Les tendinopathies et desmopathies de la région métacarpienne et –tarsienne: une revue des thérapies actuelles. Première partie : la structure, les lésions du tendon et le diagnostic.
[fr] Les lésions tendineuses sont fréquentes chez le cheval. Elles figurent parmi les causes de mise à la retraite anticipée tant du cheval de sport que du cheval de loisir. Depuis des décennies l’homme est à la recherche de traitements miracles pour soigner les tendinites. Néanmoins, la plupart de ces traitements n’ont qu’une base empirique et peu d’entre eux ont pu réellement prouver leur efficacité. Les avancées faites dans la connaissance des structures tendineuses et de la pathophysiologie des tendinites couplées à l'évolution des techniques diagnostiques comme l’échographie ont permis de mieux évaluer les avancées faites dans les différentes options thérapeutiques disponibles à ce jour. Cet article, composé de deux parties, donne en premier lieu un aperçu sur la structure, la lésion, la cicatrisation et sur l’évaluation échographique du tendon pour ensuite, dans la deuxième partie, élaborer les traitements disponibles. [en] Lesions to the horse’s tendon are very frequent and are a non negligible reason for early retirement of sport and leisure horses. For decades man has been searching for “the” treatment but unfortunately most of the known treatments have empiric bases and very few have actually proven their real efficiency. Better knowledge of tendon anatomy and pathophysiology of tendonitis together with evolutions in diagnostic techniques like ultrasonography allows us to better evaluate the improvements made in tendonitis therapies today. The first part of this article gives a review on tendon structure, tendon healing and ultrasonographic evaluation of the tendon. In the second part an overview of therapeutic options for tendonitis will be discussed.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Verwilghen, Denis ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Gabriel, Annick ; Université de Liège - ULiège > Département de morphologie et pathologie > Anatomie des animaux domestiques
Busoni, Valeria ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Imagerie médicale
Van Galen, Gaby ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Médecine interne des équidés
Grulke, Sigrid ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Département clinique des animaux de compagnie et des équidés
Serteyn, Didier ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Language :
French
Title :
Les tendinopathies et desmopathies de la région métacarpienne et –tarsienne: une revue des thérapies actuelles. Première partie : la structure, les lésions du tendon et le diagnostic.
Birch H.L., Rutter G.A., Goodship A.E. Oxidative energy metabolism in equine tendon cells. Res. Vet. Sci., 1997, 62, 93-97.
Birch H.L., Wilson A.M., Goodship A.E. The effect of exercise-induced localised hyperthermia on tendon cell survival. J. Exp. Biol., 1997, 200, 1703-1708.
Birk D.E., Trelstad R.L. Extracellular compartments in tendon morphogenesis: collagen fibril, bundle, and macroaggregate formation. J. Cell Biol., 1986, 103, 231-240.
Bolen G., Busoni V., Jacqmot O., Snaps F. Sonographic anatomy of the palmarodistal aspect of the equine digit. Vet. Radiol. Ultrasound, 2007, 48, 270-275.
Boswell R.P., Mitchell R.D., Dyson S. Lameness in the Show Hunter and Show Jumper. In: M. W. Ross and S. Dyson, Diagnosis and management of lameness in the horse. W. B. Saunders: Philadelphia, Pa.; London, 2003, 965-975.
Bramlage L.R., Hogan P. Career results of 137 thoroughbred racehorses that have undergone superior check ligament desmotomy for treatment of tendonitis. In: Proceedings of the 42nd Annual Convention of the American Association of Equine Practitioners, San Antonio, USA. American Association of Equine Practitioners (AAEP): Lexington, 1996, 162-163.
Brown M.P., Pool R.R. Experimental and clinical investigations of the use of carbon fiber sutures in equine tendon repair. J. Am. Vet. Med. Assoc., 1983, 182, 956-966.
Busoni V., Denoix J.M. Ultrasonography of the podotrochlear apparatus in the horse using a transcuneal approach: technique and reference images. Vet. Radiol. Ultrasound, 2001, 42, 534-540.
Busoni V. Soft tissue lesions in the equine distal digit diagnosed by ultrasonography: 16 cases (2004-2005). In: Proceedings of the 12th Annual European Association of Veterinary Diagnostic Imaging (EAVDI) conference, Naples, Italy, 2005, 45.
Crevier-Denoixn N., Collobert C., Pourcelot P., Denoix J.M., Sanaa M., Geiger D., Bernard N., Ribot X., Bortolussi C., Bousseau B. Mechanical properties of pathological equine superficial digital flexor tendons. Equine Vet. J. Suppl., 1997, 23, 23-26.
