Tarsalis ínhüvelysérv nagy kiterjedésű lateralis sérvtömlőjének sebészi reszekciója lovon : Esetismertetés = Surgical correction of an extensive tarsal sheath synovial hernia in a horse : Case report

Puskás, Miklós and Bodó, Gábor (2026) Tarsalis ínhüvelysérv nagy kiterjedésű lateralis sérvtömlőjének sebészi reszekciója lovon : Esetismertetés = Surgical correction of an extensive tarsal sheath synovial hernia in a horse : Case report. MAGYAR ÁLLATORVOSOK LAPJA, 148 (2). pp. 67-73. ISSN 0025-004X

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Abstract

A szerzők röviden áttekintik a tarsalis ínhüvely nem szeptikus elváltozásait, azok kezelési lehetőségeit és prognózisát lovon. Ezt követően egy saját eset leírása kapcsán részletezik egy súlyos tarsalis ínhüvelysérv klinikai kórképét és sikeres sebészi kezelését, amelynek során kitérnek a csánk tájéki sebészeti beavatkozások nehézségeire és azok megoldására. | Background: Aseptic swelling of the tarsal tendon sheath is a difficult and rare condition in horses. The most common causes include herniation of the proximo-caudal tendon sheath wall, lesions of the deep flexor tendon, and sustentaculum tali. Objectives: The authors briefly review the literature on aseptic lesions of the tarsal tendon sheath and then share their experiences in describing their own case of an extreme tarsal sheath effusion, which was treated using a surgical solution not yet found in the literature. Materials and Methods: The surgical repair of a tarsal tendon sheath herniation forming an extreme blind sac laterally in a 4-year-old Swiss Warmblood mare is detailed. During surgery fibrin debris was removed from a medial tenoscopic approach followed by resection of the 15 cm long hernial sac from an open approach on the lateral side of the hock. Twelve hours postoperatively revision of the hernial ring suture was necessary. A Robert Jones bandage and a long dorsal fiberglass splint was used subsequently for 3 weeks postoperatively. Results and Discussion: In aseptic tarsal sheath effusion without lameness, the most common lesion is a hernia of the proximo-caudal wall of the tarsal sheath, presumably due to a lesion of traumatic origin. In our case, the hernia also formed a laterally developing blind sac of approximately 15 cm in length, which contained numerous fibrin clots. In addition to surgical removal of the hernial sac, it is very important to note that the surgical area is subject to significant movement; therefore, splinting of the hock joint during the entire healing period is essential to prevent suture failure of the hernial ring and wound dehiscence. After the treatment described above, the horse recovered without lameness and healed with excellent cosmetic results.

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