How to differentiate between SHIVERS, STRINGHALT, UPWARD PATELLAR FIXATION and FIBROTIC MYOPATHY.
Although these problems have a similar appearance, there are characteristics which are specific to each of them. The trick is to know WHERE and WHEN to look:
LAMENESS ISSUE |
FIBROTIC MYOPATHY |
SHIVERS |
STRINGHALT |
UPWARD PATELLAR FIXATION |
General Appearance |
Shortened cranial (forward) phase to stride; lengthened caudal (backward) phase |
Episodic and sustained hyperflexion with concurrent abduction (holding the affected limb out-and-away from the body) |
Excessive spasmodic hyperflexion of one or both hindlimbs during movement |
Fixed pelvic limb extension followed by sudden abrupt hyperflexion |
Cause of Gait Abnormality |
Functional shortening of the cranial (forward) phase of the stride due to mechanical restriction of fibrotic/ scarred semitendinosus/ semimembranosus (hamstring) musculature along the back of limb |
Underlying neuropathy and/or episodic muscle cramping resulting in prolonged flexion/ abduction of affected limb |
Neuropathy resulting in lateral digital extensor muscle hyperactivity |
Failure of the medial patellar ligament to disengage from the medial trochlea of the femur, thereby disallowing normal flexion of the hind limb |
Gaits Most Affected |
Walking |
Standing, backing |
Walking, turning, backing |
Walking, downhills |
Frequency of Abnormality |
Every Stride |
Sporadic |
Every Stride |
Sporadic |
Also Look For: |
Goose Step |
Concurrent Tail Elevation |
Laryngeal Hemiplegia ("Roaring") |
Visible or Audible "Pop" to Limb at Initiation of Flexion |
You Probably Won't See: |
Hyperflexion of Affected Limb(s) |
Visible or Audible "Pop" to Limb at Initiation of Flexion |
Visible or Audible "Pop" to Limb at Initiation of Flexion |
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SIGNATURE TRAITS |
Goose-stepping (the foot moves backwards just before impact and slaps onto the ground surface abruptly) |
Horse holds up affected limb up for an extended period of time |
Horse immediately returns affected limb back to the ground from the flexed position |
Horse may drag affected hind limb behind the body while the patella is "locked" and the hind limb is fixed in extension. An obvious "snap" or "pop" of the hindlimb (most easily seen at the level of the hock) occurs at the moment the medial patellar ligament disengages and the limb flexes from the extended position |
See What This LOOKS LIKE! |
Fibrotic Myopathy
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Shivers

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Stringhalt

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Upward Patellar Fixation

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