Diagnosis and treatment of biaxial keratomas in the left fore foot of a 15‐year‐oldClydesdale mare

Abstract

Summary A 15‐year‐old Clydesdale mare presented for further diagnostics and treatment of waxing and waning lameness and recurrent subsolar abscesses. Radiographs and computed tomography revealed biaxial masses extending from the hoof capsule, causing bone resorption of the distal phalanx. Surgery was performed to remove the masses and post operative care included regional limb perfusions, systemic antibiotics and therapeutic shoeing. Histopathology was consistent with the diagnosis of keratoma for each of the masses; this is the first case of confirmed biaxial keratomas. Two months after surgery the horse is sound at the walk and is expected to return to full function within the next year.

Standing low‐field magnetic resonance imaging as a diagnostic modality for solar keratoma in a horse

“…Squamous cell carcinomas carry a very different long‐term prognosis, having a much higher recurrence rate when compared with keratoma (Durham and Walmsley ; Rowland et al . ). Furthermore, squamous cell carcinoma is locally invasive and much harder to excise completely (Rowland et al .…”

“…; Mair and Linnenkohl ; Rowland et al . ). Currently, the distal limb is the most common anatomical region in horses examined by MRI (Swagemakers et al .…”

The management of multiple keratoma lesions in an equine foot

“…However, whilst such cases might appear daunting to tackle, as the paper by Rowland et al . () in this issue describes they can be managed quite successfully, provided certain basic principles are followed.…”

“…This edition of EVE contains a paper on a biaxial keratoma removed from the left forefoot of a 15-year-old Clydesdale mare (Rowland et al 2016). The horse had suffered recurrent subsolar abscesses and been variably lame over a period of 16 months.…”

“…Multiple keratoma lesions in an equine foot Much more unusual are cases with more than one large keratoma in a single hoof capsule. However, whilst such cases might appear daunting to tackle, as the paper by Rowland et al (2016) in this issue describes they can be managed quite successfully, provided certain basic principles are followed.…”