FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Can Vet J / Comminuted fracture of the accessory carpal bone removed via...
The Canadian veterinary journal = La revue veterinaire canadienne2015; 56(2); 157-161;

Comminuted fracture of the accessory carpal bone removed via an arthroscopic-assisted arthrotomy.

Abstract: A 16-year-old American paint horse gelding was presented for evaluation of a left forelimb lameness grade III/V. Radiographs and computed tomography revealed a comminuted fracture of the accessory carpal bone involving the entire articulation with the distal radius and the proximal aspect of the articulation with the ulnar carpal bone. Multiple fragments were present in the palmar pouch of the antebrachiocarpal joint. An arthroscopic-assisted open approach was necessary to remove all fractured fragments. Subsequently the horse was re-admitted for lameness and was treated successfully with antibiotics and long-term supportive bandaging. Un cheval American Paint Horse âgé de 16 ans a été présenté pour l’évaluation d’une boiterie de la jambe avant gauche de grade III/V. Les radiographies et la tomodensitométrie ont révélé une fracture comminutive de l’os du carpe accessoire touchant toute l’articulation avec le radius distal et l’aspect proximal de l’articulation avec l’os du carpe cubital. Des fragments multiples étaient présents dans la poche palmaire de l’articulation antébrachio-carpienne. Une approche ouverte assistée par arthroscopie a été nécessaire pour retirer tous les fragments fracturés. Le cheval a ensuite été réadmis pour boiterie et a été traité avec succès à l’aide d’antibiotiques et de pansements de soutien à long terme.(Traduit par Isabelle Vallières).
Get Full Text
Publication Date: 2015-02-20 PubMed ID: 25694665PubMed Central: PMC4298268
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Case Reports
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research investigates a case of a 16-year-old horse presented with a comminuted fracture of the accessory carpal bone. This severe fracture required an arthroscopic-assisted open approach for the removal of all fractured fragments. Post-surgery, the horse was successfully treated for lameness through antibiotics and long-term supportive bandaging.

Clinical Presentation

  • The patient was an American paint horse gelding who was 16 years old.
  • The horse was initially presented for evaluation due to a left forelimb lameness of grade III/V. This rating signifies a moderate to severe level of lameness, displaying obvious stiffness, difficulty or shortness in stride while moving.

Diagnosis and Treatment

  • Radiographs and computed tomography (CT scans) were used to diagnose the nature of the injury. These imaging techniques revealed a comminuted fracture of the accessory carpal bone. A comminuted fracture is one in which the bone is broken into several pieces.
  • This fracture involved the entire articulation (i.e., the join) with the distal radius and the proximal aspect of the articulation with the ulnar carpal bone. In simple terms, the fracture affected both the area where the fractured bone joined with the radius and the area where the ulnar carpal bone connects.
  • Multiple fragments from the fracture were present in the palmar pouch of the antebrachiocarpal joint, indicating the severity and complexity of the fracture.
  • An arthroscopic-assisted open approach was utilized for the treatment. This is a surgical procedure where arthroscopy (a procedure where a small camera is inserted into the joint) is used alongside an open surgical method to remove the fractured fragments.

Postoperative Care and Outcome

  • The horse was re-admitted for lameness post the procedure. Lameness is a common complication after such invasive procedures and often results due to pain, inflammation, or mechanical restrictions.
  • A treatment plan including antibiotics and long-term supportive bandaging was implemented successfully. Antibiotics are used to prevent or treat any potential infection while long-term bandaging provides support to the healing limb, reducing swelling and aiding recovery.

Cite This Article

APA
Bonilla AG, Santschi EM. (2015). Comminuted fracture of the accessory carpal bone removed via an arthroscopic-assisted arthrotomy. Can Vet J, 56(2), 157-161.

Publication

The Canadian veterinary journal = La revue veterinaire canadienne
ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 56
Issue: 2
Pages: 157-161

Researcher Affiliations

Bonilla, Alvaro G
  • Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, Ohio 43215, USA.
Santschi, Elizabeth M
  • Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, Ohio 43215, USA.

