Catastrophic complication following injection and extracorporeal shock wave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare
Journal Title: Open Veterinary Journal - Year 2017, Vol 7, Issue 2
Abstract
This report describes fibrous cyst lining injection and extracorporeal shock wave therapy (ESWT) of a medial femoral condyle (MFC) subchondral cystic lesion (SCL) resulting in catastrophic MFC fracture in an Arabian mare. The mare was presented for evaluation of a severe hind limb lameness of approximately 4 months duration. On presentation, a non-weight bearing lameness of the left hind limb with severe effusion and soft tissue swelling of the stifle region was noted. Radiographic evaluation of the stifle revealed a large SCL of the MFC with associated osteoarthritis. Arthroscopic guided intra-lesional injection of the SCL with corticosteroids and autologous bone marrow concentrate was performed followed by ESWT of the MFC. The mare was discharged walking comfortably 48-hours postoperatively. An acute increase in lameness was noted 14 days post-operatively. Imaging revealed catastrophic fracture of the left MFC. Possible mechanisms leading to failure of the MFC secondary to the described treatment are discussed.
Authors and Affiliations
Darla K. Moser| Desert Pines Equine Medical and Surgical Center, Las Vegas, Nevada, USA, Mike J. Schoonover| Oklahoma State University, Center for Veterinary Health Sciences, Department of Veterinary Clinical Sciences, Stillwater Oklahoma, USA, Kate M. Sippel| Gulf Coast Veterinary Specialists, Houston, Texas, USA, Alix M. Dieterly| Oklahoma State University, Center for Veterinary Health Sciences, Department of Veterinary Pathobiology, Stillwater Oklahoma, USA, Jerry W. Ritchey| Oklahoma State University, Center for Veterinary Health Sciences, Department of Veterinary Pathobiology, Stillwater Oklahoma, USA, Corey R. Wall| Oklahoma State University, Center for Veterinary Health Sciences, Department of Veterinary Clinical Sciences, Stillwater Oklahoma, USA
Keywords
Related Articles
- EP ID EP9415
- DOI http://dx.doi.org/10.4314/ovj.v7i2.6
- Views 342
- Downloads 25
Comparison of several methods of sires evaluation for total milk yield in a herd of Holstein cows in Yemen
A total of 956 lactation records of Holstein cows kept at Kaa Albon station, Imuran Governorate, Yemen during the period from 1991 to 2003 were used to investigate the effect of some genetic and non-genetic factors (Si...
TGF-β1 serum concentrations and receptor expressions in the lens capsular of dogs with diabetes mellitus
Tissue fibrosis as complication of diabetes mellitus is known in humans. Because TGF-β1induces fibrosis and is elevated in humans suffering from diabetes mellitus we measured this growth factor in serum of dogs with di...
Ectoparasites infestation of free-ranging hedgehog (Etelerix algirus) in north western Libya
The aim of this study was to assess the prevalence of ectoparasites in hedgehogs (Etelerix algirus) in north western region of Libya. Seventy hedgehogs were sampled, and 39 (55.7%) were infested with external parasites....
Isolation of Staphylococcus sciuri from horse skin infection
Staphylococcus sciuri is known as an opportunistic pathogen colonizing domesticated animals and has also been associated with wound infections in humans. Particularly over the last decade, oxacillin (methicillin) resist...
Antibiogram and heavy metal tolerance of bullfrog bacteria in Malaysia
Bacterial isolates from 30 farmed bullfrogs (Lithobates catesbeianus) weighing 500-600 g at Johore, Malaysia with external clinical signs of ulcer, red leg and torticollis were tested for their antibiograms and heavy me...