Srinath Kamineni(1,*), Alan Ruggles(2) and Hamza Ashfaq(1)
1- Department of Orthopedic Surgery and Sports Medicine, Elbow Shoulder Research Center, College of Medicine, University of Kentucky, Lexington KY, USA
2- Rood and Riddle Equine Hospital, Lexington KY, USA
Ultrasonic debridement as a treatment for tendinopathy and desmitis is a relatively new approach in orthopedic surgery. Previously only used in limited cases, this procedure shows promise for treating ligament-bone and tendon-bone interface injuries. We present a case study of a 2-year-old thoroughbred male horse, unable to train due to recalcitrant symptoms after extensive conservative management of suspensory branch desmitis. He was then treated with ultrasonic debridement and concurrent manubrial stem cell autograft injection, to treat the ultrasound visualized lesion. Post-surgically the patient recovered quickly, began training within 6 weeks and went onto win several races. Repeat ultrasound imaging reveals a complete restoration of the internal fiber architecture of the ligament. With a 3 year follow-up, there has been consistent training and race performance with no re-injury. This study is the first to document the successful outcome of ultrasonic debridement with concurrent stem cell injection in the treatment of equine desmitis.
Keywords: Desmitis, Equine, Orthopedics, Suspensory branch ligament, Ultrasonic debridement.