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1.
Sanz MG Sampson SN Schneider RK Gavin PR Baszler TV 《Journal of the American Veterinary Medical Association》2006,228(12):1918-1921
CASE DESCRIPTION-A 4-year-old Quarter Horse stallion was evaluated because of a 10-month history of moderate (grade 3/5) left forelimb lameness (detectable during trotting over a smooth, hard surface). CLINICAL FINDINGS-No abnormalities were detected in either forelimb via palpation or application of hoof testers; however, lameness was eliminated after administration of a palmar digital nerve block in the left forelimb. Whereas radiography and ultrasonography did not identify any left forelimb foot abnormalities, magnetic resonance (MR) imaging revealed a circumscribed soft tissue mass in the distal aspect of the digital flexor tendon sheath (DFTS) dorsal to the lateral aspect of the deep digital flexor tendon. Subsequently, the left forelimb DFTS was injected with local anesthetic, which resulted in 90% improvement of the horse's lameness. TREATMENT AND OUTCOME-The distal aspect of the left forelimb DFTS was evaluated tenoscopically. The mass was removed under tenoscopic guidance, after which the distal digital annular ligament was transected. The horse received phenylbutazone orally for 10 days, and the left forelimb DFTS was injected with hyaluronic acid and methylprednisolone acetate 7 days after the surgery. Following a rehabilitation program, the horse was returned to full training at 6 months after surgery and competed successfully during a 2-year follow-up period. CLINICAL RELEVANCE-Use of MR imaging should be considered in all lame horses for which a definitive diagnosis cannot be made via radiography, ultrasonography, or other imaging techniques, especially when the lameness has been localized to a specific anatomic region by use of diagnostic anesthesia. 相似文献
2.
A horse with unilateral forelimb lameness and pain localised to the palmar aspect of the foot was evaluated using radiography and low field magnetic resonance (MR) imaging. A distal border fragment of the navicular bone, an osseous cyst‐like lesion (OCLL) in the distal third of the navicular bone and focal distal sesamoidean impar desmitis were identified as the most likely causes of pain and lameness. No other lesions likely to contribute to pain and lameness were identified on MR images or gross post mortem examination. The OCLL was characterised histologically by enlarged bone lacunae containing proliferative fibrovascular tissue. Focal lesions of the distal aspect of the navicular bone are rarely found in isolation but can be causes of pain and lameness in horses. 相似文献
3.
A 12‐year‐old Morgan broodmare presented for a nonweightbearing right forelimb lameness. Radiography and computed tomography confirmed the presence of a pathological fracture of the proximal first phalanx through a large subchondral bone cyst (SBC) in the right forelimb and a large SBC in the proximal first phalanx of the left forelimb. Surgical repair of the large palmar medial eminence fracture of the proximal first phalanx fracture was performed using bone screws placed in lag fashion placed through stab incisions after debridement and bone grafting of the SBCs. Approximately 6 months after surgery the mare was ambulating comfortably at pasture. This case report describes a fracture through a large subchondral bone cyst in a horse despite chronicity and ongoing bone remodelling. Careful consideration regarding exercise or use should be considered in horses with large SBCs. 相似文献
4.
J. F. Griffin IV M. C. Coleman E. Quist K. A. Spaulding R. M. Dabareiner D. K. Giri R. R. Pool 《Equine Veterinary Education》2012,24(12):610-614
The purpose of this report is to describe the clinical, imaging and pathological findings in a Quarter Horse colt admitted to the Texas A&M University Veterinary Medical Teaching Hospital for lameness of the left forelimb and left hindlimb. A presumptive diagnosis of left forelimb septic navicular bursitis was made ultrasonographically. A cyst‐like lesion of the calcaneus was diagnosed radiographically and better characterised with computed tomography. The cyst‐like lesion of the calcaneus was caused by infection with Actinobacillus sp. and extended into the adjacent tarsocrural, proximal intertarsal and talocalcaneal joints causing septic arthritis. The owner elected for euthanasia due to the poor prognosis. The diagnoses were confirmed on histopathology. 相似文献
5.
