title: Comminuted fracture of the accessory carpal bone removed via an arthroscopic-assisted arthrotomy.
abstract: A 16-year-old American paint horse gelding was presented for evaluation of a left forelimb lameness grade III/V. Radiographs and computed tomography revealed a comminuted fracture of the accessory carpal bone involving the entire articulation with the distal radius and the proximal aspect of the articulation with the ulnar carpal bone. Multiple fragments were present in the palmar pouch of the antebrachiocarpal joint. An arthroscopic-assisted open approach was necessary to remove all fractured fragments. Subsequently the horse was re-admitted for lameness and was treated successfully with antibiotics and long-term supportive bandaging.
authors.affiliation: Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, Ohio 43215, USA.
authors.forename: Alvaro G
authors.initials: AG
authors.lastname: Bonilla
authors.affiliation: Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, Ohio 43215, USA.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Santschi
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001182:Arthroscopy / Q000379:methods / Q000662:veterinary*; D002348:Carpal Bones / Q000473:pathology* / Q000601:surgery; D018460:Fractures, Comminuted / Q000601:surgery / Q000662:veterinary*; D005839:Gentamicins / Q000008:administration & dosage / Q000627:therapeutic use; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D008297:Male; D010402:Penicillin G Procaine / Q000008:administration & dosage / Q000627:therapeutic use; D010653:Phenylbutazone / Q000627:therapeutic use; D011183:Postoperative Complications / Q000473:pathology / Q000628:therapy / Q000662:veterinary
chemical_list: D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D005839:Gentamicins; D010402:Penicillin G Procaine; D010653:Phenylbutazone