SummaryA mature Thoroughbred gelding that was used as a high level jumper presented for evaluation of a nonweightbearing forelimb lameness following a fall. Radiographs revealed a complete, noncomminuted, minimally displaced sagittal fracture of the greater tubercle. Supporting limb laminitis was a major concern in the short term based on the severe lameness at presentation. Open reduction with internal fixation was chosen over stall rest in an attempt to more rapidly return the weightbearing function to the limb. The procedure was performed standing and 3 bone screws were placed standing in an attempt to avoid implant or catastrophic bone failure that can accompany recovery from general anaesthesia. The day following surgery the lameness was significantly improved as the horse was able to bear some weight on the heel. The gelding was discharged 5 days following surgery and was fully weightbearing at the walk. Six months following surgery the horse was free of lameness and resumed training. This report describes our experience and rationale in placing bone screws in a standing horse for treatment of a greater tubercle fracture.
SummaryA 7-month-old Thoroughbred filly was evaluated because of an enlarging mass present on the proximomedial aspect of the left metacarpus. The mass was first noticed at age 2 months and had continued to increase in size. The mass was firm, nonpainful to palpation, covered with normal haired skin and had never been associated with lameness. Radiographs obtained at ages 2 and 7 months revealed an enlarging and partially mineralised mass associated with the second metacarpal bone. Based on the clinical and radiographic progression, as well as the location of the mass, a poor prognosis for future athletic soundness was given and the filly was subjected to euthanasia. The mass had histological features of both an ossifying fibroma and osteoma.
Summary
Two geldings with haematuria and 6 stallions with haemospermia presented for evaluation between 2003 and 2011 to the Iowa State University Lloyd Veterinary Medical Center. Both geldings presented for haemorrhage at the end of urination. All stallions presented for evaluation of infertility following natural service or artificial insemination that was related to haemospermia. Urethroscopy identified a urethral defect in all 8 horses. Both geldings possessed a urethral rent. One stallion possessed a urethral varicosity while the remaining 5 possessed a urethral rent. Two geldings and 2 stallions received only laser treatment. The remaining 4 stallions received concurrent laser treatment with a temporary subischial incision (TSI) into the corpus spongiosum penis. All 6 stallions received 8 weeks of sexual rest after the completion of the surgical/laser treatment. Laser treatment alone was successful in resolving haematuria in one of 2 geldings. In the stallion group, all 4 horses with a urethral rent receiving laser treatment concurrent with a TSI resolved haemospermia. Of the remaining stallions, one with a urethral varicosity resolved clinical signs with only laser treatment and one stallion with a urethral rent received only laser treatment and haemospermia recurred. We conclude that laser treatment of a urethral rent in geldings can result in resolution of haematuria. Laser treatment used in combination with a TSI may result in improved success when compared to surgery alone. Laser treatment alone can result in resolution of a urethral varicosity.
Summary
The case reported here describes the retrieval of the end of a pair of laparoscopic forceps that became separated from the instrument shaft during a laparoscopic ovariectomy. This case details the procedures used to locate and remove the foreign body from the abdominal cavity. No complications associated with the intra‐abdominal foreign body occurred and the mare was discharged the following day.
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