Lacourt Mathieu, MacDonald Melinda, Rossier Yves, Laverty Sheila
Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Canada.
Vet Surg. 2013 Jan;42(1):99-106. doi: 10.1111/j.1532-950X.2012.01074.x. Epub 2012 Dec 5.
To report the clinical findings, diagnosis, treatment and outcome of equine patients with articular synovial cysts.
Retrospective case series.
Horses (n = 16) with articular synovial cysts.
Horses diagnosed with articular synovial cysts (1988-2009) at 2 veterinary teaching hospitals were studied. Signalment, history, clinical signs, diagnostic methods and treatment were retrieved and telephone follow-up was obtained.
Sixteen horses with articular synovial cysts were identified. Lameness was the reason for referral in most (n = 9) horses. Diagnosis was based on a combination of palpation and imaging studies, including radiography, ultrasonography and/or arthrography. Excision of the cyst was performed in 8 horses. Outcome was available for 4 surgically and 2 conservatively treated horses. Lameness resolved in 3 horses treated surgically and the 4th died for unrelated reasons. The 2 conservatively treated horses performed satisfactorily for the rest of their career.
Equine articular synovial cysts are rare and can be associated with lameness. The cysts had a synovial lining in all horses where it was assessed. Surgical excision may be successful in resolving the lameness and allowing selected horses to return to work.
报告马关节滑膜囊肿患马的临床症状、诊断、治疗及预后情况。
回顾性病例系列研究。
患有关节滑膜囊肿的马(n = 16)。
对两所兽医教学医院在1988年至2009年间诊断为关节滑膜囊肿的马进行研究。收集马匹的特征、病史、临床症状、诊断方法及治疗情况,并通过电话进行随访。
共确定16例患有关节滑膜囊肿的马。大多数马(n = 9)因跛行前来就诊。诊断基于触诊与影像学检查相结合,包括X线摄影、超声检查和/或关节造影。8匹马接受了囊肿切除术。有4匹接受手术治疗和2匹接受保守治疗的马有预后情况。3匹接受手术治疗的马跛行症状消失,第4匹因无关原因死亡。2匹接受保守治疗的马在其剩余职业生涯中表现良好。
马关节滑膜囊肿较为罕见,可能与跛行有关。在所有进行评估的马中,囊肿均有滑膜衬里。手术切除可能成功解决跛行问题,使部分马匹能够恢复工作。