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Long bone failure after intraosseous regional perfusion
Author(s) -
SlackSmith V.,
Davies H. M. S.,
Hilbert B. J.
Publication year - 2021
Publication title -
equine veterinary education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 31
eISSN - 2042-3292
pISSN - 0957-7734
DOI - 10.1111/eve.13172
Subject(s) - medicine , diaphysis , lameness , soft tissue , splint (medicine) , radiography , perfusion , anatomy , surgery , radiology , orthodontics , orthopedic surgery
Summary A 5‐year‐old Australian Stock Horse gelding was initially referred to the Charles Sturt University Veterinary Clinical Centre ( CSUVCC ) for assessment of a penetrating laceration over the medial splint bone (second metacarpal bone) of the left foreleg. Clinical examination failed to reveal a communication with a synovial structure, but radiographs showed a palisading bone reaction on the proximal aspect of the medial splint bone which was thought to be a characteristic of infection. Soft tissue swelling precluded access to a peripheral vein, so a decision was made to use intraosseous regional limb perfusion. This was achieved through an access portal in the lateral diaphysis of the third metacarpal bone ( McIII ). Subsequently, the horse developed lameness and further investigation revealed a nondisplaced longitudinal fracture of McIII propagating from the intraosseous regional perfusion access portal.