한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제33권1호
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  • Pages.1-5
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  • 2016
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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관절경을 이용한 더러브렛 말의 급성 감염성 건초염 치료 13증례

Tenoscopy for Acute Septic Digital Flexor Tenosynovitis Treatment in 13 Thoroughbred Horses

  • 서종필 (제주대학교 수의과대학) ;
  • ;
  • ;
  • ;
  • Seo, Jong-pil (Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Jeju National University) ;
  • Kato, Fumiki (Shadai Horse Clinic, Shadai Corporation) ;
  • Suzuki, Tsukasa (Shadai Horse Clinic, Shadai Corporation) ;
  • Yamaga, Takashi (Shadai Horse Clinic, Shadai Corporation) ;
  • Tagami, Masaaki (Shadai Horse Clinic, Shadai Corporation)
  • 심사 : 2016.02.20
  • 발행 : 2016.02.29
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초록

말에서 Digital flexor tendon sheath (DFTS)의 감염성 건초염은 치명적인 질병이다. 본 연구에서는 관절경을 이용한 말 DFTS의 감염성 건초염 치료 결과를 보고하고자 한다. DFTS에 급성 감염성 건초염이 발생한 13마리의 더 러브렛 말에 관절경 수술을 실시하였다. 수술시간은 56-148분(평균 85.6분, 중간값 84.0분)이였다. 활액검사에서 평균 백혈구수, 평균 중성구 비율, 평균 총단백질 수치는, 각각 $42.9{\times}103cells/{\mu}l$ (range, $7.2-109.5cells/{\mu}l$), 89.5% (range, 68-97%), 4.0 g/dl (range, 2.5-5.2 g/dl)이였다. 활액의 세포배양 검사를 실시한 11두중 2두에서 세균의 증식이 관찰되었다. 모든 말들은 부작용 없이 회복되어 원래의 목적으로 사용되었다. 말 DFTS의 급성 감염성 건초염에서 관절경 수술은 유용할 것으로 생각된다.

Septic tenosynovitis of the digital flexor tendon sheath (DFTS) is a potentially career-ending and life-threatening problem in horses. This study aimed to describe the outcomes of tenoscopy for the treatment of acute septic digital flexor tenosynovitis in horses. Tenoscopy was performed on 13 Thoroughbred horses with acute septic tenosynovitis of the DFTS. Surgical time was 56-148 min (mean 85.6 min, median 84.0 min). In the synovial fluid analysis, mean white blood cell count, mean neutrophil proportion, and mean total protein were $42.9{\times}10^3cells/{\mu}l$ (range, $7.2-109.5cells/{\mu}l$), 89.5% (range, 68-97%), and 4.0 g/dl (range, 2.5-5.2 g/dl), respectively. Microbial growth in the synovial fluid culture was detected in 2 of 11 horses. All horses survived and returned to their intended use without complications. The present study demonstrated that the tenoscopy is useful for treating acute septic tenosynovitis of the DFTS in horses.

키워드

참고문헌

  1. Eddy RJC. Tenoscopy and bursoscopy. In: Diagnosis and Management of Lameness in the Horse, 2nd ed. Missouri: Elsevier Saunders. 2011: 260-266.
  2. Frees KE, Lillich JD, Gaughan EM, DeBowes RM. Tenoscopicassisted treatment of open digital flexor tendon sheath injuries in horses: 20 cases (1992-2001). J Am Vet Med Assoc 2002; 220: 1823-1827. https://doi.org/10.2460/javma.2002.220.1823
  3. Gruber BF, Miller BS, Onnen J, Welling RD, Wojtys EM. Antibacterial properties of synovial fluid in the knee. J Knee Surg 2008; 21: 180-185. https://doi.org/10.1055/s-0030-1247816
  4. Honnas CM, Schumacher J, Cohen ND, Watkins JP, Taylor TS. Septic tenosynovitis in horses: 25 cases (1983-1989). J Am Vet Med Assoc 1991; 199: 1616-1622.
  5. Lugo J, Gaughan EM. Septic arthritis, tenosynovitis, and infections of hoof structures. Vet Clin North Am Equine Pract 2006; 22: 363-388. https://doi.org/10.1016/j.cveq.2006.03.005
  6. Marco AFL, Kenneth ES, Brettania LW. Tenoscopy in 33 horses with septic and nonseptic digital tenosynovitis (1997- 2001). J Equine Vet Sci 2006; 26: 27-31. https://doi.org/10.1016/j.jevs.2005.11.013
  7. McIlwraith CW. Treatment of infectious arthritis. Vet Clin North Am Large Anim Pract 1983; 5: 363-379. https://doi.org/10.1016/S0196-9846(17)30083-6
  8. Mc Nally TP, Slone DE, Hughes FE, Lynch TM. Tenosynoviotomy for sepsis of the digital flexor tendon sheath in 9 horses. Vet Surg 2013; 42: 114-118. https://doi.org/10.1111/j.1532-950X.2012.01033.x
  9. Michael CS, Roger KW. Diseases of the Digital Flexor Tendon Sheath, Palmar Annular Ligament, and Digital Annular Ligaments. In: Diagnosis and Management of Lameness in the Horse, 2nd ed. Missouri, Elsevier Saunders. 2010: 764-776.
  10. Nixon AJ. Endoscopy of the digital flexor tendon sheath in horses. Vet Surg 1990; 19: 266-271. https://doi.org/10.1111/j.1532-950X.1990.tb01182.x
  11. Nixon AJ. Arthroscopic surgery of the carpal and digital tendon sheaths. Clin Tech Equine Pract 2002; 1: 245-256. https://doi.org/10.1053/ctep.2002.35591
  12. Schneider RK, Bramlage LR, Mecklenburg LM, Moore RM, Gabel AA. Open drainage, intra-articular and systemic antibiotics in the treatment of septic arthritis/tenosynovitis in horses. Equine Vet J 1992; 24: 443-449. https://doi.org/10.1111/j.2042-3306.1992.tb02874.x
  13. 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: 436-442. https://doi.org/10.1111/j.2042-3306.1992.tb02873.x
  14. Smith LJ, Mellor DJ, Marr CM, Mair TS. What is the likelihood that a horse treated for septic digital tenosynovitis will return to its previous level of athletic function? Equine Vet J 2006;38: 337-341.
  15. Taylor AH, Mair TS, Smith LJ, Perkins JD. Bacterial culture of septic synovial structures of horses: does a positive bacterial culture influence prognosis? Equine Vet J 2010; 42: 213-218. https://doi.org/10.2746/042516409X480403
  16. ter Braake F. Direct endoscopic approach improves prognosis of septic-synovitis in the horse. Tijdschr Diergeneeskd. 2002; 127: 444-449.
  17. Wereszka MM, White NA 2nd, Furr MO. Factors associated with outcome following treatment of horses with septic tenosynovitis: 51 cases (1986-2003). J Am Vet Med Assoc 2007; 230: 1195-1200. https://doi.org/10.2460/javma.230.8.1195