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关节镜下切除干扰马球距装置的孤立性骨软骨瘤。

Arthroscopic removal of a solitary osteochondroma interfering with the podotrochlear apparatus in a foal.

机构信息

Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.

College of Health & Life Science, Hamad Bin Khalifa University, A Member of Qatar Foundation, Education City, Doha, Qatar.

出版信息

Vet Surg. 2021 Jul;50 Suppl 1(Suppl 1):O128-O137. doi: 10.1111/vsu.13522. Epub 2020 Oct 14.

DOI:10.1111/vsu.13522
PMID:33280152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8451915/
Abstract

OBJECTIVE

To report the diagnostics, surgical treatment, and outcome of a juvenile foal with solitary osteochondroma (SO) interfering with the podotrochlear apparatus.

STUDY DESIGN

Case report ANIMAL: One 36-day-old Arabian colt.

METHODS

Clinical, radiographic, ultrasonographic, computed tomographic, and histopathologic examinations were required to characterize and treat an SO located at the palmar aspect of the diaphysis of the second phalanx of the left forelimb. This SO caused severe distal interphalangeal joint (DIPJ) inflammation, marked interference with the podotrochlear apparatus, and associated lameness.

RESULTS

Despite the small size of the foal's foot, complete resection of the SO was possible via palmar DIPJ arthroscopy by using motorized equipment. Full resolution of the lameness was achieved within 3 months of surgery.

CONCLUSION

Atypical SO located on the palmar aspect of the second phalanx can cause marked nonseptic inflammation of the DIPJ and interference with the podotrochlear apparatus and should be considered among the differential diagnoses for severe lameness in juvenile foals. Arthroscopic resection of the SO led to an excellent outcome.

摘要

目的

报告一例幼年马驹的孤立性骨软骨瘤（SO）干扰蹄钩装置的诊断、手术治疗和结果。

研究设计

病例报告

动物

一匹 36 天大的阿拉伯小马驹。

方法

需要进行临床、放射学、超声、计算机断层扫描和组织病理学检查，以对位于左前肢第二指骨骨干掌侧的 SO 进行特征描述和治疗。该 SO 引起严重的远指关节（DIPJ）炎症，严重干扰蹄钩装置，并伴有跛行。

结果

尽管小马驹的足部较小，但通过掌侧 DIPJ 关节镜检查使用电动设备可以完全切除 SO。术后 3 个月内，跛行完全缓解。

结论

位于第二指骨掌侧的非典型 SO 可引起 DIPJ 明显的非化脓性炎症和蹄钩装置的干扰，应在幼年马驹严重跛行的鉴别诊断中考虑。SO 的关节镜切除可获得良好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/90bcea69eceb/VSU-50-O128-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/df5f2ce54e86/VSU-50-O128-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/c207ecea4408/VSU-50-O128-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/019f39cdac35/VSU-50-O128-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/4e69f1f7511b/VSU-50-O128-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/54286e4bad37/VSU-50-O128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/31d216a62f61/VSU-50-O128-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/fc628e3f479c/VSU-50-O128-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/90bcea69eceb/VSU-50-O128-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/df5f2ce54e86/VSU-50-O128-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/c207ecea4408/VSU-50-O128-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/019f39cdac35/VSU-50-O128-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/4e69f1f7511b/VSU-50-O128-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/54286e4bad37/VSU-50-O128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/31d216a62f61/VSU-50-O128-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/fc628e3f479c/VSU-50-O128-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3bf/8451915/90bcea69eceb/VSU-50-O128-g008.jpg

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Comparison of conventional and alternative arthroscopic approaches to the palmar/plantar pouch of the equine distal interphalangeal joint.
比较传统与替代关节镜入路在马属动物远跗跖关节掌侧/跖侧囊的应用。
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