J A Craig R G Helman M Walker 《Journal of the American Veterinary Medical Association》1985,186(10):1100-1101
An 8-year-old male Irish Setter was admitted because of nonweight bearing lameness of the left forelimb. Radiography failed to reveal any bony lesions of the forelimb; however, extensive periosteal new bone formation over most rib surfaces and an atypical cardiac silhouette suggestive of a mediastinal mass with pleural effusion were observed. New bone formation was seen on the ilium and a filling defect in the urethra, distal to the prostate, was apparent with contrast urethrocystography. Necropsy revealed scirrhous mesothelioma of the thorax and abdomen, multifocal periosteal exostoses, paraprostatic cyst, and benign prostatic cystic hyperplasia. Tumor cells were associated with the periosteal exostotic costal bone. The specific cause of the lameness was not determined. 相似文献
6.
A mature donkey was presented for evaluation of a forelimb lameness and presence of a large mass on the left forelimb distal to the elbow joint. Clinical examination, radiographs and cytological examination of ultrasound‐guided fine needle aspirates of the mass led to a presumptive diagnosis of osteosarcoma. The donkey was subsequently subjected to euthanasia. Post mortem examination confirmed the diagnosis of osteosarcoma in the proximal radius with expansion of the mass through the ulnar cortex and metastases to liver and regional lymph nodes, areas of metastasis previously unreported in the equine literature. 相似文献
7.
This report describes a case of sudden lameness in an 18-year-old Percheron cross mare after presumably being kicked by another horse, and the subsequent formation of a ganglion cyst originating from the lateral femorotibial joint. Physical examination, radiographic and ultrasonographic investigation identified a soft round 5 cm diameter mass attached to the left lateral femorotibial joint. After surgical removal, histopathological examination confirmed a ganglion cyst. The horse responded well to the surgical removal of the cyst, and 4 weeks after the surgery, the mare has returned back to her same athletic performance. According to the authors’ knowledge, this is the first reported case that describes a peri-articular ganglion cyst originating from the stifle joint. 相似文献
8.
The objective of this study was to validate and use a model of reversible foot lameness in the horse. The model used both forelimb hooves fitted with a clamp. After force platform baseline measurements, one clamp was tightened to induce an asymmetry index (ASI) between 25% and 30% and left in place for 120 hours. Serial force platform measurements were obtained. After 120 hours, the clamp was released, and force platform data were recorded until the horse returned to soundness. The procedure was repeated on the opposite forelimb. To use the model, the same procedure was performed in another group of horses with one limb treated with topical diclofenac at 12-hour intervals beginning when the initial ASI was between 25% and 30% and continued for 120 hours. The response was evaluated for each outcome variable using linear mixed models. Time (duration of clamp being tight), limb (left or right), and clamping order (first or second foot) were fixed effects, whereas horse was a random effect. A similar analysis was completed with the additional variable (diclofenac treatment) for the model utilization data. For model validation, the only significant force plate data variable was time, which is consistent with model design. For model utilization, there was a significant effect of time and a significant decrease in the ASI associated with topical diclofenac. The model created a consistent lameness that will provide a mechanism to compare treatments for pain and lameness. Topical diclofenac applied twice daily decreased the lameness associated with the model. 相似文献
9.
Dabareiner RM Cohen ND Carter GK Nunn S Moyer W 《Journal of the American Veterinary Medical Association》2005,227(10):1646-1650
OBJECTIVE: To identify types of musculoskeletal problems associated with lameness or poor performance in horses used for barrel racing. DESIGN: Retrospective case series. ANIMALS: 118 horses. PROCEDURE: Medical records were reviewed for information on signalment, history, physical and lameness examination findings, diagnostic tests performed, diagnosis, and treatment. RESULTS: Most horses were examined because of lameness (n = 72 [61%]) rather than poor performance (46 [39%]), but owner complaint was not significantly associated with age or body weight of the horse. The most common performance change was refusal or failure to turn properly around the first barrel (19/46 [41%]). The right forelimb (n = 57 [48%]) was most commonly affected, followed by the left forelimb (51 [43%]), the left hind limb (31 [26%]), and the right hind limb (25 [21%]). In 31 horses (26%), both forelimbs were affected, and in 6 (5%), both hind limbs were affected. The most common musculoskeletal problems were forelimb foot pain only (n = 39 [33%]), osteoarthritis of the distal tarsal joints (17 [14%]), suspensory ligament desmitis (15 [13%]), forelimb foot pain with distal tarsal joint osteoarthritis (11 [9%]), and bruised feet (10 [8.5%]). In 81 (69%) horses, the affected joint was treated with intra-articular medications. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that in horses used for barrel racing that are examined because of lameness or poor performance, the forelimbs are more likely to be affected than the hind limbs, with forelimb foot pain and osteoarthritis of the distal tarsal joints being the most common underlying abnormalities. 相似文献
10.
