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Peer-reviewed veterinary case report

Arthroscopic exploration and biopsy for diagnosis of septic arthritis and osteomyelitis of the coxofemoral joint in a dog.

Journal:
Veterinary and comparative orthopaedics and traumatology : V.C.O.T
Year:
2005
Authors:
Luther, J F et al.
Affiliation:
University of Missouri · United States
Species:
dog

Plain-English summary

A five-year-old spayed female mixed breed dog weighing 38 kg was having trouble walking on her left hind leg and was sometimes not putting any weight on it. X-rays and a special scan showed serious issues in her left hip joint. The vets used a small camera to look inside the joint and took a tissue sample, which revealed that she had an infection in the joint (septic arthritis) and bone infection (osteomyelitis). They recommended antibiotics and surgery to remove part of the hip bone, which helped relieve her pain and improve her ability to move around. Overall, the treatment worked well for her.

Abstract

A five-year-old, spayed female mixed breed (38 kg) dog was referred for total hip replacement for an intermittently non-weight bearing lameness of the left hind limb. Radiographs and computed tomography suggested proliferative, osteolytic pathology of the left coxofemoral joint. Using arthroscopic exploration and biopsy, septic arthritis and osteomyelitis in the left coxofemoral joint were diagnosed. Treatment recommendations for antibiotic therapy and femoral head and neck excision were made based upon this diagnosis. Femoral head and neck excision resulted in pain relief and improved function and arthroscopy provided a minimally invasive, yet accurate, diagnosis in this case.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/16594217/