Department of Veterinary Medicine, Veterinary Teaching Hospital, University of Perugia, Perugia, Italy.
Department of Veterinary Medicine, Veterinary Teaching Hospital, University of Perugia, Perugia, Italy.
J Equine Vet Sci. 2021 Jun;101:103448. doi: 10.1016/j.jevs.2021.103448. Epub 2021 Mar 16.
A 4-month-old Thoroughbred filly was referred for evaluation of severe left forelimb lameness of 24 hours duration. Radiographic projections of the shoulder revealed mild irregularity and sclerosis of the proximal humeral apophysis. Ultrasonographic examination showed a moderate increase in the amount of anechogenic synovial fluid within the intertubercular bursa and scapulohumeral joint, and irregularity of the ossifying bone surface of the intermediate tubercle of the humerus. Computed tomographic (CT) examination revealed a circular hypoattenuating area at the level of the proximal apophysis of the humerus. CT imaging in this case was essential for an early identification of the septic foci and it allowed ultrasound-guided sample from the lesion for the selection of targeted antibiotic therapy.
一匹四个月大的纯血母马因左前肢严重跛行 24 小时而被转诊进行评估。肩部的放射摄影投影显示近端肱骨突的轻微不规则和硬化。超声检查显示，在结节间囊和肩胛肱关节内的无回声滑膜液量中度增加，肱骨中间结节的骨化骨表面不规则。计算机断层扫描（CT）检查显示肱骨近端突的水平有一个圆形低衰减区域。在这种情况下，CT 成像对于早期识别感染灶至关重要，并且它允许对病变进行超声引导采样，以选择靶向抗生素治疗。
