Erkrankungen der Fesselbeugesehnenscheide – Tiefe Beugesehne, Manica flexoria, Fesselringband & Co.

Die aseptische Entzündung der Fesselbeugesehnenscheide ist eine häufige Ursache für Lahmheiten beim Pferd. Meist sind Läsionen der tiefen Beugesehne und der Manica flexoria dafür verantwortlich. Der folgende Beitrag beschäftigt sich mit der Diagnose, Therapie und der jeweiligen Prognose von unterschiedlichen Pathologien der Fesselbeugesehnenscheide.

Publication History

Article published online:
21 September 2022

• Literatur

• 1 Denoix JM. Functional anatomy of tendons and ligaments in the distal limbs (manus and pes). Vet Clin North Am Equine Pract 1994; 10: 273-322
• 2 Smith MR, Wright IM. Noninfected tenosynovitis of the digital flexor tendon sheath: a retrospective analysis of 76 cases. Equine Vet J 2006; 38: 134-141
• 3 Arensburg L, Wilderhans H, Simon O. et al. Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures. Equine Vet J 2011; 43: 660-668
• 4 Bertuglia A, Mollo G, Bullone M. et al. Identification of surgically-induced longitudinal lesions of the equine deep digital flexor tendon in the digital flexor tendon sheath using contrast-enhanced ultrasonography: an ex-vivo pilot study. Acta Vet Scand 2014; 25: 56-58
• 5 Kent AV, Chesworth MJ, Wells G. et al. Improved diagnostic criteria for digital flexor tendon sheath pathology using contrast tenography. Equine Vet J 2019; 52: 205-212
• 6 Dyson S, Murray R, Schramme M. et al. Magnetic resonance imaging of the equine digit: 15 cases. Equine Vet J 2003; 35: 18-26
• 7 Gonzalez LM, Schramme MC, Robertson ID. et al. MRI features of metacarpo(tarso)phalangeal region lameness in 40 horses. Vet Radiol Ultrasound 2010; 51: 404-414
• 8 King JN, Zubrod CJ, Schneider RK. et al. MRI findings in 232 horses with lameness localized to the metacarpo(tarso)phalangeal region and without a radiographic diagnosis. Vet Radiol Ultrasound 2013; 54: 36-47
• 9 Thomas A, Verwilghen D, Sagerman C. et al. Comparison of ultrasonographic, MRI and tenoscopic findings in chronic tenosynovitis of the digital flexor tendon sheath – an ex-vivo study. Proceedings of the 15th Congress of the IVRA 2009. Buzios, Brazil. 127.
• 10 McIlwraith CW, Wright IM, Nixon AJ. Diagnostic and Surgical arthroscopy in the horse · 4th ed. Philadelphia: Elsevier Mosby; 2014: 368-371
• 11 Wilderjans H, Boussauw B, Madder K, Simon O. Tenosynovitis of the digital flexor tendon sheath and annular ligament constriction syndrome caused by longitudinal tears in the deep digital flexor tendon: a clinical and surgical report of 17 cases in warmblood horses. Equine Vet J 2003; 35: 270-275
• 12 Fraser BS, Bladon BM. Tenoscopic surgey for treatment of lacerations of the digital flexor tendon sheath. Equine Vet J 2004; 36: 528-531
• 13 Fortier LA. Indications and techniques for tenoscopic surgery of the digital flexor tendon sheath. Equine Vet Educ 2010; 17: 218-224
• 14 Findley JA, Ricci EE, Singer EE. An anatomical and histological study of the equine proximal manica flexoria. Vet Comp Orthop Traumatol 2017; 30 (02) 91-98
• 15 Gift LJ, Gaughan EM, DeBowes RM. et al. The Influence of Intratendinous Sodium Hyaluronate on Tendon Healing in Horses. Vet Comp Orthop Traumatol 1992; 05 (04) 151-157
• 16 Ahn KH, Park ES, Choi CY. et al. Hyaluronic Acid Treatment Improves Healing of the Tenorrhaphy Site by Suppressing Adhesions through Extracellular Matrix Remodeling in a Rat Model. Polymers 2021; 13 (06) 928
• 17 Noguera Cender A, Mählmann K, Lischer CJ. EX vivo evaluation of an alternative technique for resection of the proximal manica flexoria in horses. Vet Surg 2020; 49 (02) 401-408
• 18 Owen KR, Dyson SJ, Parkin TD. et al. Retrospective study of palmar/plantar annular ligament injury in 71 horses: 2001–2006. Equine Vet J 2008; 40: 237-244
• 19 Fortier LA, Nixon AJ, Ducharme NG. et al. Tenoscopic Examination and Proximal Annular Ligament Desmotomy for Treatment of Equine “Complex” Digital Sheath Tenosynovitis. Vet Surg J 1999; 28 (06) 429-435