The ISELP Advanced Course: The Equine Cervicothoracobrachial Syndrome

This course is  available for ISELP Certified Members ONLY 

Join Professor Jean-Marie Denoix, and Dr. Kent Allen for an exclusive one-day Advanced Course

from the comfort of your home or office as this will be offered as a live stream event.

ATTENTION ISELP Certified Members: Please be reminded that in order to stay certified you are required to take at least one (1) Advanced Course every two (2) years. This requirement was adjusted because of the pandemic, however beginning 2022 this requirement will resume.

This advanced ISELP course is focused on the equine cervicothoracobrachial (CTB) syndrome. The main manifestation of this syndrome is dyskinesia of protraction of the forelimb in horses as a result of brachial plexus nerve roots pathological and functional alterations (Denoix, AAEP 2021). Lesions responsible for theses neuropathies include developmental or acquired arthropathies of the caudal cervical articular process joints (C5-T1), caudal cervical intervertebral disc lesions, arthropathy of the first costovertebral joint and congenital abnormalities of the first rib such as agenesia, hypoplasia, dystrophia and synostosis with often incomplete and dystrophic fibrous union of the first 2 ribs. All these abnormalities or injuries are in close anatomical relation with the brachial plexus components, either with its nerve roots (ventral rami of C6 to T1 cervical spinal nerves at the level of the intervertebral foramen) or the brachial plexus itself, passing between the scalenus medius and the scalenus ventralis muscles and then crossing over and lying on the first rib. Resulting alteration of the nerve conduction is responsible for paresis of the muscles achieving the protraction. They include the supraspinatus muscle innervated by the suprascapular nerve (coming from the cervical nerves C6 and C7), the cleidobrachialis muscle innervated by the axillary nerve (coming from C7 and C8), and the biceps brachii and brachialis muscles innervated by the musculocutaneus nerve (coming from C6, C7 and C8) (Fig. 1). Involvement of the radial nerve roots (C7, C8 and T1) or pathway may induce forelimb paresis (muscle weakness) predisposing further the horse to faulty steps, stumbling or even falling.

Clinical manifestations, diagnosis and treatment and management of this syndrome will be discussed during this ISELP advanced course.

Reference:

Denoix J.-M. A look at lameness through the eyes of functional anatomy (and biomechanics). Proceedings 67th AAEP Convention, Nashville, 2011:106-133;

 Advanced Course Live Stream Agenda

March 18, 2022

(All Times France CET Time Zone)

3:30-4:00 - ISELP Sponsor Video

4:00pm - 6:00pm Clinical Manifestations and Diagnosis of the CTB Syndrome - Jean-Marie Denoix

6:00pm - 6:30pm - BREAK

6:30pm-7:30pm - Prognosis and differential diagnosis - Jean-Marie Denoix

7:30pm-8:30pm - Treatment and Discussion - Kent Allen

CERTIFIED MEMBER PRICING*

ISELP  Certified Members: $250.00

 *THIS EVENT IS ONLY AVAILABLE FOR ISELP CERTIFIED MEMBERS