Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.
Can Vet J. 2021 Aug;62(8):867-871.
The satisfactory outcome of fungal osteitis in an 8-year-old American Quarter Horse is described. The horse was admitted with a grade 4 out of 5 lameness and exhibited metacarpophalangeal synovial effusion, indicative of a mild suppurative inflammation. Results of initial radiographic and ultrasonographic examination were unremarkable. Intra-articular anesthesia of the metacarpophalangeal joint allowed localization of the insult. It was not until day 6 of hospitalization when lytic changes on the axial aspect were observed on radiographic examination. Arthroscopic examination permitted identification and debridement of the affected bone. Fungal culture of the bone yielded spp. The horse was sound at the time of discharge after 12 days of hospitalization. No complications occurred in the post-operative period and the horse resumed his initial level of activity and competition in barrel racing. Key clinical message: To our knowledge, this is the first description of successful outcome of a fungal osteitis of the sesamoid bones following arthroscopic debridement. We hypothesize that the satisfactory outcome is associated with early recognition of the condition and aggressive debridement of the lesion arthroscopically.
描述了一例 8 岁美国夸特马的真菌性骨炎的满意治疗结果。该马因 4/5 级跛行而入院，表现为掌指关节滑膜积液，提示轻度化脓性炎症。最初的放射学和超声检查结果无明显异常。掌指关节的关节内麻醉有助于确定损伤部位。直到住院第 6 天，放射检查才观察到轴向的溶骨性改变。关节镜检查可识别和清除受影响的骨。骨的真菌培养结果为 spp。该马在住院 12 天后出院时恢复正常。术后无并发症发生，该马恢复了最初的活动水平，并在桶式赛马比赛中恢复了比赛。主要临床信息：据我们所知，这是首例经关节镜清创术成功治疗籽骨真菌性骨炎的病例描述。我们假设满意的结果与对病情的早期认识和积极的关节镜下病变清创有关。
