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首页> 外文期刊>CES Medicina Veterinaira y Zooctecnia >Subchondral cyst in the proximal interphalangeal joint in a paso fino colombion horse: a case report
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Subchondral cyst in the proximal interphalangeal joint in a paso fino colombion horse: a case report

机译：帕索菲诺哥伦比亚诺马的指间近端软骨下囊肿：一例报告

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We report the case of an equine patient, assessed by Especial - Vet prívate practice, whose orthopedic clinical examination showed a degree of lameness II / V in both hind limbs (according to AAEP classification), which demonstrated no improvement after medical treatment with parenteral phenylbutazone. Subsequently a new orthopedic clinical examination was performed in which an abaxial, perineural anesthetic block was applied to both hind legs, which produced 90% improvement compared to the initial degree of lameness. Digital radiographic evaluation was performed with the following results: dorsal-plantar and lateral-medial images which showed a circumscribed, radiolucent área at the level of the distal third of the first phalanx, with communication to the proximal interphalangeal joint on both hind limbs. Following, an ultrasound evaluation was carried out in which there was an anechoic área and lack of continuity of the bone surface at the proximal interphalangeal joint of both hind limbs. These findings established a definitive diagnosis of a subchondral bone cyst at the distal third of the first phalanx, with communication to the proximal interphalangeal joint. Intra-articular infiltration was performed with triamcinolone acetonide, betamethasone and hyaluronic acid; antibiotics as prophylaxis, rest in a stable for 4 weeks with a gradual return to exercise, and provision of enteral, chondroprotective supplements (p.o. Flexequin ® 40 gr/ day and p.o. Cortaflex ® 20ml/day). At the time of publication of this article, the patient does not present any degree of lameness and is performing normal athletic and physical activity.
机译：我们报告了一名由Especial-Vetprívate实践评估的马科患者的病例，该患者的骨科临床检查显示后肢的II行度为II / V（根据AAEP分类），经肠胃外注射苯基丁a治疗后无改善。随后进行了新的整形外科临床检查，其中将后背神经周麻醉阻滞剂应用于两个后腿，与最初的la行度相比，改善了90％。进行了数字射线照相评估，结果如下：足底和外侧内侧图像显示了第一指骨远端三分之一处水平的外接射线可透区域，并与两个后肢的近端指间关节相通。随后，进行了超声评估，结果是在两个后肢的近指指间关节处有消声区和骨表面缺乏连续性。这些发现确定了在第一指骨远端三分之一处软骨下骨囊肿的明确诊断，并与近端指间关节相通。用曲安奈德，倍他米松和透明质酸进行关节内浸润;预防性使用抗生素，可以稳定地保持4周，然后逐渐恢复运动，并提供肠内，软骨保护性补充剂（p.o. Flexequin®40克/天和p.o. Cortaflex®20毫升/天）。在本文发表时，患者没有表现出任何程度的la行，并且正在进行正常的运动和身体活动。

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