CASE HISTORY
Inferior Check Ligament
Fairfield Equine Associates
Rick Mitchell, DVM, MRCVS, Dip. ACVSMR
www.fairfieldequine.com

Name:
Valencia

​Breed:
Warmblood

​Sex:
Mare

​Use:
Hunter

​Age:
2002

Diagnosis/Condition:
Inferior Check Ligament Lesion

Site:
RF proximal palmar metacarpal region 

Dx Date:
8/18/2016

Lameness Grade:
​1/5

Chronicity:
Chronic
Pre- Tx notes:
•Treatment initiated
•BID icing
•Cold poultice application nightly for 5 nights
•Flunixin meglumine 250mg orally BID for 3 days
•Initiated ESWT therapy for 3 treatments 10-14 day intervals
•Tack walking exericise only​
Initial ultrasound examination-Tpe III-IV lesion ICL 8/18/2016

​24 Days Later...

Lesion has expanded and ICL was enlarged; recommended initiation of Sound RLT

​# of RLT Tx's:
26 (14 @ Daily then 12 @ Every Other Day)
​

​Protocols & Settings:
​as per on board protocols
Rehabilitation protocols:
Tackwalking exercise 
Other Therapies used:
none
​

​Findings and notes here
Conclusion:
•Profound improvement in 5 weeks of RLT
•Horse resumed walk/trot exercise and has continued to progress satisfactorily with no further edema or lameness
October 24, 2016
Follow up exam: Comparative software of Sound LOGIQ e Vet NextGEN makes for ease of comparison.
Picture
Sept 14 - Oct 24
Picture
Sept 14 - Oct 24