
Summary
A review of the current understanding of suspensory structure and function, the incidence and nature of suspensory injury and the evidence for conventional treatments.
The importance of suspensory injury in elite sport horses
The ‘Special’ nature of horses suitable for surgical treatment of chronic suspensory disease
Acute injury, failure of adaptation or chronic degeneration?
Types of non responsive injury:
Insertional desmopathy
Articular and non articular boarder splits
Core lesions
Peri-ligamentous fibrosis
Discussion of potential window of opportunity to manage chronic suspensory disease
Review of previously reported surgical treatments
Discussion of imaging modalities
A description of the surgical procedures I use
Description of additional regenerative treatments
A description of management strategies
Case series statistics and outcomes
Summary of recommendations