The Lameness Workup walks through the complete equine lameness exam in the order it actually happens in the clinic aisle. It opens with the functional anatomy of the distal limb, fetlock, carpus, tarsus, stifle, shoulder, and axial skeleton — the vocabulary every later chapter depends on — then moves through the AAEP grading scale, structured history and conformation assessment, and the full observation-palpation-manipulation sequence. From there it builds outward into gait analysis, covering the trot-up, lungeing, and flexion-test protocol alongside sensor-based objective asymmetry indices, and then into diagnostic analgesia:

What's Inside — Chapter by Chapter

Functional Anatomy of the Equine Musculoskeletal System — distal limb bones, tendons, ligaments, and joints; carpus, tarsus, stifle, shoulder, and hip; axial skeleton basics; how structure predicts common injury sites
Principles of Lameness: Terminology and the AAEP Grading Scale — lameness vs. gait abnormality, the full 0–5 grading scale, weight-bearing/non-weight-bearing/mixed patterns, mechanical vs. supporting-limb vs. swinging-limb lameness, communicating grades to owners
History, Signalment, and Conformation Assessment — structured history-taking, age/breed/discipline-driven differentials, conformation's relationship to injury risk, static assessment technique
The Systematic Exam: Observation, Palpation, and Manipulation — standing exam at rest, distal-to-proximal palpation sequence, digital pulses and heat, effusion grading, flexion test technique and interpretation caveats
Visual Gait Assessment: Trot-Up, Circling, and Flexion Tests — straight-line and lungeing protocol, head-nod and pelvic-hike recognition, forelimb vs. hindlimb signs, ridden evaluation basics
Objective Gait Analysis: Sensors and Asymmetry Indices — inertial sensor systems, asymmetry plots and threshold values, worked calculation examples, integrating objective data with visual assessment
Diagnostic Analgesia I: Distal Limb Nerve Blocks — palmar/plantar digital, abaxial sesamoid, low four-point, high four-point, and low six-point blocks, each with technique, structures desensitized, and interpretation
Diagnostic Analgesia II: Proximal Limb and Intra-Articular Blocks — proximal perineural blocks, intra-articular technique for major joints, sterility protocol, false positive/negative and diffusion caveats
Diagnostic Imaging I: Radiography and Interpretation — standard views by region, positioning technique, systematic reading approach, common findings as labeled schematics
Diagnostic Imaging II: Ultrasound, Scintigraphy, CT, and MRI — tendon/ligament ultrasound technique, cross-sectional anatomy correlation, modality selection guidance
Conditions of the Foot and Distal Phalanx — navicular and palmar foot pain, laminitis, hoof abscess, sole bruising, white line disease
Conditions of the Fetlock and Pastern — osteoarthritis, osselets, sesamoiditis, sesamoid ligament injury, high and low ringbone
Conditions of the Carpus, Tarsus, and Proximal Limb — carpal chip fractures, bone spavin, curb, stifle and shoulder-region conditions
Conditions of the Axial Skeleton: Back, Neck, and Pelvis — kissing spines, sacroiliac pain, cervical facet disease, primary vs. compensatory back pain, saddle fit
Musculoskeletal Emergencies and Acute Severe Lameness — fracture stabilization, laminitis crisis management, septic joint/tendon sheath recognition, referral triage
Therapeutic Options, Case Management, and Return-to-Work — controlled exercise protocols, rehabilitation modalities, prognosis communication, structured return-to-work progression

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The Lameness Workup

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