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Arthroscopic Treatment of Temporomandibular Joint Sepsis in a Horse

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To report arthroscopic debridement and lavage of a septic temporomandibular joint (TMJ) in a horse. Design

Clinical case report. Animals

A 12-year-old Thoroughbred mare. Methods

Arthroscopic investigation of the dorsal joint pouch of the right TMJ was made through a stab incision into the dorsocaudal compartment. Mechanized resection of synovium and fibrinous debris combined with copious lavage, and intra-articular and systemic antibiotic administration was used to treat the septic TMJ. Results

Arthroscopic debridement and lavage of the TMJ, in combination with intra-articular and systemic antimicrobials resulted in resolution of sepsis. Eight months post-operatively, there was no clinical evidence of degenerative joint disease or ankylosis of the TMJ. Conclusion

TMJ sepsis is rare in horses, however, standard arthroscopic equipment can be used in the management of this condition with minimal complications. Clinical Relevance

Arthroscopic debridement and lavage should be considered for evaluation and initial treatment of TMJ sepsis in horses.
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Keywords: Streptococcus zooepidemicus; arthroscopy; horse; septic arthritis; temporomandibular joint

Document Type: Research Article

Affiliations: From the Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, 52 Campus Drive, University of Saskatchewan, Saskatoon, Canada

Publication date: January 1, 2005

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