Vet Comp Orthop Traumatol 2005; 18(01): 47-51
DOI: 10.1055/s-0038-1632928
Case Report
Schattauer GmbH

Arthroscopic exploration and biopsy for diagnosis of septic arthritis and osteomyelitis of the coxofemoral joint in a dog

J. F. Luther
1   University of Missouri, Veterinary Medical Teaching Hospital, Columbia, Missouri, USA
,
J. L. Cook
2   Comparative Orthopaedic Laboratory, University of Missouri, Columbia, Missouri, USA
,
M. R. Stoll
3   Veterinary Specialty Services, St. Louis, Missouri, USA
› Author Affiliations
Further Information

Publication History

Received 05 April 2004

Accepted 29 April 2004

Publication Date:
08 February 2018 (online)

Summary

A five-year-old, spayed female mixed breed (38 kg) dog was referred for total hip replacement for an intermittently non-weight bearing lameness of the left hind limb. Radiographs and computed tomography suggested proliferative, osteolytic pathology of the left coxofemoral joint. Using arthroscopic exploration and biopsy, septic arthritis and osteomyelitis in the left coxofemoral joint were diagnosed. Treatment recommendations for antibiotic therapy and femoral head and neck excision were made based upon this diagnosis. Femoral head and neck excision resulted in pain relief and improved function and arthroscopy provided a minimally invasive, yet accurate, diagnosis in this case.[*]

* The information from this case, presented in a case report format, was selected as the first place winner of the 2004 American Board of Veterinary Practitioners' National Student Case Report Contest. There are no copyright restrictions regarding this award.


 
  • References

  • 1 Alexander JW. Septic arthritis: Diagnosis and treatment. J Am Anim Hosp Assoc 1978; 14: 499-503.
  • 2 Beale BS, Hulse DA, Schulz KS, et al. Arthroscopically assisted surgery of the hip joint. In: Kersey RR, Le Melledo D. eds Small animal arthroscopy. Philadelphia: Elsevier Science; 2003: 97-115.
  • 3 Beckers C, Foidart J, Thiry A. et al. Synovial metastases from colonic cancer presenting as arthritis of the knee. Characterization by 18FDG PET scan. Rev Med Liege 2002; 57: 467-74.
  • 4 Bennett D, Taylor DJ. Bacterial infective arthritis in the dog. J Small Anim Pract 1988; 29: 207-30.
  • 5 Bonnomet F, Clavert P, Abidine FZ, et al. Hip arthroscopy in hereditary multiple exostoses: A new perspective of treatment. Arthroscopy 2001; 17: E40.
  • 6 Bulmer JH. Septic arthritis of the hip in adults. J Bone Joint Surg Br 1966; 48: 289-98.
  • 7 Carr AP. Infectious arthritis in dogs and cats. Vet Med 1997; 92: 786-97.
  • 8 Codner EC. Infectious polyarthritis in the dog and cat. In: Kirk RW. ed Current veterinary therapy small animal practice. Philadelphia: WB Saunders; 1992: 246-52.
  • 9 Cook JL, Payne JT. Surgical treatment of osteoarthritis. Vet Clin North Am Small Anim Pract 1997; 27: 931-44.
  • 10 Cook JL, Tomlinson JL, Stoll MR, et al. Arthroscopic removal and curettage of osteochondrosis lesions on the lateral and medial trochlear ridges of the talus in two dogs. J Am Anim Hosp Assoc 2001; 37: 75-80.
  • 11 Dyce J, Olmstead ML. Removal of infected canine cemented total hip prostheses using a femoral window technique. Vet Surg 2002; 31: 552-60.
  • 12 Fearnside SM, Preston CA. Arthroscopic management of septic polyarthritis in a dog. Aust Vet J 2002; 80: 681-3.
  • 13 Fitzgerald RH, Peterson LF, Washington JA, et al. Bacterial colonization of wounds and sepsis in total hip arthroplasty. J Bone Joint Surg Am 1973; 55: 1242-50.
  • 14 Johnson KA. Osteomyelitis in dogs and cats. JAm VetMed Assoc 1994; 205: 1882-7.
  • 15 Kelly AM, Selby RM, Lumsden E, et al. Arthroscopic removal of an osteoid osteoma of the shoulder. Arthroscopy 2002; 18: 801-6.
  • 16 Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop 2003; 406: 48-59.
  • 17 Levitt L, Fowler JD. Septic coxofemoral arthritis and osteomyelitis in a dog. Vet Radiol 1988; 29: 129-32.
  • 18 Marchevsky AM, Read RA. Bacterial septic arthritis in 19 dogs. Aust Vet J 1999; 77: 233-7.
  • 19 Palmer N. Inflammatory diseases of joints. In: Jubb KVF, Kennedy PC, Palmer N. eds Pathology of domestic animals. San Diego: Harcourt Brace Jovanovich; 1993: 159-64.
  • 20 Pedersen NC, Pool R. Canine joint disease. Vet Clin North Am Small Anim Pract 1978; 8: 465-94.
  • 21 Schrader SC. Septic arthritis and osteomyelitis of the hip in six mature dogs. J Am Vet Med Assoc 1982; 181: 894-8.
  • 22 Spreull JSA. Excision arthroplasty as amethod of treatment of hip joint diseases in the dog. Vet Rec 1961; 73: 573-6.