Crevier-Denoixn N., Pourcelot P. Additional research on tendon strains and stresses. Am. J. Vet. Res., 1997, 58, 569-570.
Crevier-Denoix N., Ruel Y., Dardillat C., Jerbi H., Sanaa M., Collobertlaugier C., Ribot X., Denoix J.M., Pourcelot P. Correlations between mean echogenicity and material properties of normal and diseased equine superficial digital flexor tendons: an in vitro segmental approach. J. Biomech., 2005, 38, 2212-2220.
Crevier N., Pourcelot P., Denoix J.M., Geiger D., Bortolussi C., Ribot X., Sanaa M. Segmental variations of in vitro mechanical properties in equine superficial digital flexor tendons. Am. J. Vet. Res., 1996, 57, 1111-1117.
Dahlgren L.A., Van Der Meulen M.C.H., Bertram J.E.A., Starrak G.S., Nixon A.J. Insulin-like growth factor-I improves cellular and molecular aspects of healing in a collagenase-induced model of flexor tendinitis. J. Orthop. Res., 2002, 20, 910-919.
Dahlgren L.A., Browertoland B.D., Nixon A.J. Cloning and expression of type III collagen in normal and injured tendons of horses. Am. J. Vet. Res., 2005, 66, 266-270.
Dahlgren L.A., Mohammed H.O., Nixon A.J. Temporal expression of growth factors and matrix molecules in healing tendon lesions. J. Orthop. Res., 2005, 23, 84-92.
Davis C.S., Smith R.K. Diagnosis and managment of tendons and ligament disorders. In: Auer J.A., Stick J.A. (Eds), Equine surgery. Elsevier Saunders: St. Louis, 2006, 1086-1111.
Denoix J.M., Mialot M., Levy I., Lagadic M. Ultrasonography of tendons: histopathological study of lesions correlated with abnormal ultrasonographic findings in the horse tendons and ligaments. Rec. Med. Vét., 1990, 166, 45-55.
Denoix J.M. Les lésions du tendon fléchisseur superficiel du doigt: aspect échographiques et cliniques. Prat. Vét. Equine, 1995, 27, 197-215.
Denoix J.M., D'esquermes S. Examen thermographique appliqué à la documentation des affections locomotrices chez le cheval Résults préliminaires. Prat. Vét. Equine, 1995, 27, 189-196.
Denoix J.M. Ultrasonographic examination in the diagnosis of equine joint disease. In: McIlwraith C.W., Trotter G.W. (Eds), Joint disease in the horse. Saunders: Philadelphia, 1996, 165-203
Dowling B.A., Dart A.J., Hodgson D.R., Smith R.K.W. Superficial digital flexor tendonitis in the horse. Equine Vet. J., 2000, 32, 369-378.
Dowling B.A., Dart A.J. Mechanical and functional properties of the equine superficial digital flexor tendon. Vet. J., 2005, 170, 184-192.
Dyson S., Murray R., Schramme M., Branch M. Lameness in 46 horses associated with deep digital flexor tendonitis in the digit: diagnosis confirmed with magnetic resonance imaging. Equine Vet. J., 2003, 35, 681-690.
Dyson S., Van Pelt R., Keane K., Nelson A., Wood J., Stirk A. National Hunt racehorse, Point to point horse, and timber racing horse. In: Ross M.W., Dyson S. (Eds), Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 934-946.
Dyson S.J. Medical management of superficial digital flexor tendonitis: a comparative study in 219 horses (1992-2000). Equine Vet. J., 2004, 36, 415-419.
Eddy A.L., Van Hoogmoed L.M., Snyder J.R. The Role of thermography in the management of equine lameness. Vet. J., 2001, 162, 172-181.
Ely E.R., Verheyen K.L.P., Wood J.L.N. Fractures and tendon injuries in National Hunt horses in training in the UK: a pilot study. Equine Vet. J., 2004, 36, 365-367.
Evans J.H., Barbenel J.C. Structural and mechanical properties of tendon related to function. Equine Vet. J., 1975, 7, 1-8.
Fulton I.C., Maclean A.A., Orielly J.L., Church S. Superior check ligament desmotomy for treatment of superficial digital flexor tendinitis in Thoroughbred and Standard Bred horses. Aust. Vet. J., 1994, 71, 233-235.
