An acute subchondral cystic lesion of the equine shoulder causing lameness

Kay, A. T.

doi:10.1111/j.2042-3292.2006.tb00469.x

Cited by 8 publications

(13 citation statements)

References 20 publications

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“…The acute onset and degree of lameness in the horse in this report was more severe than what is more commonly described with cysts reported in other locations (Bramlage 1993;Textor et al 2001;Smith et al 2005b;Kay 2006). The majority of the SBCs reported are located on the weightbearing region of the articular surface (Bramlage 1993;Kawcak and Baxter 2011) undergoing compressive forces.…”

mentioning

confidence: 48%

“…; Smith et al . ; Kay ). The majority of the SBCs reported are located on the weightbearing region of the articular surface (Bramlage ; Kawcak and Baxter ) undergoing compressive forces.…”

Section: Discussionmentioning

confidence: 99%

“…The medial femoral condyle is the most commonly affected area (Baxter 1996;McIlwraith 1998;Goodrich and McIlwraith 2008;Hendrix et al 2010). Other described SBC locations include the distal metacarpal or metatarsal bone (Hogan et al 1997), the glenoid cavity (Bertone et al 1986;Kay 2006), the humerus (Arnold et al 2008;Little et al 2009) the proximal aspect of the tibia (Textor et al 2001), the talus (Montgomery and Juzwiak 2009) and the phalanges (Story and Bramlage 2004;Smith et al 2005a;Sherlock and Mair 2011).…”

Section: Introductionmentioning

confidence: 99%

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Subchondral bone cyst of the apical portion of the proximal sesamoid bone as a cause of severe lameness in aWarmblood filly

Varela

Patipa

Eggleston

2012

Equine Veterinary Education

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A 20-month-old Warmblood filly was evaluated for acute onset of a nonweightbearing lameness and swelling of the left hindlimb. Clinical and lameness evaluation and diagnostic intrasynovial anaesthesia isolated the lameness to the left hind metatarsophalangeal region. Radiography and ultrasonography revealed a subchondral cystic lesion of the apical portion of the lateral proximal sesamoid bone associated with oedema and synovial effusion of the metatarsophalangeal joint. Arthroscopic surgical debridement of the subchondral cystic lesion resulted in immediate post operative improvement in the lameness score. Rest and controlled exercise achieved complete resolution of the lameness with the filly being able to start training without apparent lameness. Subchondral cystic lesions of the proximal sesamoid bones can be a cause of nonweightbearing lameness. Surgical debridement resulted in complete resolution of the lameness with a favourable outcome in this case.

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mentioning

confidence: 48%

“…; Smith et al . ; Kay ). The majority of the SBCs reported are located on the weightbearing region of the articular surface (Bramlage ; Kawcak and Baxter ) undergoing compressive forces.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Subchondral bone cyst of the apical portion of the proximal sesamoid bone as a cause of severe lameness in aWarmblood filly

Varela

Patipa

Eggleston

2012

Equine Veterinary Education

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“…Klinisch stellen sie sich weitgehend wie oben für OC beschrieben dar und auch das diagnostische Vorgehen entspricht dem oben beschriebenen (Baez et al 1989, Doyle und White 2000, Kay 2006, Stashak 2001 (Dyson 1985, Mez 2007. Bei der Differenzierung helfen Manipulation-und Provokationstests, die zumeist hinweisgebend auf eine schmerzhafte knöcherne Ursache in diesem Bereich sind; Crepitus ist gewöhnlich zu hören und/oder zu spüren (Mez 2007).…”

