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Peer-reviewed veterinary case report

Comminuted fracture of the accessory carpal bone removed via an arthroscopic-assisted arthrotomy.

Journal:
The Canadian veterinary journal = La revue veterinaire canadienne
Year:
2015
Authors:
Bonilla, Alvaro G & Santschi, Elizabeth M
Affiliation:
The Ohio State University · United States
Species:
horse

Plain-English summary

A 16-year-old male American paint horse was brought in because he was limping badly on his left front leg. X-rays and a special scan showed that he had a serious fracture in a small bone near his wrist, with several broken pieces causing problems in the joint. The veterinarians had to use a special surgical technique to remove all the broken bits. After the surgery, the horse came back for more treatment because he was still limping, but he responded well to antibiotics and supportive bandaging. In the end, the treatment was successful.

Abstract

A 16-year-old American paint horse gelding was presented for evaluation of a left forelimb lameness grade III/V. Radiographs and computed tomography revealed a comminuted fracture of the accessory carpal bone involving the entire articulation with the distal radius and the proximal aspect of the articulation with the ulnar carpal bone. Multiple fragments were present in the palmar pouch of the antebrachiocarpal joint. An arthroscopic-assisted open approach was necessary to remove all fractured fragments. Subsequently the horse was re-admitted for lameness and was treated successfully with antibiotics and long-term supportive bandaging.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/25694665/