Treatment of a second carpal bone fracture by removal under ultrasonographic guidance in a horse |
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Authors: | Piccot-Crézollet Cyrille Cauvin Eddy R |
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Affiliation: | Département hippique, Ecole Nationale Vétérinaire de Lyon, Marcy-l'Etoile, France. c.piccot@vet-lyon.fr |
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Abstract: | OBJECTIVE: To report an unusual 2nd carpal bone (C2) slab fracture and its treatment, using an ultrasonographically assisted, minimally invasive arthrotomy technique, for fragment removal. STUDY DESIGN: Case report. ANIMALS: An 11-year-old crossbred Warmblood gelding. METHODS: A bone fragment, spanning the height of C2, identified on the palmaromedial aspect of C2 was demarcated intraoperatively using ultrasonographically guided needles and removed by arthrotomy. RESULTS: Fracture fragment removal was achieved using a small, ultrasonographically guided arthrotomy. The horse has become sound after treatment and returned to the previous level of pleasure riding activity. CONCLUSIONS: Perioperative ultrasonography was used to delineate and facilitate removal of an unusual slab fragment of C2, through a minimally sized arthrotomy. Despite the presence of pancarpal osteoarthritis and partial involvement of the medial collateral ligament, the prognosis appeared to be satisfactory for this pleasure riding horse. CLINICAL RELEVANCE: Ultrasonographic guidance may be used to optimize the approach to C2 articular bony fragments that may not be observed using arthroscopy. |
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Keywords: | second carpal bone fracture joint interventional ultrasonography horse |
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