (P<0.05). Conclusion and Clinical Relevance- It is concluded that pain arising from the third phalanx problem like sidebone fracture, should not be eliminated as a possible cause of lameness, when lameness is significantly reduced by diagnostic analgesia of distal interphalangeal joint or palmar digital nerves block.
