Chronic DDFT Injury Progression in an 11‑Year‑Old Hanoverian: MRI vs. CT Findings скачать в хорошем качестве

Chronic DDFT Injury Progression in an 11‑Year‑Old Hanoverian: MRI vs. CT Findings

In this case study, we follow an 11‑year‑old Hanoverian gelding who first presented in 2021 with a 3/5 lameness. Initial diagnostics revealed extensive deep digital flexor tendon (DDFT) pathology, confirmed by MRI: a large tear extending from P2 to the tendon’s insertion, with mild findings in the contralateral limb. A recheck MRI in 2022 after a year of rest showed progression of the DDFT injury with new mid‑pastern tearing, despite partial improvement at the insertion. Over the next three years, the horse intermittently exhibited mild‑to‑moderate right front lameness and was managed with PRP injections and bisphosphonate therapy. By 2025, the gelding’s lameness worsened to 3/5, prompting a standing CT evaluation. CT imaging revealed a moderately progressive DDFT tear now extending from mid‑P1 to the distal navicular bone, including a new full‑thickness parasagittal suprasesamoidean tear. This case highlights the value of fan‑beam CT as a recheck modality for low‑field MRI and, in some cases, a primary diagnostic tool for evaluating progressive soft tissue pathology. Check out other Asto CT case studies here: https://www.astoct.com/case-studies