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Complete Resection as Treatment of Septic Common Digital Extensor Tendosynovitis
Bayer 1228.jpg Picture: © Bayer Animal Health
Seven horses with wounds that resulted in septic tendosynovitis of the CDET sheath were treated by complete surgical resection of the affected tendon and ablation of the tendon sheath in a prospective clinical study - with surprising good results.

5 of these animals had previous surgery that was unsuccessful. Time from initial injury to complete resection was 1-22 weeks.

In 6 horses, the wound was closed primarily using a closed suction (4 horses), penrose (1), or passive open drainage system (1). In 1 horse, the surgical wound healed by second intention.

All horses had postoperative bandaging, antibiotic administration, and physiotherapy.

The wounds healed primarily in 6 horses and by second intention in 1 horse. Follow-up (mean, 26.4 months; range, 18-38 months) was available for 6 horses; all returned to their athletic performance level without lameness or gait abnormality.

Thus complete resection of the CDET was an effective surgical technique for management of chronic septic tendosynovitis. Horses with infection of the CDET and its sheath may be returned to long-term soundness without gait abnormality after radical resection.


Source: Booth, Todd M., Abbot, John, Clements, Antony, Singer, Ellen R. & Clegg, Peter D. (2004):
Treatment of Septic Common Digital Extensor Tenosynovitis by Complete Resection in Seven Horses. In: Veterinary Surgery 33 (2), 107-111.




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EQUINE

Head computed tomography in equine practicemembers
Computed tomography (CT) has become popular also in the diagnosis of equine patients, including lesions of the head. This retrospective study describes the findings in 59 horses presented with diseases of the head over 8 years that underwent CT examination of this region, including dental or sinonasal diseases (Group A) (n = 42), osseous and/or articular diseases (Group B) (n = 11) and soft tissue diseases (Group C) (n = 6). A very useful new study!

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