A 10-year-old Warmblood gelding presented with a left hindlimb lameness. Diagnostic analgesia located the lameness to the stifle. Radiography showed an unusually large cyst in the distal femur. Diagnostic arthroscopy of the stifle did not reveal any significant abnormalities. An extra-articular transcortical approach to the cyst was performed for drainage, curettage, and provision of an autologous, cancellous bone graft, gentamicin-impregnated collagen fleeces and injectable steroid. The horse returned to a higher level of competitive dressage than prior to surgery. This report describes a large cyst in the distal femur of a horse. 相似文献
11.
Barber MJ Sampson SN Schneider RK Baszler T Tucker RL 《Journal of the American Veterinary Medical Association》2006,229(5):717-720
CASE DESCRIPTION: A 5-year-old Appaloosa mare was examined for severe left forelimb lameness of 4 months' duration. CLINICAL FINDINGS: Lameness was evident at the walk and trot and was exacerbated when the horse circled to the left. Signs of pain were elicited in response to hoof testers placed over the frog of the left front hoof, and a palmar digital nerve block eliminated the lameness. Radiographs revealed no abnormalities, but magnetic resonance imaging (MRI) revealed increased bone density in the medullary cavity of the distal sesamoid (navicular) bone in the proton density and T2-weighted images and a defect in the fibrocartilage and subchondral bone of the flexor cortex. TREATMENT AND OUTCOME: Because of the absence of improvement after 4 months and the poor prognosis for return to soundness, the mare was euthanatized. An adhesion between the deep digital flexor tendon and the flexor cortex defect on the navicular bone was grossly evident, and histologic evaluation revealed diffuse replacement of marrow trabecular bone with compact lamellar bone. Changes were consistent with blunt traumatic injury to the navicular bone that resulted in bone proliferation in the medullary cavity. CLINICAL RELEVANCE: Use of MRI enabled detection of changes that were not radiographically evident and enabled accurate diagnosis of the cause of lameness. Navicular bone injury may occur without fracture and should be considered as a differential diagnosis in horses with an acute onset of severe unilateral forelimb lameness originating from the heel portion of the foot. 相似文献
12.
Ferreira AJ Peleteiro MC Correia JH Jesus SO Goulão A 《The Journal of small animal practice》2005,46(6):286-290
A small-cell carcinoma of the lung was identified in a six-year-old female German shepherd dog with a history of chronic lameness of the left forelimb, Horner's syndrome and sensory deficits on the caudal portion of the left forelimb below the elbow. A mass, the exact location of which was difficult to ascertain, was identified during radiographic examination of the thorax. It was easily identified, using magnetic resonance imaging, as an apical tumour of the left lung with dorsal extension and involvement of paraspinal structures, such as spinal nerve roots C8 to T1 and the sympathetic trunk. Postmortem examination confirmed a mass in the left apical lobe of the lung, compatible with a diagnosis of small-cell carcinoma by histopathology and immunohistochemistry. This clinical presentation is similar to Pancoast syndrome described in humans. 相似文献
13.
Synovial sarcoma was diagnosed in the right carpus of a 2 1/2-year-old mixed-breed dog. The dog had developed a right forelimb lameness before one year of age. The lameness was progressive for nearly 2 years, resulting in severe disuse atrophy of the right forelimb musculature and pronounced osteopenia. A definitive diagnosis was not made until the dog was referred after 2 years of conservative treatment was ineffectual. Right forelimb amputation was done and the dog survived an additional 15 months. The protracted clinical course before definitive diagnosis underscores the need for aggressive pursuit of a diagnosis when conservative treatment of a lameness is not efficacious. 相似文献
14.
T. STEINBERG K. MATIASEK A. BRÜHSCHWEIN A. FISCHER 《Veterinary radiology & ultrasound》2007,48(3):250-253
A 4-year-old Doberman Pinscher was evaluated for chronic progressive central vestibular disease and aggressiveness. A cyst-like lesion was identified in the region of the left cerebellopontine angle. The lesion was hypointense on T1-weighted and hyperintense on T2-weighted images. Differentials included an epidermoid or dermoid cyst, cystic neoplasm, and brain abscess. Hyperintensity on subsequent fluid-attenuated inversion recovery images excluded an arachnoid cyst. The histopathologic diagnosis was epidermoid cyst within the fourth ventricle. 相似文献
15.
