THE MERCK VETERINARY MANUAL
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Tearing of the Medial Palmar Intercarpal Ligament in Horses

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This injury, first described in 1990, most commonly involves the medial palmar intercarpal ligament but may involve the lateral palmar intercarpal ligament. A typical presentation is synovitis and capsulitis unresponsive to therapy or the presence of carpal chip fragments with an untoward amount of lameness. Diagnosis is made arthroscopically, and the treatment is arthroscopic debridement of the torn fibers. The prognosis is excellent in horses with <50% tearing.

Last full review/revision March 2012 by Stephen B. Adams, DVM, MS, DACVS; Joerg A. Auer, DrMedVet, Dr h c, MS, DACVS, DECVS; James K. Belknap, DVM, PhD, DACVS; Jane C. Boswell, MA, VetMB, CertVA, CertES (Orth), DECVS, MRCVS; Peter Clegg, MA, Vet MB, PhD, CertEO, DECVS, MRCVS; Andrew L. Crawford, BVetMed, CertES (Orth), MRCVS; Jean-Marie Denoix, DVM, PhD, Agregé; Marcus J. Head, BVetMed, MRCVS; C. Wayne McIlwraith, BVSc, PhD, DSc, FRCVS, DACVS, DACVSMR; James Schumacher, DVM, MS, DACVS, MRCVS; John Schumacher, DVM, MS, DACVIM; Roger K. W. Smith, MA, VetMB, PhD, DEO, DECVS, MRCVS; Chris Whitton, BVSc, FACVSc, PhD

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