Mr. Crabill et al., STRINGHALT SECONDARY TO TRAUMA TO THE DORSOPROXIMAL REGION OF THE METATARSUS IN HORSES - 10 CASES (1986-1991), Journal of the American Veterinary Medical Association, 205(6), 1994, pp. 867-869
A review of medical records was used to identify 10 horses in which st
ringhalt developed subsequent to trauma to the dorsal metatarsus. Six
horses developed stringhalt within 3 months after injury, 3 horses dev
eloped stringhalt > 3 months after injury, and time from injury to str
inghalt was unknown for 1 horse. Horses were treated with exercise, in
cluding daily hand-walking with pasture turnout, followed by lunging;
or surgically, wing lateral digital extensor myotenectomy. Of the hors
es treated with exercise, 1 had resolution of stringhalt, 2 improved b
ut had residual stringhalt, and 1 had no change. Two of the horses hav
ing lateral digital extensor myotenectomy had resolution of stringhalt
. Two of the remaining 3 horses treated surgically had varying degrees
of improvement, and in 1 horse there was no change. Stringhalt is a p
otential complication following trauma to the dorsal metatarsal region
. Potential causes include tendon adhesions enhancing tarsocrural join
t flexion or abnormalities in the myotatic reflex caused by tendon inj
ury that result in abnormal flexion of the tarsocrural joint.