CC BY 4.0 · VCOT Open 2020; 03(02): e134-e139
DOI: 10.1055/s-0040-1717103
Review Article

Clinical and Radiographic Findings of Septic Physitis in Foals

David G. Suarez-Fuentes
1   Diagnostic Imaging Service, Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Florida, United States
,
Dane M. Tatarniuk
2   Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, United States
› Author Affiliations

Abstract

The objective of this review is to detail the clinical and radiographic features of septic physitis in foals. Medical records were evaluated from 2008 to 2018 of cases that had septic physitis based on a combination of clinical and radiographic findings. Ten foals were diagnosed with septic physitis. In 8 of 10 foals, presence of a discrete, focal, irregular radiolucency centred on the physis and extending into the epiphysis and metaphysis was present. In the remaining two foals, subtle irregularity and diffuse radiolucency along the length of the physis was present. Three foals were able to later perform athletic function and two were sound but not in training (mean follow-up = 12 months). Overall, a distinguishing radiographic feature of septic physitis in foals is the presence of a focal radiolucency centred on the physis which is associated with the epiphysis and metaphysis consistent with osteolysis.

Authors' Contributions

D.G.S.-F. and D.M.T. conceptualized and designed the study, and acquired, analysed and interpreted the data. All authors drafted, revised and approved the submitted manuscript.


Note

This manuscript has been presented in oral abstract form at the 2019 Veterinary Orthopedic Society Scientific Conference, Snowbird, Utah, United States, February 11, 2019, and the 2018 ACVR/IVRA Scientific Conference, Fort Worth, Texas, United States, October 14–19, 2018.




Publication History

Received: 10 April 2020

Accepted: 24 August 2020

Article published online:
29 September 2020

© .

Georg Thieme Verlag KG
Stuttgart · New York

 
  • References

  • 1 Hall MS, Pollock PJ, Russell T. Surgical treatment of septic physitis in 17 foals. Aust Vet J 2012; 90 (12) 479-484
  • 2 Firth EC. Current concepts of infectious polyarthritis in foals. Equine Vet J 1983; 15 (01) 5-9
  • 3 Reig Codina L, Werre SR, Brown JA. Short-term outcome and risk factors for post-operative complications following umbilical resection in 82 foals (2004–2016). Equine Vet J 2019; 51 (03) 323-328
  • 4 Kettner NU, Parker JE, Watrous BJ. Intraosseous regional perfusion for treatment of septic physitis in a two-week-old foal. J Am Vet Med Assoc 2003; 222 (03) 346-350 , 316
  • 5 Richardson D, Ahern B. Synovial and osseous infections. In: Auer JA, Stick JA. , eds. Equine Surgery. 4th edition. Philadelphia: Saunders; 2012: 1189-1199
  • 6 Neil KM, Axon JE, Begg AP. et al. Retrospective study of 108 foals with septic osteomyelitis. Aust Vet J 2010; 88 (1-2): 4-12
  • 7 Hardy J. Etiology, diagnosis, and treatment of septic arthritis, osteitis, and osteomyelitis in foals. Clin Tech Equine Pract 2006; 5: 309-317
  • 8 Baird AN, Taylor JR, Watkins JP. Debridement of septic physeal lesions in 3 foals. Cornell Vet 1990; 80 (01) 85-95
  • 9 Parviainen AK. Septic physitis in a foal. Compend Contin Educ Pract Vet 2002; 24: 73-74
  • 10 Munsterman AS, Alexander K, Samii VF, Latimer FG. Computed tomography in the diagnosis of septic physitis in two foals. Equine Vet Educ 2007; 19: 200-206
  • 11 Baxter GM. Epiphysitis/physitis/physeal dysplasia. In: Baxter GM. , ed. Adams & Stashak's Lameness in Horses. 6th edition. Ames, IA: Blackwell Publishing; 2011: 1132-1135
  • 12 Thrall D. Textbook of Veterinary Diagnostic Radiology. 7th edition. St Louis: Elsevier; 2018: 385-386
  • 13 Lean NR, Perkins NR, Ahern BJ. Comparison of conventional radiography and computed tomography as aids in the diagnosis of osteomyelitis in 11 foals. Aust Vet J 2018; 96 (07) 257-261
  • 14 Gaschen L, LeRoux A, Trichel J. et al. Magnetic resonance imaging in foals with infectious arthritis. Vet Radiol Ultrasound 2011; 52: 627-633
  • 15 Anon Definition and classification of lameness. Guide for Veterinary Service and Judging of Equestrian Events. 1st edition. Lexington, Kentucky: American Association of Equine Practitioners; 1991: 19
  • 16 Madison JB, Sommer M, Spencer PA. Relations among synovial membrane histopathologic findings, synovial fluid cytologic findings, and bacterial culture results in horses with suspected infectious arthritis: 64 cases (1979-1987). J Am Vet Med Assoc 1991; 198 (09) 1655-1661
  • 17 Schneider RK, Bramlage LR, Moore RM, Mecklenburg LM, Kohn CW, Gabel AA. A retrospective study of 192 horses affected with septic arthritis/tenosynovitis. Equine Vet J 1992; 24 (06) 436-442
  • 18 Wormstrand B, Østevik L, Ekman S, Olstad K. Septic arthritis/osteomyelitis may lead to osteochondrosis-like lesions in foals. Vet Pathol 2018; 55 (05) 693-702