Descripción imagenológica de un caballo criollo colombiano con enfermedad articular degenerativa del tarso

Renso Sneider Gallego-Rodríguez, Claudia Patricia Álvarez-Mejía, Luis Alejandro López-Vera
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Abstract

This article reports a clinical case of a 4-year-old Creole mare, who comes to consultation due to lameness and an increase in the size of the tarsal joint in the right hind limb resulting from trauma. A clinical examination of the patient is performed in which a 5/5 support claudication is evident with notable compensatory movements; to palpation refers pain and swelling is evident, increase in temperature and size. Hemogram, blood chemistry, evaluation of joint fluid was performed through cytology and culture; in turn, an imaging diagnosis is made during several periods of the evolution of the case, conventional radiography is performed in which there are findings such as proliferative reaction, presence of osteophytes, ankylosis, among others; The ultrasound evaluation presented findings such as decrease in synovial fluid, increase in size and echogenicity of the synovial membrane and presence of fibrin bands present in the joint fluid. The therapeutic approach is performed through analgesic drugs, joint lavage and corticosteroid infiltration, and intraarticular infusion with 10% DMSO. The present case describes the imaging follow-up of an equine patient with degenerative joint disease of the tarsus, which provides tools to the veterinary community for the correct diagnosis of joint disease in the equine.
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哥伦比亚克里奥尔马跗骨退行性关节疾病的影像描述
这篇文章报告了一个临床病例,一匹4岁的克里奥尔母马,谁来咨询由于跛行和在右后肢跗骨关节的大小增加造成的创伤。对患者进行临床检查,5/5支撑性跛行明显伴有明显的代偿运动;触诊是指明显的疼痛和肿胀,体温和体积增加。通过细胞学和培养进行血象、血液化学、关节液评价;反过来,在病例发展的几个时期进行影像学诊断,进行常规放射检查,发现增生反应、骨赘、强直等;超声检查显示滑膜液减少,滑膜大小和回声增强,关节液中存在纤维蛋白带。治疗方法是通过镇痛药物、关节灌洗和皮质类固醇浸润、10% DMSO关节内输注。本病例描述了一位患有跗骨退行性关节疾病的马患者的影像学随访,为兽医界正确诊断马的关节疾病提供了工具。
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