European ISELP Module
International Society of Equine Locomotor Pathology

The Fetlock, Metacarpus and Carpus

September 16th-18th 2021

The Fetlock, Metacarpus and Carpus module aims to improve the diagnosis and management of many of the conditions encountered in these regions in the field, using clinical case presentations and live demonstrations. The module provides 26 hours of instruction and includes 12 hours of wetlabs under the supervision of certified instructors.

Conditions reviewed include many tendon, ligament, cartilage and bone conditions. Special emphasis is made on the imaging, management and rehabilitation program of the different conditions.

Sporthorse Medical Diagnostic Centre (SMDC) is proud to host the European module of the International Society of Equine Locomotor Pathology (ISELP). This event will take place from September 16th-18th 2021, at our facility in Heesch, The Netherlands.

The ISELP strives to provide practitioners with contemporary knowledge and techniques in the continually evolving field of equine locomotor analysis, in order to aid the equine clinician to better understand and manage lameness conditions in the equine athlete.

This module covers the descriptive anatomy of the fetlock, metacarpus and carpus with a detailed description of the bone and joint structures of the fetlock and carpal joints as well as tendons, vessels and nerves of the metacarpus and carpal canal using pictures of anatomical specimen and drawings. A video of the dissection of a prepared specimen is provide up front and demonstrates the concrete aspects of the anatomical structures considered in the module. It is a key to understanding the clinical diagnosis and ultrasound approach.

The functional anatomy and biomechanics of these regions is described in detail to provide insight into the etiopathogenesis of limb injuries. These data are essential for managing most of the bone, joint and muscle conditions with a rational rehabilitation program.

Diagnostic analgesic techniques including intra-articular analgesia of the fetlock and carpus using either conventional techniques or ultrasonographic guided injections are also reviewed in detail.

A large part of the module is devoted to clinical cases presentations of fetlock, metacarpal and carpal lamenesses including a complete clinical examination (with pictures of the physical exam and videos of the lameness, before and after blocks), radiographic examination and ultrasound scans of the lesions. Some cases will demonstrate the interest of combined imaging using nuclear scintigraphy or MRI for the diagnosis of the cause of the lamenesses. Interactive discussion of the prognosis as well as the treatment and management of the different conditions presented provides practical knowledge.

The different conditions reviewed include: Fetlock conditions (cartilage abnormalities, subchondral bone injury, fissures, …), metacarpal conditions (tendinopathy of the SDFT, DDFT, AL-DDFT, desmitis/enthiopathy SL, …), carpal canal conditions (flexor retinaculum injury, tendinopathy SDFT, DDFT, …) and carpal conditions (osteoarthritis, subchondral bone injury, fractures, CL injury,…). Special emphasis is made on the rehabilitation program of the different conditions.

A live demonstration of the basic and advanced ultrasound techniques for the diagnosis of the different conditions of the fetlock, metacarpal and carpal areas is presented on both Friday and Saturday. The ultrasonographic guided techniques are explained, demonstrated and discussed. During 3 sessions of 2 hours of practice every afternoon, attendees can improve their clinical skills and ultrasound techniques on live horses with the help of certified instructors.

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“ Thanks to ISELP we still expand our knowledge in understanding
and management of equine orthopedic conditions”
Dr. Bergman and Dr. van Toor, ISELP certified veterinarians SMDC, The Netherlands
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