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“Sparky”

“Sparky”

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“Sparky”

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  1. “Sparky” Jay Newman, DVM 10/29/2010

  2. Sparky • 16 year old Arabian Gelding • Pasture pet

  3. History • 5 week history of RF lameness • Observed running around pasture the night of July 4th due to fireworks • Lame on July 5th • Initially swollen to level of the carpus • Treated at home with cold hosing, foot soaking, phenylbutazone, and rest. • rDVM blocked lameness to an abaxial nerve block • No abnormalities noted on rDVM radiographs • Improved markedly in the week before referral.

  4. Physical Exam • T – 100.6 P – 36 R – 20 • Moderate effusion of DFTS • Sensitive to palpation • Mild effusion RF fetlock and coffin joint • Grade 3/5 lame on RF • Strong positive (3+) to RF distal limb flexion • 90% improvement with RF DFTS block

  5. Ultrasound of RF DFTS • Moderate effusion of the DFTS

  6. MRI

  7. MRI

  8. MRI

  9. MRI

  10. Treatment • Based on physical exam and MRI findings navicularbursoscopy with debridement of the DDFT lesion was elected. • Pre-op medications • K-pen – 22,000 mg/kg IV • Gentamicin – 6.6 mg/kg IV • Phenylbutazone – 4.4 mg/kg IV

  11. NavicularBursoscopy

  12. NavicularBursoscopy

  13. NavicularBursoscopy

  14. NavicularBursoscopy

  15. NavicularBursoscopy

  16. NavicularBursoscopy

  17. NavicularBursoscopy

  18. Stem Cells • Bone marrow was harvested for stem cell collection • Culture takes approximately 3 weeks • Stem cells injected into DFTS by rDVMonce received

  19. Post-Op Care • Hospital • K-pen – 22,000 IU/kg IV QID for 5 days • Gentamicin – 6.6 mg/kg IV SID for 5 days • Phenylbuazone – 2.2 mg/kg IV BID for 5 days • Bandage change every 2-3 days • Discharge • TMS – 30 mg/kg PO BID for 7 days • Phenylbutazone – 2.2 mg/kg PO BID for 3 days; then 1.1 mg/kg PO BID for 3 days • Bandage change every 3 days until sutures removed 14 days post-op

  20. The End