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Vet Comp Orthop Traumatol 2006; 19(04): 236-238
DOI: 10.1055/s-0038-1633006
Clinical Communication
Schattauer GmbH

Severe acute inflammatory reaction (SAIR) of the fetlock joint after intraarticular hyaluronate injection in a horse

J. M. Kuemmerle
1   Vienna University of Veterinary Medicine, Department of Horses and Small Animals, Clinic of Orthopaedics in Large Animals, Vienna, Austria
,
H. Uhlig
2   Bayer Austria, Bayer Health Care, Animal Health, Vienna, Austria
,
J. Kofler
1   Vienna University of Veterinary Medicine, Department of Horses and Small Animals, Clinic of Orthopaedics in Large Animals, Vienna, Austria
› Institutsangaben
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Publikationsverlauf

Received 12. Oktober 2005

Accepted 03. April 2006

Publikationsdatum:
22. Februar 2018 (online)

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Summary

Hyaluronate (HA) was administered by intra-articular injection to a 13-year-old Haflinger mare for treatment of metacarpophalangeal osteoarthritis. Ten hours after the injection, a severe inflammatory reaction developed in the treated joint. While awaiting results of synovial fluid analysis, treatment for iatrogenic infectious arthritis was initiated, but the analysis did not confirm sepsis. Clinical signs improved significantly following systemic non-steroidal anti-inflammatory medication and the horse was discharged three days later. Following an intravenous hyaluronate injection, four days after discharge, the synovitis recurred. Synovial fluid analysis did not show any abnormalities, but the clinical signs were severe. The severe acute inflammatory reaction required systemic non-steroidal anti-inflammatory and intra-articular corticosteroid treatment in order to resolve the problem.

Keywords

Horse - SAIR - joint - arthritis - hyaluronate
 

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