Keegan KG Arafat S Skubic M Wilson DA Kramer J 《American journal of veterinary research》2003,64(11):1376-1381
OBJECTIVE: To investigate continuous wavelet transformation and neural network classification of gait data for detecting forelimb lameness in horses. ANIMALS: 12 adult horses with mild forelimb lameness. PROCEDURE: Position of the head and right forelimb foot, metacarpophalangeal (ie, fetlock), carpal, and elbow joints was determined by use of kinematic analysis before and after palmar digital nerve blocks. We obtained 8 recordings from horses without lameness, 8 with right forelimb lameness, and 8 with left forelimb lameness. Vertical and horizontal position of the head and vertical position of the foot, fetlock, carpal, and elbow joints were processed by continuous wavelet transformation. Feature vectors were created from the transformed signals and a neural network trained with data from 6 horses, which was then tested on the remaining 2 horses for each category until each horse was used twice for training and testing. Correct classification percentage (CCP) was calculated for each combination of gait signals tested. RESULTS: Wavelet-transformed vertical position of the head and right forelimb foot had greater CCP (85%) than untransformed data (21%). Adding data from the fetlock, carpal, or elbow joints did not improve CCP over that for the head and foot alone. CONCLUSIONS AND CLINICAL RELEVANCE: Wavelet transformation of gait data extracts information that is important for the detection and differentiation of forelimb lameness of horses. All of the necessary information to detect lameness and differentiate the side of lameness can be obtained by observation of vertical head movement in concert with movement of the foot of 1 forelimb. 相似文献
16.
H. J. Cottle K. J. Hughes A. W. Philbey P. J. Pollock 《Equine Veterinary Education》2008,20(11):575-579
An 11‐year‐old Clydesdale gelding was presented for investigation of left forelimb lameness of 2 weeks' duration. The use of scintigraphic imaging helped to localise the source of lameness to the left proximal humerus. In this report, the clinical and diagnostic imaging features of a primary osseous haemangiosarcoma in a horse are described, along with the challenges of establishing a definitive diagnosis ante mortem. In addition, neoplasia of the appendicular skeleton should be considered a differential cause of lameness in the horse. 相似文献
17.
A 13-year-old Morgan gelding was examined for right forelimb lameness and tenosynovitis of the right common carpal sheath of the digital flexor tendons. The horse had moderate right forelimb lameness at the trot and marked effusion of the right common carpal sheath of the digital flexor tendons. Ultrasonographic examination revealed a soft tissue mass within the proximal pouch of the affected tendon sheath, located adjacent to the distal physis of the radius. Cytology and culture of the fluid revealed a sterile, eosinophilic tenosynovitis. Tenoscopic exploration confirmed the presence of a capsulated soft tissue mass. Thecotomy was required to fully debride the mass, which histology revealed to be a mast cell tumour. At 22 months postoperatively, the horse developed mild right forelimb lameness and eosinophilic tenosynovitis because of recurrence of the mastocytoma. Mastocytosis is a possible differential diagnosis in any horse exhibiting lameness associated with tenosynovitis. Surgical excision combined with rest and postoperative intrasynovial and systemic corticosteroids may be palliative. 相似文献
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Osseous cyst‐like lesions (OCLLs) were diagnosed by standing low‐field magnetic resonance (MR) imaging in 9 mature horses (age range 6–17 years). All horses had been subjected to a routine lameness evaluation (including standard foot radiographs) with no diagnosis being reached prior to MR imaging. The duration of lameness ranged from one month to one year. OCLLs were diagnosed in 12 feet. The site of the lesions included the distal phalanx in 11 feet (subchondral bone in 4, insertion of collateral ligaments of the distal interphalangeal joint in 4, insertion of the distal sesamoidean impar ligament in 3) and the subchondral bone of the distal aspect of the middle phalanx in one foot. OCLLs were characterised by discrete spherical or elliptical areas of high or intermediate signal in all MR sequences. In most cases the lesion was surrounded by a rim of bone with abnormally low signal. 相似文献