Tarsal sheath tenosynovitis (thoroughpin)

Overview

## Overview Tarsal sheath tenosynovitis is inflammation of the sheath around the deep digital flexor tendon at the hock, producing the swelling called thoroughpin. It may be primary or secondary to tendon injury or hock disease. Soft fluctuant swellings appear medial and lateral to the hock. Lameness is variable. ## Causes Trauma, tendon strain, or idiopathic. ## Diagnosis Ultrasound of the sheath and tendon. ## Treatment Rest and anti-inflammatories if inflamed. Address tendon lesions if present. Cosmetic cases may be left alone. ## Recovery and Prognosis Good for uncomplicated cases. ## Prevention None specific.

Signs & Symptoms

soft fluctuant swelling medial and lateral to the hock; variable lameness; may indicate deeper pathology

Affected Structures

Frequently Asked Questions

What is Tarsal sheath tenosynovitis (thoroughpin) in horses?

## Overview Tarsal sheath tenosynovitis is inflammation of the sheath around the deep digital flexor tendon at the hock, producing the swelling called thoroughpin. It may be primary or secondary to tendon injury or hock disease. Soft fluctuant swellings appear medial and lateral to the hock. Lameness is variable. ## Causes Trauma, tendon strain, or idiopathic. ## Diagnosis Ultrasound of the sheath and tendon. ## Treatment Rest and anti-inflammatories if inflamed. Address tendon lesions if present. Cosmetic cases may be left alone. ## Recovery and Prognosis Good for uncomplicated cases. ## Prevention None specific.

What are the signs of Tarsal sheath tenosynovitis (thoroughpin)?

soft fluctuant swelling medial and lateral to the hock; variable lameness; may indicate deeper pathology