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Case Report


Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall.


Cited By:3

Abstract
This report describes fibrous cyst lining injection and extracorporeal shockwave therapy (ESWT) of a medial femoral condyle (MFC) subchondral cystic lesion (SCL) resulting in catastrophic MFC fracture in an Arabian mare. The mare was presented for evaluation of a severe hind limb lameness of approximately 4 months duration. On presentation, a non-weight bearing lameness of the left hind limb with severe effusion and soft tissue swelling of the stifle region was noted. Radiographic evaluation of the stifle revealed a large SCL of the MFC with associated osteoarthritis. Arthroscopic guided intra-lesional injection of the SCL with corticosteroids and autologous bone marrow concentrate was performed followed by ESWT of the MFC. The mare was discharged walking comfortably 48-hours post-operatively. An acute increase in lameness was noted 14 days post-operatively. Imaging revealed catastrophic fracture of the left MFC. Possible mechanisms leading to failure of the MFC secondary to the described treatment are discussed.

Key words: Equine, Stifle, Subchondral cystic lesion, Extracorporeal shock wave therapy, Intralesional injection


 
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How to Cite this Article
Pubmed Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Vet J. 2017; 7(2): 111-116. doi:10.4314/ovj.v7i2.6

Web Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. https://www.openveterinaryjournal.com/?mno=252878 [Access: April 10, 2024]. doi:10.4314/ovj.v7i2.6

AMA (American Medical Association) Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Vet J. 2017; 7(2): 111-116. doi:10.4314/ovj.v7i2.6


Vancouver/ICMJE Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Vet J. (2017), [cited April 10, 2024]; 7(2): 111-116. doi:10.4314/ovj.v7i2.6


Harvard Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall (2017) Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Vet J, 7 (2), 111-116. doi:10.4314/ovj.v7i2.6


Turabian Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. 2017. Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Veterinary Journal, 7 (2), 111-116. doi:10.4314/ovj.v7i2.6


Chicago Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. "Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare." Open Veterinary Journal 7 (2017), 111-116. doi:10.4314/ovj.v7i2.6


MLA (The Modern Language Association) Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall. "Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare." Open Veterinary Journal 7.2 (2017), 111-116. Print. doi:10.4314/ovj.v7i2.6


APA (American Psychological Association) Style

Darla K Moser, Mike J Schoonover, Kate M Sippel, Alix M Dieterly, Jerry W Ritchey, Corey R Wall (2017) Catastrophic complication following injection and extracorporeal shockwave therapy of a medial femoral condyle subchondral cystic lesion in a 14 year old Arabian mare. Open Veterinary Journal, 7 (2), 111-116. doi:10.4314/ovj.v7i2.6


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