Multimodal Diagnostic Imaging to Identify Septic Apophysitis of the Proximal Humerus in a Thoroughbred Foal.
Computed tomography
Foal
Radiography
Septic physitis
Ultrasound
Journal
Journal of equine veterinary science
ISSN: 0737-0806
Titre abrégé: J Equine Vet Sci
Pays: United States
ID NLM: 8216840
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
24
11
2020
revised:
06
03
2021
accepted:
10
03
2021
entrez:
17
5
2021
pubmed:
18
5
2021
medline:
10
7
2021
Statut:
ppublish
Résumé
A 4-month-old Thoroughbred filly was referred for evaluation of severe left forelimb lameness of 24 hours duration. Radiographic projections of the shoulder revealed mild irregularity and sclerosis of the proximal humeral apophysis. Ultrasonographic examination showed a moderate increase in the amount of anechogenic synovial fluid within the intertubercular bursa and scapulohumeral joint, and irregularity of the ossifying bone surface of the intermediate tubercle of the humerus. Computed tomographic (CT) examination revealed a circular hypoattenuating area at the level of the proximal apophysis of the humerus. CT imaging in this case was essential for an early identification of the septic foci and it allowed ultrasound-guided sample from the lesion for the selection of targeted antibiotic therapy.
Identifiants
pubmed: 33993941
pii: S0737-0806(21)00078-2
doi: 10.1016/j.jevs.2021.103448
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
103448Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.