Ultrasonic Debridement with Stem Cell Therapy of
Suspensory Branch Desmitis in an Equine Patient
Volume 2 - Issue 2
Srinath Kamineni MD*, Alan Ruggles and Hamza Ashfaq
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- Department of Orthopedics and Sports Medicine, University of Kentucky College of Medicine, USA
*Corresponding author:
Srinath Kamineni, Department of Orthopedics and Sports Medicine, University of Kentucky College of
Medicine, Lexington, USA
Received: January 13, 2019; Published: January 31, 2019
DOI: 10.32474/CDVS.2018.02.000135
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Abstract
Ultrasonic debridement as a treatment for tendinopathy and desmitis is a relatively new approach in orthopedic surgery.
Previously only used in limited cases, this procedure shows promise for treating ligament-bone and tendon-bone interface injuries.
We present a case study of a 2-year-old thoroughbred male horse, unable to train due to recalcitrant symptoms after extensive
conservative management of suspensory branch desmitis (SBD). He was then treated with ultrasonic debridement and concurrent
manubrial stem cell autograft injection, to treat the ultrasound visualized lesion. Post-surgically the patient recovered quickly,
began training within 6 weeks and went onto win several races. Repeat ultrasound imaging reveals a complete restoration of the
internal fiber architecture of the ligament. With a 3 year follow-up, there has been consistent training and race performance with no
re-injury. This study is the first to document the successful outcome of ultrasonic debridement with concurrent stem cell injection
in the treatment of equine desmitis.
Keywords:Suspensory branch ligament; Desmitis; Ultrasonic Debridement; Equine; Orthopedics
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