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

J. M. Kuemmerle; H. Uhlig; J. Kofler

doi:10.1055/s-0038-1633006

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

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

¹Vienna University of Veterinary Medicine, Department of Horses and Small Animals, Clinic of Orthopaedics in Large Animals, Vienna, Austria

,

H. Uhlig

²Bayer Austria, Bayer Health Care, Animal Health, Vienna, Austria

,

J. Kofler

¹Vienna University of Veterinary Medicine, Department of Horses and Small Animals, Clinic of Orthopaedics in Large Animals, Vienna, Austria

› Author Affiliations

Abstract

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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References

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