MeSH Terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Arthroscopy / methods
  • Arthroscopy / veterinary
  • Carpal Bones / pathology
  • Carpal Bones / surgery
  • Fractures, Comminuted / surgery
  • Fractures, Comminuted / veterinary
  • Gentamicins / administration & dosage
  • Gentamicins / therapeutic use
  • Horse Diseases / surgery
  • Horses
  • Male
  • Penicillin G Procaine / administration & dosage
  • Penicillin G Procaine / therapeutic use
  • Phenylbutazone / therapeutic use
  • Postoperative Complications / pathology
  • Postoperative Complications / therapy
  • Postoperative Complications / veterinary

References

This article includes 17 references
  1. Barr AR, Sinnott MJ, Denny HR. Fractures of the accessory carpal bone in the horse.. Vet Rec 1990 Apr 28;126(17):432-4.
    pubmed: 2345945
  2. Ross MW. The carpus. In: Ross MW, Dyson SJ, editors. Diagnosis and Management of Lameness in the Horse. 2nd ed. St. Louis, Missouri: Elsevier Saunders; 2011. pp. 426–449.
  3. Ruggles A. Carpus. In: Auer JA, Stick JA, editors. Equine Surgery. 4th ed. St. Louis, Missouri: Elsevier Saunders; 2012. pp. 1347–1362.
  4. McIlwraith C. Fracture of the carpus. In: Nixon AJ, editor. Equine Fracture Repair. 1st ed. Philadelphia, Pennsylvania: Saunders; 1996. pp. 208–221.
  5. Higgins JL, Spike-Pierce DL, Bramlage LR. Racing prognosis of Thoroughbred yearlings with dorsal proximal accessory carpal bone fragments. Proc Am Assoc Equine Pract Baltimore, Maryland. 2010. p. 402.
  6. Getman LM, Southwood LL, Richardson DW. Palmar carpal osteochondral fragments in racehorses: 31 cases (1994-2004).. J Am Vet Med Assoc 2006 May 15;228(10):1551-8.
    pubmed: 16677125doi: 10.2460/javma.228.10.1551google scholar: lookup
  7. Lang H, Nixon AJ. Outcome after arthroscopic removal of solitary palmar carpal osteochondral fragments: 23 horses (1999–2012). Proc 2013 ACVS Veterinary Symposium San Antonio, Texas. p. E17.
  8. Rijkenhuizen AB, Németh F. Accessory carpal bone fractures in the horse.. Vet Q 1994 May;16 Suppl 2:S101-3.
    pubmed: 7801498
  9. Easley KJ, Schneider JE. Evaluation of a surgical technique for repair of equine accessory carpal bone fractures.. J Am Vet Med Assoc 1981 Feb 1;178(3):219-23.
    pubmed: 7228775
  10. Munroe GA, Cauvin E. Surgical treatment of a comminuted articular fracture of the accessory carpal bone in a thoroughbred horse.. Vet Rec 1997 Jul 12;141(2):47-9.
    pubmed: 9253832doi: 10.1136/vr.141.2.47google scholar: lookup
  11. . Guide for Veterinary Service and Judging of Equestrian Events. 4th ed. Lexington, Kentucky: American Association of Equine Practitioners; 1991.
  12. Martin GS, McIlwraith CW. Arthroscopic anatomy of the intercarpal and radiocarpal joints of the horse.. Equine Vet J 1985 Sep;17(5):373-6.
    pubmed: 4054087doi: 10.1111/j.2042-3306.1985.tb02526.xgoogle scholar: lookup
  13. Cheetham J, Nixon AJ. Arthroscopic approaches to the palmar aspect of the equine carpus.. Vet Surg 2006 Apr;35(3):227-31.
    pubmed: 16635001doi: 10.1111/j.1532-950x.2006.00141.xgoogle scholar: lookup
  14. Perrin RA, Launois MT, Brogniez L. The use of computed tomography to assist orthopaedic surgery in 86 horses (2002–2010). Equine Vet Educ 2011;23:306–313.
  15. Rantanen NW. Carpal Tunnel Syndrome in Horses. Proc Am Assoc Equine Pract Orlando, Florida. 2007. pp. 115–117.
  16. Minshall GJ, Wright IM. Frontal plane fractures of the accessory carpal bone and implications for the carpal sheath of the digital flexor tendons.. Equine Vet J 2014 Sep;46(5):579-84.
    pubmed: 24164449doi: 10.1111/evj.12203google scholar: lookup
  17. Harris KP, Moores AP, Butterworth SJ, Bush MA. Three cases of accessorioulnar arthrodesis to address accessory carpal bone subluxation or fracture.. Vet Rec 2011 Aug 13;169(7):181.
    pubmed: 21765129doi: 10.1136/vr.d4066google scholar: lookup

Citations

This article has been cited 0 times.
Subscribe to our newsletter
Join 99,000 horse owners like you who receive our email updates on horse health and nutrition.