Desmopatia do ligamento colateral medial longo do tarso: Relato de caso

Abstract

The mandatory supervised curricular internship was carried out with the Veterinary Clinic:Performance Medicina Equine, located in the city of Capanema- Pará, in the area of Equine Medical Clinic, from March 13 to May 24, 2023, totaling 390 hours of workload , with follow-up of 119 clinical cases and other activities in the area. During the supervisedcurricular internship period, activities such as technical visits to rural properties, clinical/laboratory examinations and assistance with the application of physiotherapy techniques, imaging tests, cryogenics and surgical procedures were carried out. The visits took place in different states: Pará, Maranhão, Piauí and Tocantins, in addition to the completion of Complementary Courses on Diseases of the gastrointestinal system and Urgency and Emergency at the Equine Clinic, in the States of Ceará and Pará, respectively. This report describes and discusses a clinical case of Desmopathy of the Medial Collateral Ligament of the Tarsus of an 11-year-old Quarter Horse stallion, vaquejada athlete, who presented with severe lameness of the right hind limb and swellingin the dorsal region. medial tarsus. The initial clinical suspicions were fractures due to avulsion, or ligament injuries caused by sprains, which through imaging tests made it possible to diagnose Desmopathy of the long medial collateral ligament of the tarsus. The chosen treatment included parenteral administration of meloxicam alternating with dexamethasone as anti-inflammatory therapy, systemic antibiosis with ceftiofur,associated with regional perfusion with dexamethasone and amikacin, ozone therapy, laser therapy and magnetic field to accelerate the healing process of the lesion. Firocoxibwas subsequently prescribed for its anti-inflammatory, analgesic and antipyretic action without aggression to the gastric mucosa. In addition, 1000 shockwave pulses were performed with variable frequency between E4 and E6, which is an innovative therapy used in the treatment and rehabilitation of athletic horses. The animal in question is still undergoing treatment and has shown a positive evolution of the clinical condition. The injury addressed is a relevant condition of the locomotor system of horses, which can leadto loss of performance and even early withdrawal from their activities.