A review of the human and veterinary literature on local anaesthetics and their intra-articular use

Journal:Veterinary and Comparative Orthopaedics and Traumatology (VCOT)
ISSN:0932-0814
DOI:http://dx.doi.org/10.3415/VCOT-09-10-0107
Issue:2010: Issue 4 2010
Pages:225-230

A review of the human and veterinary literature on local anaesthetics and their intra-articular use

Relevant information for lameness diagnosis in the dog

D. Van Vynckt (1), I. Polis (2), F. Verschooten (2), B. Van Ryssen (1)

(1) Departments of Medical Imaging and Small Animal Orthopaedics, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium; (2) Department of Internal Medicine and Clinical Biology of Small Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium

Summary

Lameness in dogs is often a diagnostic challenge. In many cases it is difficult to determine the exact localisation of lameness because of the absence of palpable changes, or because of unreliable pain response due to high pain tolerance, stress or aggression of the dog. In horses and humans, intra-articular administration of local anaesthetics is commonly used for diagnostic purposes. In this review, information from human and veterinary studies on different local anaesthetic agents and their application for diagnostic intra-articular anaesthesia is given. Based on this information, a protocol for diagnostic intra-articular anaesthesia in the dog can be developed and evaluated in future studies.

Keywords

joint pain, Intra-articular anaesthesia, mepivacaine, lameness diagnosis

DOI

http://dx.doi.org/10.3415/VCOT-09-10-0107

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