ISSN 2398-2977      

Musculoskeletal: ultrasound-guided injection - lumbosacral/sacroiliac

pequis

Introduction

  • Lumbosacral and sacroiliac articular surfaces are difficult to localize in horses. Their infiltration might be necessary to relieve pain or during lameness investigation; external anatomic landmarks are often used in such situations. However, landmarks may vary according to the breed, age, size and muscle tone of the horse. As well as this, the presence of pathologies, eg sacroiliac subluxation or pelvic fractures, might complicate the precise localization. This variability can affect the precision and efficacy of the injection.
  • At the lumbosacral region, five articulations are present: two synovial intervertebral joints, two intertransverse joints and one intervertebral disk.
  • The sacroiliac joint has two articular surfaces which are oriented craniodorsolaterally to caudoventromedially and form an L-shape with a convex border directed caudoventrally. The sciatic nerve, the cranial gluteal nerve and the cranial gluteal artery and vein travel through the greater sciatic foramen ventromedially to the sacroiliac joint.

Uses

Advantages

  • Ultrasonography is an easy and non-invasive technique that allows visualization of the intervertebral joints, increasing the accuracy of intervertebral injection, and decreasing the risk of intramuscular, intraneural, intravascular or peritoneal administration.

Disadvantages

  • The cost of an ultrasound machine with adequate transducers, and the operator's level of experience with the techniques should be considered as potential limitations.

Sedation of the horse is necessary.

Requirements

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Engeli E & Haussler K K (2012) Review of injection techniques targeting the sacroiliac region in horses. Equine Vet Educ 24 (10), 529-541 VetMedResource.
  • Cousty M, Rossier Y & David F (2008) Ultrasound-guided periarticular injections of the sacroiliac region in horses: a cadaveric study. Equine Vet J 40 (2), 160-166 PubMed.
  • Engeli E, Haussler K K & Herb H N (2004) Development and validation of a periarticular injection technique of the sacroiliac joint in horses. Equine Vet J 36 (4), 324-330 PubMed.

Other sources of information

  • Denoix J M, Audigie F & Coudry V (2005) A Review of Diagnosis and Treatment of Lumbosacral Pain in Sport and Racehorses. In: Proc 51st AAEP Convention. Seattle. pp 366-373.

Related Images

Want more related items, why not
contact us

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!

 
 
 
 

To show you are not a Bot please can you enter the number showing adjacent to this field

 Security code