Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI



Lipreri, Giulia ORCID: 0000-0002-2510-6085, Bladon, Bruce M, Giorio, Maria Elisabetta and Singer, Ellen R
(2018) Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low-field MRI. VETERINARY SURGERY, 47 (7). pp. 908-915.

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Abstract

<h4>Objective</h4>To compare the outcome following conservative vs surgical management of sports horses with a diagnosis of subchondral bone trauma of the proximal aspect of the proximal phalanx (PP) by low-field MRI.<h4>Study design</h4>Retrospective case series.<h4>Animals</h4>Twenty-one mature sports horses with evidence of high water signal within the proximal sagittal groove of the PP according to low-field MRI of the fetlock, with no definitive radiographic evidence of fracture.<h4>Methods</h4>Medical records (2010-2017) of horses admitted to 2 referral hospitals were reviewed. Historical, clinical, radiographic, and MRI findings and treatment choice were recorded. Conservative management consisted of confinement to a stall followed by gradual reintroduction to exercise. Surgical management consisted of cortical screw fixation across the proximal aspect of the PP. Long-term outcome was determined by telephone questionnaire or by clinical records review. Fisher's exact test was used to compare outcome between the 2 treatment groups.<h4>Results</h4>Follow-up was available in 17 of 21 horses in the study, including 8 horses treated conservatively and 9 treated surgically. No difference in outcome was detected in this study; 4 of 8 horses were sound after conservative management, and 5 of 9 horses were sound after surgery (P > .99).<h4>Conclusion</h4>Approximately half of the horses that had a diagnosis of osseous trauma within the proximal aspect of PP returned to athletic activity, regardless of conservative or surgical management.<h4>Clinical significance</h4>The prognosis for return to athletic functions in horses with osseous trauma within the proximal aspect of the PP is guarded.

Item Type: Article
Uncontrolled Keywords: Extremities, Bone and Bones, Animals, Horses, Horse Diseases, Magnetic Resonance Imaging, Prognosis, Treatment Outcome, Retrospective Studies, Bone Screws, Sports, Female, Male, Fractures, Bone
Depositing User: Symplectic Admin
Date Deposited: 02 Oct 2019 09:51
Last Modified: 19 Jan 2023 00:24
DOI: 10.1111/vsu.12936
Open Access URL: https://doi.org/10.1111/vsu.12936
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3056685