Septic tenosynovitis in horses: 25 cases (1983-1989).
Abstract: The medical records of 25 horses with septic tenosynovitis treated over 7 years (1983 to 1989) were reviewed to determine clinical features of the disease and response to treatment. The median age of horses with septic tenosynovitis was 5 years (range, 1 month to 21 years). Fourteen fore limbs and 11 hind limbs were affected. Sepsis was located in the sheath of the digital flexor tendons of 22 horses. Sepsis was located in the sheath of the extensor carpi radialis tendon (1 horse), sheath of the long digital extensor tendon (1 horse), or sheath of the common digital extensor tendon (1 horse) in the remaining horses. Nine horses received only medical treatment, using a combination of broad-spectrum parenterally administered antimicrobial drugs (8 of 9 horses), nonsteroidal anti-inflammatory drugs (8 of 9 horses), or irrigation of the wound (4 of 9 horses). Fourteen horses were treated surgically with either transection of the palmar/plantar annular ligament of the metacarpo/metatarsophalangeal joint (5 of 14 horses), lavage of the sheath after insertion of drains into the sheath (7 of 14 horses), or both (2 of 14 horses). All horses treated surgically were concurrently treated parenterally with broad-spectrum antimicrobial drugs and nonsteroidal anti-inflammatory drugs. Two horses with septic tenosynovitis were not treated and were euthanatized at the owners' request. Five horses were euthanatized before discharge from the hospital. Two horses (both treated medically) were lost to follow-up. Follow-up information was obtained for 18 horses, 6 to 55 months after discharge from the hospital.(ABSTRACT TRUNCATED AT 250 WORDS)
Publication Date: 1991-12-01 PubMed ID: 1778749
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- Journal Article
Summary
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This research study reviews the medical records of 25 horses with septic tenosynovitis from 1983 to 1989. It aims to analyze the clinical features of the disease and the horses’ responses to both medical and surgical treatments.
Objective and Methodology
- The study’s main goal was to understand the clinical manifestations of septic tenosynovitis in horses and to evaluate the effectiveness of different treatment approaches.
- The researchers conducted a retrospective analysis of 25 horses’ medical records. These animals were treated for septic tenosynovitis over a seven-year period from 1983 to 1989.
Patient Characteristics
- The median age of the horses was five years, with an age range of 1 month to 21 years.
- Septic tenosynovitis affected 14 forelimbs and 11 hindlimbs.
- In most cases (22 out of 25), the sepsis was located in the sheath of the digital flexor tendons. Other affected locations were the sheath of the extensor carpi radialis tendon, sheath of the long digital extensor tendon, and the sheath of the common digital extensor tendon.
Treatment Approaches
- Nine horses received only medical treatment, comprising various combinations of broad-spectrum parenterally administered antimicrobial drugs, nonsteroidal anti-inflammatory drugs, or wound irrigation.
- Fourteen horses underwent surgical treatment, which included transection of the palmar/plantar annular ligament of the metacarpo/metatarsophalangeal joint or lavage of the sheath after the insertion of drains. All these horses were simultaneously treated with broad-spectrum antimicrobial drugs and nonsteroidal anti-inflammatory drugs.
- Two horses were euthanatized at the owners’ request without treatment. Furthermore, five horses were euthanatized before discharge from the hospital.
Follow-Up Information
- Two horses, both of whom received medical treatment, were lost to follow-up.
- Follow-up information could be obtained for 18 horses, ranging from 6 to 55 months after their discharge from the hospital.
Cite This Article
APA
Honnas CM, Schumacher J, Cohen ND, Watkins JP, Taylor TS.
(1991).
Septic tenosynovitis in horses: 25 cases (1983-1989).
J Am Vet Med Assoc, 199(11), 1616-1622.
Publication
Researcher Affiliations
- Texas Veterinary Medical Center, Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station 77843-4475.
MeSH Terms
- Animals
- Bacterial Infections / diagnosis
- Bacterial Infections / therapy
- Bacterial Infections / veterinary
- Female
- Follow-Up Studies
- Horse Diseases / diagnosis
- Horse Diseases / therapy
- Horses
- Male
- Retrospective Studies
- Tenosynovitis / diagnosis
- Tenosynovitis / therapy
- Tenosynovitis / veterinary
- Treatment Outcome
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