title: Excision of the distal sesamoid bone for treatment of infection of the digit in a heifer.
abstract: An 8-month-old Holstein heifer was evaluated for right hind limb lameness of 3 weeks' duration. Diagnoses were osteomyelitis and fracture of the distal sesamoid bone, septic arthritis of the distal interphalangeal joint, and osteomyelitis of the third phalanx. After excision of a section of tissue from the plantar aspect of the digit and partial section of the deep digital flexor tendon, the distal sesamoid bone was excised. The third phalanx was curetted, and the surgical wound was lavaged. Twenty months after surgery, the heifer was fully weightbearing on the affected digit. Surgical exploration of the digit should be considered an alternative to claw amputation in cattle that have severe digital infections.
authors: Department of Food Animal and Equine Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606.
authors: A T
authors: AT
authors: Blikslager
authors: S J
authors: SJ
authors: Baines
authors: K F
authors: KF
authors: Bowman
mesh_terms: D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000601:surgery*; D003475:Curettage / Q000662:veterinary; D005260:Female; D050723:Fractures, Bone / Q000601:surgery / Q000662:veterinary; D006614:Hindlimb; D007794:Lameness, Animal / Q000209:etiology* / Q000601:surgery; D010019:Osteomyelitis / Q000601:surgery / Q000662:veterinary*; D011206:Povidone-Iodine / Q000627:therapeutic use; D012716:Sesamoid Bones / Q000293:injuries / Q000601:surgery*; D007507:Therapeutic Irrigation
chemical_list: D011206:Povidone-Iodine