A Simple Technique of Sacroiliac Regional Analgesia and Therapy in Show Jumping Horses

Research Article

Austin J Anesthesia and Analgesia. 2015; 3(1): 1042.

A Simple Technique of Sacroiliac Regional Analgesia and Therapy in Show Jumping Horses

Shokry M*

Department of Veterinary Surgery, Anesthesiology & Radiology, Cairo University, Egypt

*Corresponding author: Shokry M, Department of Veterinary surgery, Anesthesiology & Radiology, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt

Received: September 25, 2015; Accepted: December 30, 2015; Published: December 31, 2015

Abstract

An easy axial approach using 15cm long spinal needles, 21-gauge to the cranial aspect of the sacral tuber and obliquely at 30 degrees to the vertical was very satisfactory for achieving successful analgesia and therapy of sacroiliac pain in show jumping horses.

Keywords: Sacroiliac joint; Jumping horses

Introduction

Sacroiliac Joint (SIJ) disorders have been considered as a significant cause of back pain and poor performance in sport horses [1-4]. Clinical signs of SIJ ailment are often non specific and include poor performance shifting hindlimb lameness, hind quarter asymmetry and reluctance to jump [3,5,6]. The SIJ is an atypical synovial articulation located at the osseous junction between the pelvis and the axial skeleton. The articular surfaces are located bilaterally on the ventral aspect of the iliac wing on the dorsal aspect of the sacral wing. The sacrum is firmly attached to the pelvis by the three strong paired sacroiliac ligaments which limit motion of the SIJ [7-9]. Regional anesthesia, radiography, ultrasonography, nuclear scintigraphy, thermography and kinematic evaluation have been described as useful modalities for diagnosing SIJ pathology [10-15]. Intra-articular anesthesia of the SIJ is nearly impossible because of limited access due to the overlying musculature. However, periarticular anesthesia of the SIJ can be of great benefit for diagnosing or treating sacroiliac pain [16]. The aim of this study was to demonstrate a simple feasible technique of sacroiliac regional injection for diagnostic and therapeutic purposes.

Materials and Methods

For easy and perfect accessibility of the SIJ, a frozen sacropelvic specimen of an adult horse were subjected to neighboring transverse sections of SIJ region at 3 levels to identify its structural relationships (Figure 1). In addition, osseous construction of sacropelvic components was used to facilitate an easy access landmark to SIJ region (Figure 2).

Citation: Shokry M. A Simple Technique of Sacroiliac Regional Analgesia and Therapy in Show Jumping Horses. Austin J Anesthesia and Analgesia. 2015; 3(1): 1042. ISSN: 2381-893X