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Peer-reviewed veterinary case report

Septic tenosynovitis and focal osteomyelitis of the lateral proximal sesamoid bone in a thoroughbred gelding.

Journal:
The Veterinary record
Year:
1997
Authors:
Chan, C C & Munroe, G A
Affiliation:
Equine Veterinary Hospital · United Kingdom
Species:
horse

Plain-English summary

A seven-year-old thoroughbred gelding was diagnosed with a serious infection in the tendon sheath and a related infection in a small bone near his ankle. To treat this, veterinarians performed surgery to open the area and clean out the infection, leaving a small opening for drainage. After the surgery, they bandaged his leg and gave him antibiotics and pain relief medication. The infection cleared up, and the horse slowly returned to his normal activities.

Abstract

Chronic septic tenosynovitis with concurrent, associated focal osteomyelitis of the lateral proximal sesamoid bone was diagnosed in a seven-year-old thoroughbred gelding. Surgical management of this case consisted of open annular ligament desmotomy and curettage of the affected sesamoid. Following lavage of the digital sheath the incisional wound was closed but a 2 cm gap was left distally to allow for postoperative open drainage. The distal limb was bandaged and the horse treated with antibiotics and non-steroidal anti-inflammatories. Sepsis resolved and the horse made a gradual return to full work.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/9280043/