Arthroscopic removal of a solitary osteochondroma interfering with the podotrochlear apparatus in a foal.
Abstract: To report the diagnostics, surgical treatment, and outcome of a juvenile foal with solitary osteochondroma (SO) interfering with the podotrochlear apparatus. Methods: Case report ANIMAL: One 36-day-old Arabian colt. Methods: Clinical, radiographic, ultrasonographic, computed tomographic, and histopathologic examinations were required to characterize and treat an SO located at the palmar aspect of the diaphysis of the second phalanx of the left forelimb. This SO caused severe distal interphalangeal joint (DIPJ) inflammation, marked interference with the podotrochlear apparatus, and associated lameness. Results: Despite the small size of the foal's foot, complete resection of the SO was possible via palmar DIPJ arthroscopy by using motorized equipment. Full resolution of the lameness was achieved within 3 months of surgery. Conclusions: Atypical SO located on the palmar aspect of the second phalanx can cause marked nonseptic inflammation of the DIPJ and interference with the podotrochlear apparatus and should be considered among the differential diagnoses for severe lameness in juvenile foals. Arthroscopic resection of the SO led to an excellent outcome.
© 2020 The Authors. Veterinary Surgery published by Wiley Periodicals LLC on behalf of American College of Veterinary Surgeons.
Publication Date: 2020-10-14 PubMed ID: 33280152PubMed Central: PMC8451915DOI: 10.1111/vsu.13522Google Scholar: Lookup
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Summary
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This research paper presents a case study of a juvenile foal that had a solitary osteochondroma (a type of bone tumor) interfering with the podotrochlear apparatus (a part of the horse’s foot). The paper shows how diagnostics, surgical treatment, and outcome were managed and implies that the foal successfully recovered from its lameness after the osteochondroma was arthroscopically removed.
Investigation of the Case
- The researchers extensively examined a 36-day-old Arabian colt, which was found to have a solitary osteochondroma at the palmar aspect of the diaphysis of the second phalanx of the left forelimb.
- Different methods of examinations were employed. These included clinical, radiographic, ultrasonographic, computed tomographic, and histopathologic investigations. All these diagnostics helped in characterizing and treating this case of SO located at a rare site.
- This bone growth led to severe inflammation of the distal interphalangeal joint (DIPJ) and major interference in the functioning of the podotrochlear apparatus, resulting in the colt’s lameness.
Treatment and Results
- Despite the small size of the foal’s foot, the researchers were able to completely resect the osteochondroma.
- This procedure was done via palmar DIPJ arthroscopy using motorized equipment, a minimally invasive surgical treatment option.
- Three months post-surgery, the foal showed complete resolution of lameness, indicating the successful resection of the tumor and subsequent healing.
Conclusions and Implications
- In cases of severe lameness in juvenile foals, an atypical osteochondroma located on the palmar aspect of the second phalanx could be a cause. This contributes to nonseptic inflammation of the DIPJ and interference with the podotrochlear apparatus’ function.
- The case study demonstrated that arthroscopic removal of such osteochondromas can lead to excellent outcomes, potentially aiding in the treatment approach of similar conditions in future.
Cite This Article
APA
Ysebaert MP, Johnson JP, Abbas G, Cavalcante PH, King R, Oikawa M, Puchalski S, David F.
(2020).
Arthroscopic removal of a solitary osteochondroma interfering with the podotrochlear apparatus in a foal.
Vet Surg, 50 Suppl 1(Suppl 1), O128-O137.
https://doi.org/10.1111/vsu.13522 Publication
Researcher Affiliations
- Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- College of Health & Life Science, Hamad Bin Khalifa University, A Member of Qatar Foundation, Education City, Doha, Qatar.
- Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- Al Shaqab Breeding & Show, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- Puchalski Equine Diagnostic Imaging, Petaluma, California, USA.
- Equine Veterinary Medical Center, A Member of Qatar Foundation, Al Shaqab street, Al Rayyan, Doha, Qatar.
- College of Health & Life Science, Hamad Bin Khalifa University, A Member of Qatar Foundation, Education City, Doha, Qatar.
MeSH Terms
- Animals
- Arthroscopy / veterinary
- Forelimb
- Horse Diseases / surgery
- Horses
- Joints / surgery
- Male
- Osteochondroma / surgery
- Osteochondroma / veterinary
Conflict of Interest Statement
The authors declare no conflicts of interest related to this report.
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