Gathercole L.J., Keller A. Crimp morphology in the fiberforming collagens. Matrix, 1991, 11, 214-234.
Gillis C. Tendon and ligament healing. In: Proceedings of the first Dubai International Equine Symposium, Dubai, 1996.
Gillis C. Rehabilitation of tendon and ligament injuries. In: Proceedings of the 43rd Annual Convention of the American Association of Equine Practitioners, Phoenix, Arizona, USA. American Association of Equine Practitioners (AAEP): Lexington, 1997.
Goodship A.E., Birch H.L., Wilson A.M. The pathobiology and repair of tendon and ligament injury. Vet. Clin. North Am. Equine Pract., 1994, 10, 323-349.
Hansen K.A., Weiss J.A., Barton J.K. Recruitment of tendon crimp with applied tensile strain. J. Biomech. Eng., 2002, 124, 72-77.
Kannus P. Structure of the tendon connective tissue. Scand. J. Med. Sci. Sports, 2000, 10, 312-320.
Kasashima Y., Kuwano A., Katayama Y., Taura Y., Yoshihara T. Magnetic resonance imaging application to live horse for diagnosis of tendinitis. J. Vet. Med. Sci., 2002, 64, 577-582.
Kasashima Y., Takahashi T., Smith R.K.W., Goodship A.E., Kuwano A., Ueno T., Hirano S. Prevalence of superficial digital flexor tendonitis and suspensory desmitis in Japanese Thoroughbred flat racehorses in 1999. Equine Vet. J., 2004, 36, 346-350.
Kirkendall D.T., Garrett W.E. Function and biomechanics of tendons. Scand. J. Med. Sci. Sports, 1997, 7, 62-66.
Kold S.E., Dyson S. Lameness in the Dressage Horse. In: Ross M.W., Dyson S.J. (Eds), Diagnosis and management of lameness in the horse. W.B. Saunders: Philadelphia, 2003, 975-983.
Kraus-Hansena. E., Fackelman G.E., Becker C., Williams R.M., Pipers F.S. Preliminary studies on the vascular anatomy Of the equine superficial digital flexor tendon. Equine Vet. J., 1992, 24, 46-51.
Lam K.H., Parkin T.D.H., Riggs C.M., Morgan K.L. Descriptive analysis of retirement of Thoroughbred racehorses due to tendon injuries at the Hong Kong Jockey Club (1992-2004). Equine Vet. J., 2007, 39, 143-148.
Magnusson S.P., Hansen P., Kjaer M. Tendon properties in relation to muscular activity and physical training. Scand. J. Med. Sci. Sports, 2003, 13, 211-223.
Mair T.S., Kinns J. Deep digital flexor tendonitis in the equine foot diagnosed by low-field magnetic resonance imaging in the standing patient: 18 cases. Vet. Radiol. Ultrasound, 2005, 46, 458-466.
Meershoek L.S., Van Den Bogert A.J., Schamhardt H.C. Model formulation and determination of in vitro parameters of a noninvasive method to calculate flexor tendon forces in the equine forelimb. Am. J. Vet. Res., 2001, 62, 1585-1593.
Misheff M.M. Lameness in the endurance horse. In: Ross M.W., Dyson S.J. (Eds), Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 996-1002.
Mitchell J.B., Mitchell J.S., Nolan P.M., Ross M.W. The North American Standardbred. In: Ross M.W., Dyson S.J. (Eds), Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 895-912.
Nixon A.J., Stashak T.S., Smith F.W., Norrdin R.W. Comparison of carbon fibre and nylon suture for repair of transected flexor tendons in the horse. Equine Vet. J., 1984, 16, 93-102.
Oki H., Miyake T., Kasashima Y., Sasaki Y. Estimation of heritability for superficial digital flexor tendon injury by Gibbs sampling in the Thoroughbred racehorse. J. Anim. Breed Genet., 2008, 125, 413-416.
Peloso J.G., Mundy G.D., Cohen N.D. Prevalence of, and factors associated with, musculoskeletal racing injuries of Thoroughbreds. J. Am. Vet. Med. Assoc., 1994, 204, 620-626.
Pickersgill C.H., Marr C.M., Reid S.W.J. Repeatability of diagnostic ultrasonography in the assessment of the equine superficial digital flexor tendon. Equine Vet. J., 2001, 33, 33-37.
Pinchbeck G.L., Clegg P.D., Proudman C.J., Stirk A., Morgan K.L., French N.P. Horse injuries and racing practices in National Hunt racehorses in the UK: the results of a prospective cohort study. Vet. J., 2004, 167, 45-52.
