European ISELP Module
International Society of Equine Locomotor Pathology

Stifle and Thigh

September 3rd-5th 2020

The Stifle and Thigh module aims to improve the diagnosis and management of many of the proximal hind limb conditions encountered in the field using clinical case presentations and live demonstrations. The module provides 20 hours of instruction and includes three hours of practice on live horses under the supervision of certified instructors.

Conditions reviewed include many femoropatellar and femorotibial conditions and thigh conditions. Special emphasis is made on the 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 3rd-5th 2020, 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 stifle and thigh with a detailed description of the bone and joint structures of the femoropatellar and femorotibial joints as well as femur, muscles, vessels and nerves of the thigh using pictures of anatomical specimen and drawings. A real time dissection of a prepared specimen demonstrates the concrete aspects of the anatomical structures considered in the module and is a key to understanding the clinical diagnosis and ultrasound approach.

The functional anatomy and biomechanics of the femoropatellar and femorotibial joints as well as the strong muscles of the thigh is described in detail to provide insight into the etiopathogenesis of proximal hind limb injuries. These data are essential for managing most of the bone, joint and muscle conditions of the proximal hind limb with a rational rehabilitation program.

Diagnostic analgesic techniques including intra-articular analgesia of the femoropatellar and femorotibial joints 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 femoropatellar and femorotibial conditions and thigh 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 for the diagnosis of proximal hind limb 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: femoropatellar conditions (osteochondrosis, upward patellar fixation, desmopathies/ enthesopathies of the patellar ligaments…), femorotibial conditions (subchondral bone cysts of the femoral condyles, meniscal injuries, enthesopathies of the collateral and cruciate ligaments, degenerative femorotibial joint…), and thigh conditions (including muscle rupture/tears, fibrotic myopathies …). 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 femoropatellar and femorotibial joints is presented on Saturday. The ultrasonographic guided techniques to inject the femoropatellar and femorotibial joints are explained, demonstrated and discussed. During 3 hours of practice on Sunday morning, attendees can learn these 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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