Get access

Tenoscopic Surgical Treatment of Tears of the Manica Flexoria in 53 Horses


  • Work carried out at Donnington Grove Veterinary Surgery.

  • Presented in part at the Veterinary Orthopedic Society meeting, Snowmass, CO, March 2011.

Corresponding Author

Judith Alice Findley, BSc, BVM&S, Phillip Leverhulme Equine Hospital, University of Liverpool, Leahurst, Chester High Road, Neston, Wirral, CH64 7TE, UK




To determine typical clinical features associated with tears of the manica flexoria (MF) and prognosis for return to athletic function after surgical resection.

Study design

Case series.


Medical records (January 2001–December 2011) of horses that underwent tenoscopic surgical treatment of MF tears were reviewed and outcome obtained by telephone questionnaire of owners.


Fifty three horses (65 MF tears) were treated; 83% were cobs or ponies. Injuries occurred more frequently in hindlimbs (85%) and effusion of the digital flexor tendon sheath was associated with all MF tears. Follow-up (>3 months after surgery) revealed that 42 horses (79%) returned to pre-injury level of ridden exercise, 7 horses returned to a lower level of exercise, 3 remained lame, and 1 was euthanatized.


Injury to the MF is most likely to occur in hindlimbs with cobs and ponies overrepresented.