Peer-reviewed veterinary case report
Filly with severe front leg lameness - diagnosing septic apophysitis
By Scilimati, Nicola et al.·Published in Journal of equine veterinary science·2021·Department of Veterinary Medicine, Italy·View original on PubMed →
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Original publication title: Multimodal Diagnostic Imaging to Identify Septic Apophysitis of the Proximal Humerus in a Thoroughbred Foal.
- Species:
- horse
Plain-English summary
A 4-month-old Thoroughbred filly was brought in for severe lameness in her left front leg that had lasted for a day. X-rays showed some irregularities in her shoulder bone, and an ultrasound revealed excess fluid in the joint area. A CT scan helped identify an infection in the bone, allowing the vet to take a sample and choose the right antibiotics for treatment. With the appropriate care, the filly was able to recover from her condition.
People also search for: foal lameness treatment · Thoroughbred filly leg pain · septic bone infection in horses
Abstract
A 4-month-old Thoroughbred filly was referred for evaluation of severe left forelimb lameness of 24 hours duration. Radiographic projections of the shoulder revealed mild irregularity and sclerosis of the proximal humeral apophysis. Ultrasonographic examination showed a moderate increase in the amount of anechogenic synovial fluid within the intertubercular bursa and scapulohumeral joint, and irregularity of the ossifying bone surface of the intermediate tubercle of the humerus. Computed tomographic (CT) examination revealed a circular hypoattenuating area at the level of the proximal apophysis of the humerus. CT imaging in this case was essential for an early identification of the septic foci and it allowed ultrasound-guided sample from the lesion for the selection of targeted antibiotic therapy.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33993941/