Section: Subchondrale Knochenzystenunclassified

Diseases of the equine shoulder – Part II: Special diseases and their treatment

Gudehus¹,

Drumm²,

Hahn³

2015

PHK

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Diseases and lameness originating from the shoulder region are rare entities in the horse. Anatomy and diagnostic steps were summarizedin the first part of this review article. The second part summarizes differential diagnosis for shoulder lameness and their typical clinical presentation. Depending on the age of the patient, osteochondrosis and subchondral cysts must be considered. The biceps brachii muscle and tendon as well as the bicipital bursa can be affected by overuse-injury or septic conditions mainly occurring after trauma. The bursa of the infraspinatus muscle is an even less common cause of lameness in this region. Injuries to the scapula and suprascapular nerve, the supraglenoid tubercle, the greater tubercle, the deltoid tuberosity and humeroglenoid luxation are mainly caused by trauma. Shoulder problems in the horse, leave the clinician with a diagnostic challenge and limited experience for an accurate prognosis. Starting with articular lesions, osseous, tendinous and neuronal structures surrounding the shoulder joint are being discussed individually. A recent literature review delineates treatment options as well as prognostic experience, emphasizing on individual original work and especially pointing out conservative and surgical alternatives to each disease entity.Keywords: horse / biceps tendon / septic bicipital tenosynovitis / greater tubercle fracture / OCD / subchondrale bone cyst / Supraglenoid fracture / Sweenie syndrome / scapula / fracture Zitation: Gudehus T., Drumm N., Hahn J. (2015) Schultererkrankungen des Pferdes -Teil II: Spezielle Erkrankungen und deren Behandlung. Pferdeheilkunde 31,[248][249][250][251][252][253][254][255][256][257][258][259]

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“…Am häufigsten werden SKZ beim Pferd im medialen Kondylus des distalen Femurs beschrieben (Bramlage 1993, Baxter 1996, von Rechenberg et al 1998, Fortier and Nixon 2005. Andere Lokalisationen für das Vorkommen von SKZ an der Gliedmaße des Pferdes sind das Strahlbein, Hufbein, Kronbein und Fesselbein, die Gleichbeine, die kleinen Karpalgelenksknochen und Tarsalgelenksknochen, der distale Metacarpus und Metatarsus (Haack et al 1988, Fürst et al 1997, von Rechenberg et al 1998, Smith 2005) der laterale und mediale Malleolus der Tibia (van Duin und Hurtig 1996), der Talus (Garcia-Lopez und Kirker-Head 2004), die Scapula und die Patella (McIllwraith und Trotter 1996) und der proximale Humerus (Ramzan 2004, Kay 2006. Selten sind sie auch im proximalen Radius beschrieben (Bertone et al 1986).…”

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Treatment of three mature horses with subchondral cystic lesions in the proximal radius: Computertomographical diagnostic and transcortical filling with bone cement

Mettenleiter¹

2014

PHK

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Zusammenfassung: Die Verwendung der computertomographischen Schnittbildtechnik hat sich in der Pferdemedizin bewährt und wird in spezialisierten Pferdekliniken routinemäßig eingesetzt. In der orthopädischen Diagnostik wird diese Technik am Vorderbein des Pferdes normalerweise an der distalen Gliedmaße bis zur Karpalregion eingesetzt. The use of computer tomography has proved successful in equine medicine and surgery and is used routinely in specialized equine clinics. In orthopedic diagnostics of the equine forelimb, this technology is most commonly used on the distal limb up to the carpal region. The surgical therapy of subchondral cystic lesions (SCL) in horses involves surgical debridement and if necessary even filling of the cystic cavities to achieve a revascularization and ossification of the defect. This is done via arthroscopy or arthrotomy depending on the localization. Alternatively the technique of transcortical drilling of SCL either under radiographic or fluoroscopic control has been described.. This paper describes the clinical situation and the CT-guided diagnosis in three horses with subchondral cystic lesions in the proximal radius. All horses were clinically examined including diagnostic anesthesia and radiographic images in more than one plane. However, in all horses only the CT-images showed a thin communicating tract to the elbow joint and multiple micro fractures in the proximal radius. The subchondral cystic lesions were subsequently approached via transcortical drilling under radigraphic control, debridement and flushing using specially manufactured surgical instruments, followed by filling the cystic lesions and drilled hole with bone cement. In conclusion the exactly preoperative CT-diagnosis and operation planning with extra articular bone drilling and filling of subchondral lesions serves as a useful alternative method to arthroscopic or arthrotomic procedure. The advantage of this operative procedure is seen in the conservation of the articular cartilage and the immediate stabilization of the subchondral bone. All three horses are healthy and without lameness after this intervention. One horse competes in tournaments at intermediate level, another horse takes part in international show-jumping and the third one in advanced level dressage.

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An acute subchondral cystic lesion of the equine shoulder causing lameness

Cited by 8 publications

References 20 publications

Subchondral bone cyst of the apical portion of the proximal sesamoid bone as a cause of severe lameness in aWarmblood filly

Subchondral bone cyst of the apical portion of the proximal sesamoid bone as a cause of severe lameness in aWarmblood filly

Diseases of the equine shoulder – Part II: Special diseases and their treatment

Treatment of three mature horses with subchondral cystic lesions in the proximal radius: Computertomographical diagnostic and transcortical filling with bone cement

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