Therapeutisches Vorgehen bei einer fortgeschrittenen septischen Osteomyelitis der Epiphysenfuge beim Rind

Abstract

A 19-month-old Holstein-Friesian heifer displayed a circular swelling at the distal metacarpal area of the left forelimb with a compact, partially slightly fluctuating consistency. The animal exhibited no weight bearing of the affected limb. Radiological examinations of the fetlock area revealed a physeal osteomyelitis of the metacarpus. Surgical treatment involved a complete resection of the epiphyseal plate using a trephine. After immobilisation using a cast and repeated debridement of the wound cavities, the heifer was discharged with a slight lameness after 10 weeks. Half a year after surgical intervention no lameness was visible.

Subacute metacarpal osteomyelitis in a child

“…Cloxacillin is the antibiotic of choice in the treatment of subacute osteomyelitis and is given orally for six weeks after an initial intravenous course for up to fi ve days (19). Subacute metaphyseal osteomyelitis has been shown to disturb the growth plate and compromise the joint (19,20).…”

Subacute Metacarpal Osteomyelitis in a Child

“…Cloxacillin is the antibiotic of choice in the treatment of subacute osteomyelitis and is given orally for six weeks after an initial intravenous course for up to five days [19]. Subacute metaphyseal osteomyelitis has been shown to disturb the growth plate and compromise the joint [19,20].…”