Publicación:

Descripción clínica del síndrome navicular, métodos diagnósticos y tratamientos

Resumen

Navicular syndrome is a common claudicogenic pathology in equine sports medicine that affects the podotrochlear apparatus, different etiopathogenic factors are attributed to it such as poor hoof conformation, some hereditary and racial components, poor shoeing techniques, excessive hoof contusion and also, the development of the disease is also influenced by the sporting discipline that the horse performs; Three theories are proposed, biomechanical, degenerative and vascular, which describe the sequence of mechanisms that give rise to the pathological changes of the affected structures. For the diagnosis of the syndrome, there is a step-by-step analysis of the entire podotrochlear system which begins with a static and dynamic inspection, which continues with palpation and pressure with forceps, to perform the flexion test, diagnostic analgesia and finally apply diagnostic imaging tests such as ultrasound, radiology and magnetic resonance imaging that finally confirms and concludes the pathological changes in each of the structures. The detection of this pathological condition through diagnostic tests is essential to establish a treatment plan that improves the patient's prognosis and continues with their sports life. For this, it is necessary to meet three therapeutic objectives focused on reducing the biomechanical stress of the podotrochlear apparatus through the mechanical distribution of forces, controlling pain and inflammation, promoting microcirculation and slowing the progression of degeneration. The success of the patient's recovery depends on the compliance with the treatment, its continuity and the constant supervision of the patient.