Summary
The authors are aware of only one previously described case of idiopathic infectious arthritis of the coxofemoral joint in a mature horse. The case described herein presented with clinical signs that localised pain to the proximal limb, subtle increased radiopharmaceutical uptake at the coxofemoral joint and an increase of the major acute phase protein, serum amyloid A in the horse's blood biochemistry. The latter finding led the authors to search initially for an infective process. Ultrasound guided aspiration of the coxofemoral joint yielded infected synovial fluid. Despite the duration of the condition, nonsurgical treatment allowed the horse to return to its previous, relatively modest, level of activity. This case is presented to supplement the single previously published case report of idiopathic adult coxofemoral infectious arthritis in the horse.
Introduction: This edition of Equine Review considers papers on distal limb desensitisation, complications of transcutaneous caecal decompression, treatment of osteoarthritis and transendosopic laser surgery to correct nasopharyngeal obstruction.
Diagnostic anaesthesia is a key part of lameness investigation but aberrant results are often seen, which can be confusing. An appreciation of both the strengths and limitations of diagnostic analgesia is essential. Anatomically complex regions, such at the distal limb, distal carpus and distal tarsus, can be particularly challenging. Clinical experience and good anatomical knowledge are beneficial, as is an appreciation of relevant research. This article explores the subjectivity of diagnostic analgesia on a block-by-block basis, including a review of the peer reviewed literature, with a view to managing owner expectations.
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