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738   Chapter 5


              Treatment of OA of the femorotibial joints is the   14.  Dubuc J, Girard C, Richard H, et al. Equine meniscal degenera-
            same as for other joints. However, arthrodesis is not an   tion is associated with medial femorotibial osteoarthritis. Equine
                                                                  Vet J 2018;50:133–140. doi:10.1111/evj.12716.
  VetBooks.ir  ferent treatment options. Exercise in the form of small   15.  Edwards RB, Nixon AJ. Avulsion of the cranial cruciate ligament
            option, and clinicians are often forced to try several dif-
                                                                  insertion in a horse. Equine Vet J 1996;28:334–336.
            paddock turnout appears to help, although owners must
                                                               16.  Ferris DJ, Frisbie DD, Kisiday JD, et al. Clinical outcome after
            ensure that another horse does not induce overstressing   intra‐articular administration of bone marrow derived mesenchy-
            of the patient. Arthroscopic surgery can help to reduce   mal stem cells in 33 horses with stifle injury. Vet Surg 2014;43:
                                                                  255–265.
            the progression of OA by removing debris and fibril-  17.  Frisbie DD, Barrett MF, McIlwraith CW, et al. Diagnostic stifle
            lated articular cartilage, but it must be stressed to the   joint arthroscopy using a needle arthroscope in standing horses.
            owners that this is not a cure and the disease process   Vet Surg 2014;43:12–18.
            will most likely progress. 16                      18.  Graham S, Solano M, Sutherland‐Smith J, et al. Diagnostic sensi-
                                                                  tivity of bone scintigraphy for equine stifle disorders. Vet Radiol
                                                                  Ultrasound 2015;56:96–102. doi:10.1111/vru.12184.
            Prognosis                                          19.  Griffin DJ, Ortved KF, Nixon AJ, et al. Mechanical properties and
                                                                  structure‐function relationships in articular cartilage repaired
              Horses with synovitis are easily managed medically   using IGF‐I gene‐enhanced chondrocytes. J Orthop Res 2016;34:
                                                                  149–153. doi:10.1002/jor.23038.
            as long  as a primary  disease  process  is not present.   20.  Hance SR, Bramlage LR, Schneider RK, et al. Retrospective study
            However, there is concern that chronic persistent syno-  of 38 cases of femur fractures in horses less than one year of age.
            vitis can lead to secondary damage to the articular carti-  Equine Vet J 1992;24:357–363.
            lage, which may predispose to the onset of OA in the   21.  Hance SR, Schneider RK, Embertson RM, et al. Lesions of the
            future. The prognosis for OA of the femorotibial joints   caudal aspect of the femoral condyles in foals: 20 cases (1980–
                                                                  1990). J Am Vet Med Assoc 1993;202:637–646.
            depends on severity and appears no different than for   22.  Herdrich MRA, Arrieta SE, Nelson BB, et al. A technique of nee-
            other joints in the horse. However, severe OA can lead to   dle redirection at a single craniolateral site for injection of three
            significant lameness, making it difficult for the horse to   compartments of the equine stifle joint. Am J Vet Res. 2017;78:
                                                                  1077–1084. doi:10.2460/ajvr.78.9.1077.
            stand, and secondary complications such as decubital   23.  Hoegaerts M, Nicaise M, Van Bree H, et al. Cross‐sectional anatomy
            ulcers.                                               and comparative ultrasonography of the equine medial femorotibial
                                                                  joint and its related structures. Equine Vet J 2005;37:520–529.
                                                               24.  Holcombe SJ, Bertone AL. Avulsion fracture of the origin of the
                                                                  extensor digitorum longus muscle in a foal. J Am Vet Med Assoc
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                                                               25.  Howard RD, McIlwraith CW, Trotter GW. Arthroscopic surgery for
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