Regenerative Laser Therapy
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CASE HISTORY
Annular Ligament Desmitis and SDFT Tendonitis

California Equine Orthopedics
Mark Martinelli, DVM, DACVS, PhD
​Lea Walker, DVM
www.calequorth.com


HORSE

Name:
Rue
Picture

​Breed:
Paint


​Sex:
Mare

​Use:
Trail/Pleasure/
​Gymkhana

​Age:
2004

Clinical

Diagnosis/Condition:
Annular Ligament Desmitis

Site:
Left Hind

Dx Date:
10/21/2015

Lameness Grade:
​4/5

Chronicity:
Acute on chronic
Pre- Tx notes:
Ultrasound Interpretation: In the left hindlimb, there is significant thickening of the annular ligament characterized by fiber separation, fiber disruption and scar tissue accumulation. The palmar surface of the superficial digital flexor tendon also shows significant fiber disruption and separation. Dynamic examination revealed loss of the normal independent gliding motion of the flexor tendons, consistent with an adhesion between the annular ligament and the SDFT.
Horse History:

Picture
Oct 27, 2015
Picture
Oct 27, 2015

RLT

​# of RLT Tx's:
38
​

​Protocols & Settings:
​
Rehabilitation protocols:
Handwalking every day post Tx
Other Therapies used:
Ice/Game Ready during initial weeks
​
Pre Treatment Video

Post
rue.pdf
File Size: 1090 kb
File Type: pdf
Download File


​Findings and notes here
Conclusion:
Ultrasound Interpretation: In the left hindlimb there is significant reduction in the size of the annular ligament associated with an improved fiber pattern of both the annular ligament and the palmar surface of the SDFT. Dynamic examination revealed significant improvement in the independent gliding motion of the tendons, however evidence of adhesions were still present.
Picture
Dec 2, 2015
Picture
Dec 2, 2015
Picture
End of RLT Tx: Feb 3, 2016 using Logic E Follow-Up Tool, new images on R
Post Treatment Video

Results
60 Day Recheck:
March 30, 2016:
​Ultrasound Interpretation: In the left hindlimb, the size and fiber pattern of the annular ligament is significantly improved, characterized by no significant regions of fiber separation or disruption. The SDFT is also improved with no significant fiber separation or disruption identified on the palmar surface of the tendon. Dynamic examination revealed return to the normal independent gliding motion of the flexor tendons.

Picture
3/30/2016
Picture
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  • Choose
  • Home
  • RLT Technology
  • Laser Therapy?
    • Biological Effects
    • History
    • Applications
    • Terminology
    • Laser Safety
  • Efficacy
    • Case Studies >
      • Sesamoid
      • Suspensory Desmitis
      • Suspensory Br Desmitis
      • SDFT
      • Suspensory Branch
      • SDFT Lateral Border
      • SDFT Tendonitis
      • Annular Ligament Desmitis
      • Inferior Check Ligament
      • Suspensory Branch Tear
      • DDFT
      • Tendon Calcification
    • Spec Comparison
    • Short Videos
    • Histopathology
    • Adjunctive
    • RLT White Paper
  • Revenue
    • Calculator
  • Contact Us
  • Marketing
    • Media
    • Barrel
  • BusinessModel
  • Referring Veterinarians
  • the Winners Circle!
  • Untitled
  • Horse Owners, Riders, Trainers
  • Blog