Septic arthritis of the distal interphalangeal joint in horses - diagnosis, radiological changes, and therapy
1997
Stanek, Ch. (Veterinaermedizinische Universitaet Wien, Wien (Austria). Universitaetsklinik fuer Orthopaedie bei Huf- und Klauentieren)
A retrospective study (1984-1994) was made of ten cases of septic arthritis of the distal interphalangeal joint in horses aged 7 months to 17 years. In 6 cases a hind limb was affected, in 4 cases a front limb. Arthritis was caused by either a puncture wound in the sole area (8 cases), a perforating wound in the coronary region (1 case) or was iatrogenic (1 case). All horses showed a severe lameness at the walk. Radiography showed no typical lesions in fresh cases, while later an increasing subluxation of the joint was observed, followed by periosteal reactions. Therapy included partial resection of the deep flexor tendon and fenestration of the Lig. impar in cases of nail puncture, single or repeated joint lavages carried out either under general anesthesia or on the standing horse, and broad spectrum antibiotic therapy using mainly penicillin and gentamicin. 5 out of 10 horses were treated successfully
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