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in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association

SUMMARY

The bicipital tendons and bursae of 25 healthy adult Quarter Horses were ultrasonographically examined. Cross-sectional images of the right and left bicipital tendons were obtained from each horse, using a 7.5-MHz transducer held in the frontal plane at the point of the shoulder. The bicipital tendon at the point of the shoulder appeared as a bilobate structure overlying the echogenic surface of the humerus. Median distance from the skin surface to the cranial surface of the tendon on the medial sagittal plane of the tendon was 23 mm (range, 16.5 to 30 mm); median distance on the lateral sagittal plane was 14 mm (range, 8.5 to 19 mm). Median distance from the skin surface to the tendon on the midsagittal plane of the tendon was 17 mm (range, 10.5 to 22 mm). Median cranial-to-caudal widths of the lateral and medial lobes of the tendon at their greatest dimensions were 20.5 mm (range, 18 to 27.5 mm) and 16 mm (range, 13 to 20.5 mm), respectively. The median cranial-to-caudal width of the central (midsagittal) portion of the tendon was 10 mm (range, 7 to 13.5 mm). The bicipital bursa was ≤ 3 mm wide at all locations at which it was measured. Ultrasonographic imaging was easily performed and allowed evaluation of the bicipital tendon, bursa, and surface of the underlying humerus.

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in American Journal of Veterinary Research

Summary

Medical records of 10 horses with olecranon bursitis were reviewed to examine treatments, evaluate a technique for en bloc resection of the bursa in standing horses, and determine outcome of the horses after treatment. Before admission, 6 horses had been treated by needle aspiration of fluid from the mass, followed by injection of corticosteroids. Subsequent treatment for 2 of these 6 horses included open drainage and packing of the cavity with gauze soaked in 7% iodine solution. None resolved after these treatments.

After admission to the hospital, 5 horses were treated medically and 5 were treated by en bloc resection of the bursa. One horse that had received intralesional injection of a radionuclide was lost to follow-up evaluation. One horse treated conservatively by open drainage and packing and 1 treated by injection of a radionuclide had resolution of the olecranon bursitis. Only 1 of these 2 horses had a cosmetic result. The acquired bursae decreased in size in 2 horses (1 treated with a corticosteroid and 1 with orgotein), but were still visible 7 and 46 months after treatment, respectively.

The surgery site of 4 horses that were treated by en bloc resection healed by primary intention, and the owners of these horses were pleased with the cosmetic results. The suture line of 1 horse dehisced 5 days after surgery. Proliferative granulation tissue was removed on 2 occasions, and the site healed by second intention after 2 months. A small knot and some white hair remained at the surgery site.

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in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association
in Journal of the American Veterinary Medical Association

Abstract

Objective—To determine clinical, radiographic, and scintigraphic abnormalities in and treatment and outcome of horses with trauma-induced osteomyelitis of the proximal aspect of the radius.

Design—Retrospective study.

Animals—5 horses.

Procedure—Data collected from the medical records included signalment; history; horse use; degree of lameness; radiographic, ultrasonographic, and scintigraphic findings; treatment; and outcome.

Results—Duration of lameness prior to referral ranged from 14 to 60 days. Mean severity of lameness was grade 3 of 5, and all horses had a single limb affected. All horses had signs of pain during elbow joint manipulation and digital palpation over the lateral aspect of the proximal end of the radius. Radiographic lesions consisted of periosteal proliferation, osteolysis, and subchondral bone lysis. Scintigraphy in 3 horses revealed intense pharmaceutical uptake diffusely involving the proximal end of the radius. Two horses had sepsis of the elbow joint. All horses were treated with antimicrobials long-term; 1 horse was also treated by local perfusion of the radial medullary cavity through an indwelling cannulated screw. At follow-up, all horses had returned to their previous function.

Conclusions and Clinical Relevance—Results suggest that osteomyelitis of the proximal end of the radius can result from a traumatic injury to the antebrachium. Because lesions may be an extension of septic arthritis, a thorough examination of the wound area and elbow joint is recommended. Prolonged systemic antimicrobial treatment can result in a successful outcome. (J Am Vet Med Assoc 2003;223:486–491)

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in Journal of the American Veterinary Medical Association

Abstract

Objective—To examine the effect of various clinical tracks within the veterinary medical clinical curriculum at Texas A&M University on clinical diagnostic proficiency as determined by pre- and post-training assessment. We expected that the clinical track chosen by the student would impact their measured outcome with bias toward higher scores in their chosen field.

Design—Prospective cohort study.

Study Population—32 students from the College of Veterinary Medicine and Biomedical Sciences at Texas A&M University.

Procedures—By use of standardized, written case scenarios, clinical reasoning was assessed twice: once prior to the clinical (fourth) year of the curriculum and again at completion of the clinical year. Students demonstrated their abilities to collect and organize appropriate clinical data (history, physical examination, and laboratory findings), determine clinical diagnoses, and formulate and implement acceptable treatment modalities. Data from clinical assessments were compared for a given cohort and correlated with other measures (eg, grades, standardized test scores, and species-specific curricular track).

Results—Differences were detected in clinical diagnostic proficiency among students in different clinical tracks and for different species groups in the case scenarios. Tracking by species group in the clinical veterinary curriculum appeared to affect development of clinical reasoning and resulted in differential proficiency among cases for differing species groups.

Conclusions and Clinical Relevance—Differences in clinical experiences between small animal tracks and all other track opportunities (large animal, mixed animal, and alternative) influenced the development of clinical proficiency in fourth-year veterinary students during their clinical training period.

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in Journal of the American Veterinary Medical Association