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farriery
veterinary
biomechanics
anatomy
nutrition
physiotherapy
2025
Case Report

Performance of Warmblood horses following tenoscopic desmotomy of the main part of the accessory ligament of the superficial digital flexor tendon for treatment of tendinopathy: 62 cases.

Authors: Blatter Marlis, Chapman Hannah-Sophie, Heinzel-Gutenbrunner Monika, von Plato Guido, Rijkenhuizen Astrid

Journal: Equine veterinary journal

Summary

# Editorial Summary: Tenoscopic Desmotomy for SDFT Tendinopathy in Warmblood Horses Whilst accessory ligament of the superficial digital flexor tendon (AL-SDFT) desmotomy has demonstrated promise in racehorses and event horses with SDFT tendinopathy, its application and outcomes in warmblood populations—crucial for dressage, showjumping and leisure disciplines—remained largely undocumented. This retrospective case series of 62 warmblood horses evaluated the performance outcomes following tenoscopic desmotomy of the main portion of the AL-SDFT, tracking return to work, athletic performance levels, and recurrence rates across diverse warmblood disciplines. The procedure appears to offer a viable surgical option for managing SDFT tendinopathy in this population, with outcomes informing realistic expectations regarding functional recovery and career longevity in sport horses. Farriers, veterinarians, and allied professionals involved in rehabilitation planning should consider this evidence when counselling owners on treatment options, particularly given the anatomical and biomechanical differences between warmblood conformation and lighter racing or event types, and the specific demands of their respective disciplines.

Read the full abstract on PubMed

Practical Takeaways

  • Tenoscopic desmotomy of the AL-SDFT is now a documented treatment option for SDFT tendinopathy in warmblood horses, not just racehorses
  • This minimally invasive approach may be applicable to your warmblood clients with flexor tendon injuries
  • Consider referral for this procedure as part of your diagnostic and treatment protocol for SDFT problems in sport horses

Key Findings

  • First study to describe tenoscopic desmotomy of AL-SDFT in warmblood horses with SDFT tendinopathy
  • 62 warmblood horses underwent the procedure, expanding evidence beyond Thoroughbred and Standardbred racehorses and event horses
  • Study evaluates performance outcomes in a previously unreported population for this specific surgical technique

Conditions Studied

superficial digital flexor tendon (sdft) tendinopathyaccessory ligament of the superficial digital flexor tendon (al-sdft) lesion