Peer-reviewed veterinary case report
Surgical Treatment of an Osseous Cyst-Like Lesion in the Middle Phalanx Communicating With the Distal Interphalangeal Joint of a Horse.
- Journal:
- Journal of equine veterinary science
- Year:
- 2019
- Authors:
- Balducci, Jamie J et al.
- Affiliation:
- Veterinary Specialty Center of Tucson
- Species:
- horse
Plain-English summary
This report discusses a 4-year-old mixed breed gelding (a male horse that has been castrated) that had a painful bone cyst in his middle toe bone, which was connected to a nearby joint. The horse had been treated with medication for a long time, but it didn't help his lameness. After surgery to clean out the cyst and fill it with special materials to promote healing, the horse showed improvement. The treatment was successful, and the horse's condition got better after the surgery.
Abstract
Subchondral or osseous cyst-like lesions within the distal aspect of the middle phalanx are not commonly reported in equids. These osseous lesions, which can communicate with the distal interphalangeal joint, can result in significant lameness and may not respond well to medical management. This report describes the clinical, diagnostic imaging, and surgical management of a 4-year-old mixed breed gelding where medical management of a chronic subchondral osseous cyst-like lesion of the middle phalanx, which communicated with the distal interphalangeal joint, was unsuccessful. A successful outcome was accomplished after surgical cyst debridement and packing with tricalcium phosphate, a bone marrow aspirate, and platelet-rich plasma.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/31203978/