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The use of CT and CT arthrography in diagnosing equine stifle injury in a Rheinlander gelding

C. P. CRIJNS, I. M. V. L. GIELEN*, H. J. J. van BREE and E. H. J. BERGMAN † Department of Veterinary Medical Imaging and Small Animal Orthopeadics, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium; and †Lingehoeve Diergeneeskunde, Veldstraat 3a, 4033 AK Lienden, The Netherlands. Equine Veterinary Journal May 2010 42 4 367 - 371
A 5-year-old Rheinlander gelding was evaluated for left hindlimb stifle lameness. The lameness was localised to the stifle, but source of the lameness was not specifically diagnosed from the physical, radiographic and ultrasonographic examinations. Computed tomography (CT) and CT arthrography were therefore used for further investigation since these imaging techniques image bony structures, cartilage and soft tissues. This examination showed multiple lesions in the stifle: an osteochondrosis dissecans like lesion of the medial femoral condyle, bony fragments, cartilage trauma and caudal cruciate ligament injury. The prognosis for continuing use as a sports horse was regarded as unfavourable. Therefore, the horse was subjected to euthanasia. All CT findings were confirmed by gross pathology.

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