Ultrasound‐guided coxofemoral arthrocentesis in horses

David, Florent; Rougier, M.-B.; Alexander, Kate; Morisset, Sophie

doi:10.2746/042516407x153093

Cited by 33 publications

(28 citation statements)

References 14 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also had no instance of needle bending with the cranioventral approach using either a 16‐ga or 18‐ga spinal needle. Needle bending has been reported with dorsal approaches due to muscle contractions as the needle is advanced to the joint . This is consistent with our own clinical experience and therefore a 16‐ga spinal needle is typically recommended for dorsal injections.…”

Section: Discussionsupporting

confidence: 85%

“…Distention was visible regardless of weight bearing status (full, partial, or recumbent) which aided our ability to accurately place needles with only one attempt. In contrast, ultrasound‐guided injections using a dorsal approach to the CFJ required greater than one needle repositioning (1.5 ± 1.3) in normal horses in a previous study …”

Section: Discussionmentioning

confidence: 80%

“…Ultrasound‐guided techniques to access synovial structures have been shown to be superior to blind techniques, yet even with ultrasound guidance, aspiration of synovial fluid from the normal CFJ has been inconsistent . While our cranioventral approach yielded synovial fluid in 100% of injections, all horses had significant effusion due to coxofemoral pathology.…”

Section: Discussionmentioning

confidence: 92%

“…The sciatic nerve is located medial to the acetabulum and extends caudodistally along the caudal margin of the femur. Anesthesia of the sciatic nerve is a known risk of CFJ anesthesia and can occur due to inadvertent extra‐synovial placement or extravasation of anesthetic agents . Subsequent paresis or loss of motor function to the ipsilateral limb may result in the horse stumbling, falling or sustaining further injury.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Ultrasound‐guided Injections in Horses With Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach

Whitcomb

Vaughan

Katzman

et al. 2016

Vet Radiology Ultrasound

View full text Add to dashboard Cite

Intrasynovial access to the equine coxofemoral joint (CFJ) is inherently challenging. Blind injection techniques rely upon inconsistently palpable landmarks, and ultrasound guidance requires expertise for needle placement into the coxofemoral articulation. Aspiration is recommended to confirm intrasynovial placement and avoid sciatic nerve anesthesia. The aim of this observational, descriptive, retrospective study was to evaluate the feasibility for an alternative ultrasound-guided approach in horses with cranioventral distention of the CFJ identified during pelvic ultrasound. Thirteen horses with cranioventral CFJ distention, including 12 with severe pathology, were recruited from 2009 to 2014. Seven were excluded as they were not injected or underwent ultrasound-guided injection using a dorsal approach. The remaining six horses underwent a total of nine injections into the cranioventral recess. With the exception of one foal, all were aged horses (15-29 years) of varying breeds and uses, with prominent lameness due to subluxation (three), luxation (two), and severe osteoarthritis (one). The cranioventral recess was imaged adjacent to the proximal femur using a low-frequency curvilinear transducer placed ventral to the cranial joint margins. Using aseptic technique, spinal needles were placed cranial to the transducer and advanced caudomedially into the distended cranioventral recess. Synovial fluid was retrieved in all cases with one needle placement. Findings indicated that, when distended, ultrasound-guided access to the cranioventral CFJ recess is a feasible alternative approach and may reduce the potential for extra-synovial placement. Distention in this sample of horses was accompanied by severe pathology, also supporting the use of this approach for therapeutic interventions.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound‐guided Injections in Horses With Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach

Whitcomb

Vaughan

Katzman

et al. 2016

Vet Radiology Ultrasound

View full text Add to dashboard Cite

show abstract

“…David et al . () described in detail the ultrasonographic approach to coxofemoral arthrocentesis, which the authors found most helpful. Further imaging detail of the ultrasonographic topography of the normal equine pelvis (Tomlinson et al .…”

Section: Discussionmentioning

confidence: 99%

Idiopathic infectious arthritis of the coxofemoral joint in a mature horse

Woodford

Puzio

Parker

2016

Equine Veterinary Education

View full text Add to dashboard Cite

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.

show abstract

Ultrasonography of the Pelvis

Head

2014

Atlas of Equine Ultrasonography

View full text Add to dashboard Cite

Ultrasound‐guided coxofemoral arthrocentesis in horses

Abstract: Although this technique remains to be tested on clinical cases, it is a promising tool to facilitate diagnosis of coxofemoral pain, septic arthritis or administration of intra-articular medication.

Cited by 33 publications

References 14 publications

Ultrasound‐guided Injections in Horses With Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach

Ultrasound‐guided Injections in Horses With Cranioventral Distension of the Coxofemoral Joint Capsule: Feasibility for a Cranioventral Approach

Idiopathic infectious arthritis of the coxofemoral joint in a mature horse

Ultrasonography of the Pelvis

Contact Info

Product

Resources

About