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Nuss, K.; Maierl, Johann (2000): Tendovaginitis des tiefen Zehenbeugers (M. flexor digitorum lateralis et M. tibialis caudalis) am Tarsus des Rindes. In: Tierärztliche Praxis / G, Großtiere, Vol. 28, No. 6: pp. 299-306
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The objective of this study was to evaluate the anatomical features of the tarsal flexor tendon sheath in bovines and the relevant therapeutic modalities of septic tenosynovitis. In order to define the normalanatomy of the tendon sheath, 26 clinically and radiologically normal specimens were evaluated using contrast radiography. A communication between the tarsocrural joint and the tendon sheath was seen in five of the 26 specimens (19%). For the treatment of septic tenosynovitis of the tarsal flexor tendon sheath at the bovine tarsus, a possible communication between the tendon sheath and the tarsocrural joint - underlining earlier findings - should be considered. Tenosynovitis of the tarsal flexor tendon sheath was seen in 16 out of 963 cases of lameness (1.7%) not associated with the digit. Ten of these animals had concurrent septic tarsitis. Of the 16 cattle affected with tenosynovitis, 10 were not treated because of a poor prognosis. Six animals were treated, by through-and-through lavage with gentamicin-Ringers solution (3/6), tendovaginotomy (2/6) or resection of the tendon (1/6). Clinical follow-up examination of the six animals(mean 26 months, range 6-48 months) showed healthy individuals with noresidual lameness (4) or slight lameness (2) on the affected leg. The cow treated with tendon resection developed a flexural limb deformitybut could be kept on slatted floors two years postoperatively.