Rantanen N.W. The use of diagnostic ultrasound in limb disorders of the horse: A preliminary report. J. Equine Vet. Sc., 1982, 2, 62-64.
Rantanen N.W., Jorgensen J.S., Genovese R.L. Ultrasonographic evaluation of the equine limb: technique. In: Ross M.W., Dyson S.J. (Eds), Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 166-188.
REEF V.B., Genovese R.L., W.M. D. Initial and long term results of horses with superficial digital flexor tendonitis treated with intralesional fumarate: aminoproprionitrile fumarate.. In: Proceedings of the 43rd Annual Convention of the American Association of Equine Practitioners, Phoenix, Arizona, USA. American Association of Equine Practitioners (AAEP): Lexington, 1997
Riley G. The pathogenesis of tendinopathy: a molecular perspective. Rheumatology (Oxford). 2004, 43, 131-142.
Ross M.W. Surgical management of superficial digital flexor tendinitis. In: Proceedings of the 43rd Annual Convention of the American Association of Equine Practitioners, Phoenix, Arizona, USA. American Association of Equine Practitioners (AAEP): Lexington, 1997
Ross M.W., Dyson S.J. Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 1140 p.
Screen H.R.C., Bader D.L., Lee D.A., Shelton J.C. Local strain measurement within tendon. Strain, 2004, 40, 157-163.
Smith R.K. Pathophysiology of tendon injury. In: Ross M.W., Dyson S.J. (Eds), Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 616-628.
Stein L.E., Pijanowski G.J., Johnson A.L., Maccoy D.M., Chato J.C. A comparison of steady-state and transient thermography techniques using a healing tendon model. Vet. Surg., 1988, 17, 90-96.
Stephens P.R., Nunamaker D.M., Butterweck D.M. Application of a Hall-Effect transducer for measurement of tendon strains in horses. Am. J. Vet. Res., 1989, 50, 1089-1095.
Stromberg B. Morphologic, thermographic and 133Xe clearance studies on normal and diseased superficial digital flexor tendons in race horses. Equine Vet. J., 1973, 5, 156-161.
Takahashi T., Kasashima Y., Ueno Y. Association between race history and risk of superficial digital flexor tendon injury in Thoroughbred racehorses. J. Am. Vet. Med. Assoc., 2004, 225
Van Schie H.T.M., Bakker E.M., Van Weeren P.C. Ultrasonographic avaluation of equine tendons: a quantitative, in vitro, study of the effects of amplifier gain level, transducer tilt, and transducer-displacement. Vet. Radiol. Ultrasound, 1998, 40, 151-160.
Van Schie H.T.M., Bakker E.M., Jonker A.M., Van Weeren P.R. Ultrasonographic tissue characterization of equine superficial digital flexor tendons by means of gray level statistics. Am. J. Vet. Res., 2000, 61, 210-219.
Van Schie H.T.M., BAKKER E.M., Jonker A.M., Van Weeren P.R. Computerized ultrasonog raphic tissue characterization of equine superficial digital flexor tendons by means of stability quantification of echo patterns in contiguous transverse ultrasonographic images. Am. J. Vet. Res., 2003, 64, 366-375.
Watkins J.P., Auer J.A., Gay S., Morgan S.J. Healing of surgically created defects in the equine superficial digital flexor tendon: collagen-type transformation and tissue morphologic reorganization. Am. J. Vet. Res., 1985, 46, 2091-2096.
Webbon P.M. A post mortem study of equine digital flexor tendons. Equine Vet. J., 1977, 9, 61-67.
Webbon P.M. A histological study of macroscopically normal equine digital flexor tendons. Equine Vet. J., 1978, 10, 253-259.
Williams R.B., Harkins L.S., Hammond C.J., Wood J.L.N. Racehorse injuries, clinical problems and fatalities recorded on British racecourses from flat racing and National Hunt racing during 1996, 1997 and 1998. Equine Vet. J., 2001, 33, 478-486.
Wilson A.M., Goodship A.E. Exercise-induced hyperthermia as a possible mechanism for tendon degeneration. J. Biomech., 1994, 27, 899-905.
Wollenman P., Mcmahon P.J., Knapp S., Ross M.W. Lameness in the Polo pony. In: Ross M.W., Dyson S.J. (Eds), Diagnosis and management of lameness in the horse. Saunders: Philadelphia, 2003, 1003-1017.