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Peer-reviewed veterinary case report

Vacuum phenomenon in the metatarsophalangeal joint of a horse.

Journal:
Journal of the American Veterinary Medical Association
Year:
1990
Authors:
Specht, T E et al.
Affiliation:
Department of Food Animal and Equine Medicine and Surgery
Species:
horse

Plain-English summary

During a radiographic exam (X-ray) of a lame horse's metatarsophalangeal joint (the joint in the back leg where the toe meets the foot), a vacuum phenomenon was accidentally created. This same effect was later reproduced in a healthy horse when its metacarpophalangeal joint (the joint in the front leg) was positioned in a certain way during the X-ray. The vacuum phenomenon happens when the surfaces of the joint are pulled apart, which could lead to a mistaken diagnosis of a bone defect or fracture. It's important for veterinarians to be aware of this phenomenon to avoid misdiagnosing joint issues in horses.

Abstract

Vacuum phenomenon was induced inadvertently during radiographic examination of a metatarsophalangeal joint of a lame horse. The phenomenon was recreated in a sound horse when a metacarpophalangeal joint was radiographed in a stress-flexed position. Distraction of apposing articular surfaces may induce the vacuum phenomenon, which could result in misdiagnosis of an osteochondral defect or fracture.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/2211326/