Squire K R, Adams S B, Widmer W R, Coatney R W, Habig C
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907.
J Am Vet Med Assoc. 1992 Oct 15;201(8):1216-8.
A 5-year-old Arabian stallion with moderate effusion in the right carpal canal and intermittent lameness in this limb was diagnosed to have an osteochondroma projecting from the distal portion of the radius into the carpal canal. oral phenylbutazone treatment over the next 3 years allowed the stallion to continue its show career. Right forelimb lameness returned at that time, and ultrasonography revealed the osteochondroma impinging on the dorsal surface of the deep digital flexor tendon. The owner elected to have the osteochondroma surgically removed. The horse was anesthetized, and the carpal sheath was distended with balanced polyionic solution. A 4-mm arthroscope was inserted into the carpal sheath, and the osteochondroma projecting into the sheath was identified. The osteochondroma was removed by use of a Ferris-Smith bone rongeur, which was inserted into the carpal sheath through a stab incision over the osteochondroma. The effusion in the carpal sheath and the lameness resolved by 2 months, and the horse was returned to training 4 months after surgery.
一匹5岁的阿拉伯种公马，右腕管有中度积液，该肢体间歇性跛行，经诊断患有从桡骨远端突入腕管的骨软骨瘤。在接下来的3年里，口服保泰松治疗使这匹种公马能够继续其表演生涯。当时右前肢跛行复发，超声检查显示骨软骨瘤压迫指深屈肌腱的背侧表面。主人选择通过手术切除骨软骨瘤。对马进行麻醉，用平衡的多离子溶液扩张腕鞘。将一个4毫米的关节镜插入腕鞘，识别出突入鞘内的骨软骨瘤。使用费里斯-史密斯咬骨钳通过骨软骨瘤上方的一个刺切口插入腕鞘来切除骨软骨瘤。腕鞘内的积液和跛行在2个月内消退，术后4个月这匹马恢复训练。
