Posted by Suzanne on May 03, 2003 at 19:45:05:
In Reply to: Re: Navicular Syndrome xrays Danvers or Dr. Meyers? posted by M. W. Myers, D.V.M. on May 03, 2003 at 16:41:19:
Dr Meyers,
I noticed that other bones were showing a variation in density in the newer xray also. This is why I was concerned about the accuracy of the new xray and the angle of the xray and comparing it to the other one. I am going to go to the vet's office and have her go over them with me again.
My plan is to continue to ride him through the summer and see how he goes. If he is off then I will xray as you recommend otherwise in the fall I will take him to the clinic and have the xrays done there based on your recommendation. Also, do you recommend an ultrasound of the tendon at that time also?
Thank you for your help !
Suzanne DeVries
: Unless you have very precise control of the current useage of the radiographic unit, comparison of density betweem two sets of films taken some time apart is problematical at best. Is the bone denser compared to the other bones in the same films or are these bones showing differing densities as well?
: The navicular bone is not a solid structure and has a marrow cavity as do most of the bones. If it is appearing as a solid structure the technique is generally too "soft" to adequately show all of the bone structure. My plan is to continue to ride him through the summer and see how he goes. Then in the fall I will take him to the clinic and have the xrays done there based on your recommendation. Also, do you recommend an ultrasound of the tendon at that time also?
: I would say a full radiographic series of the bone as well as balance films should be done. Shoeing this horse from corectly taken balance films is the best you can do. After this enjoy each other's company maximally and let nature sort out the rest. If things start to unravel after some time, take appropriate steps to correct each turn in the road of the future for the both of you.
: M. W. Myers, D.V.M.