Case Description-A 7-year-old Quarter Horse gelding was evaluated because of sudden onset of severe left forelimb lameness of 4 days' duration. Clinical Findings-Clinical evaluation and diagnostic perineural analgesia localized the lameness to the distal portion of the left forelimb. Radiography revealed a transverse fracture of the distal phalanx of the left forelimb. Treatment and Outcome-The horse was treated conservatively with stall rest and stabilization of the hoof with fiberglass cast material and an elevated heel support. These treatments improved the lameness considerably. Over the following 4 months, the horse was exercised at an increasing level; external coaptation of the hoof was removed, and the horse was gradually shod in a flat shoe. At 6 months after injury, the horse had no signs of lameness when working at its previous performance level, but it was euthanized for reasons unrelated to orthopedic disease. Radiographically, the fracture was unapparent; however, results of magnetic resonance imaging and histologic examination of the cadaveric limb confirmed the presence of tissue changes consistent with a healing fracture. Clinical Relevance-Conservative management of transverse fractures of the distal phalanx of a forelimb may be effective and enable affected horses to be returned to their intended use. (J Am Vet Med Assoc 2012;240:82-86)
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机译:病例描述-由于持续4天的严重左前肢la行突然发作,对7岁的四分之一马进行了评估。临床发现-临床评估和诊断性神经周围镇痛使the行局限在左前肢的远端。放射学检查显示左前肢远端指骨有横向骨折。治疗和结果-对马进行了保守治疗,包括失速休息和用玻璃纤维铸造材料和高跟支撑来稳定蹄。这些治疗大大改善了the行。在接下来的4个月中,这匹马的运动水平不断提高;去除了蹄的外部约束,然后将马逐渐放进了平底鞋。受伤后6个月,这匹马以先前的表现水平工作时没有of足的迹象,但是由于与骨科疾病无关的原因而被安乐死。影像学上,骨折不明显。然而,尸体肢体的磁共振成像和组织学检查结果证实存在与愈合性骨折一致的组织变化。前肢远端指骨横向骨折的临床相关性-保守治疗可能是有效的,并且可以使受影响的马匹恢复其预期用途。 (J Am Vet Med Assoc 2012; 240:82-86)
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