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What’s Your Diagnosis?
Hunter’s Bump = Sacroiliac Luxation
Sacroiliac Joint


✤   Attachment of the hind legs to the spine

✤   Non-mobile joint

✤   Transfers hind limb propulsive forces to
    the vertebral column

✤   Prominence of the tuber sacrale occurs
    when muscles/ligaments holding the SI
    in place are torn
Hunter’s Bump
Diagnosis of SI Subluxation


✤   Musculoskeletal examination and gait analysis to determine if painful

✤   Hunter’s Bump can be chronic or acute:

    ✤   If the luxation is chronic but stable, the horse may not be painful.

    ✤   If the luxation is acute and unstable, hind end lameness is usually evident

✤   A Hunter’s Bump is evidence of SI disease.
Diagnosis of SI Subluxation


✤   Subluxation and pain can occur prior to visible
    development of Hunter’s Bump

    ✤   lack of Bump does not rule out SI pain

✤   Ideally we would like to identify SI strain prior to
    full luxation and visible changes to the pelvis

✤   Nuclear Scintigraphy(Bone Scan) - intravenous
    injection of radioactive material and detection of
    "hot spots" by use of a gamma camera.
Treatment for SI Subluxation



✤   Rest and controlled rehabilitation
    typical for any soft tissue injury

✤   Ultrasound guided injection of
    Steroids into SI joint to reduce
    inflammation and pain

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What's your diagnosis? #3

  • 2. Hunter’s Bump = Sacroiliac Luxation
  • 3. Sacroiliac Joint ✤ Attachment of the hind legs to the spine ✤ Non-mobile joint ✤ Transfers hind limb propulsive forces to the vertebral column ✤ Prominence of the tuber sacrale occurs when muscles/ligaments holding the SI in place are torn
  • 5. Diagnosis of SI Subluxation ✤ Musculoskeletal examination and gait analysis to determine if painful ✤ Hunter’s Bump can be chronic or acute: ✤ If the luxation is chronic but stable, the horse may not be painful. ✤ If the luxation is acute and unstable, hind end lameness is usually evident ✤ A Hunter’s Bump is evidence of SI disease.
  • 6. Diagnosis of SI Subluxation ✤ Subluxation and pain can occur prior to visible development of Hunter’s Bump ✤ lack of Bump does not rule out SI pain ✤ Ideally we would like to identify SI strain prior to full luxation and visible changes to the pelvis ✤ Nuclear Scintigraphy(Bone Scan) - intravenous injection of radioactive material and detection of "hot spots" by use of a gamma camera.
  • 7. Treatment for SI Subluxation ✤ Rest and controlled rehabilitation typical for any soft tissue injury ✤ Ultrasound guided injection of Steroids into SI joint to reduce inflammation and pain

Notes de l'éditeur

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