{"id":14209,"date":"2024-07-30T14:33:04","date_gmt":"2024-07-30T13:33:04","guid":{"rendered":"https:\/\/hallmarq.net\/case-studies\/contrast-arthrogram-of-the-distal-interphalangeal-joint\/"},"modified":"2024-12-19T12:56:16","modified_gmt":"2024-12-19T12:56:16","slug":"contrast-arthrogram-of-the-distal-interphalangeal-joint","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/contrast-arthrogram-of-the-distal-interphalangeal-joint\/","title":{"rendered":"Contrast Arthrogram of Distal Interphalangeal Joint"},"content":{"rendered":"\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-black-color has-text-color wp-block-heading\">Contrast Arthrogram of the Distal Interphalangeal Joint<\/h2>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>In this case study, kindly provided by <a href=\"https:\/\/www.valleyequinehospital.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Valley Equine Hospital (VEH)<\/a>, we examine a horse with marked right forelimb lameness. An MRI scan of the affected limb revealed extensive bone edema in the distal and middle phalanges. However, these findings did not fully correspond with the clinical presentation. Consequently, the horse was referred to VEH for Imaging with Hallmarq\u2019s&nbsp;<a href=\"https:\/\/hallmarq.net\/us\/products-solutions\/standing-equine-leg-ct\/\" target=\"_blank\" rel=\"noreferrer noopener\">Vision CT<\/a>&nbsp;to obtain additional diagnostic information.<\/p>\n\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">CT Findings<\/h4>\n\n\n\n<p>The main finding was a small focal irregularity in the palmar axial portion of the articular surface of the distal phalanx. An irregularly outlined osteochondral fragment was suspected. The surrounding bone was considerably less dense than the normal subchondral bone of this location, and this more lucent radiodensity extended distally into the trabecular bone of the distal phalanx. The region of suspected osteochondral fragmentation was slightly displaced proximally, disrupting the normal contour of the articular surface.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Valley-Pic-1-Case-Study-2-1024x434.png\" alt=\"\" class=\"wp-image-13416\"\/><figcaption>3D reconstructed CT images showing the focal irregularity or the articular surface of the distal phalanx.<\/figcaption><\/figure>\n<\/div>\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">CT Contrast Study Findings<\/h4>\n\n\n\n<p>A contrast material was present within the region of suspected osteochondral fragmentation in the palmar axial portion of the distal phalanx. The contrast extended in depth of approximately 5mm into the distal phalanx confirming the suspicion that there was a full-thickness lesion to the articular surface.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2024\/12\/Valley-Pic-2-Case-Study-2-1024x397.png\" alt=\"\" class=\"wp-image-13417\"\/><figcaption>3D reconstructed CT image from the contrast study showing the presence of contrast material within the region of suspected osteochondral fragmentation.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"has-small-font-size\">With thanks to Dr Tom McParland BVetMed DiplACVS (LA) MRCVS and Melissa Lockwood RVN, <a href=\"https:\/\/www.valleyequinehospital.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Valley Equine Hospital, UK,<\/a> for sharing this case with us.<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>In this case study, we examine a horse with marked right forelimb lameness. An MRI scan of the affected limb revealed extensive bone oedema in the distal and middle phalanges. However, these findings did not fully correspond with the clinical presentation. Consequently, the horse was referred for imaging with Hallmarq\u2019s\u00a0Vision CT\u00a0to obtain additional diagnostic information.<\/p>\n","protected":false},"author":1,"featured_media":14211,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[122],"class_list":["post-14209","studies","type-studies","status-publish","has-post-thumbnail","hentry","studies_category-equine-ct-us"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Contrast Arthrogram of Distal Interphalangeal Joint - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"In this case study, we examine a horse with marked right forelimb lameness. An MRI scan of the affected limb revealed extensive bone oedema in the distal and middle phalanges. However, these findings did not fully correspond with the clinical presentation. Consequently, the horse was referred for imaging with Hallmarq\u2019s\u00a0Vision CT\u00a0to obtain additional diagnostic information.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hallmarq.net\/us\/case-studies\/contrast-arthrogram-of-the-distal-interphalangeal-joint\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contrast Arthrogram of Distal Interphalangeal Joint - Hallmarq Veterinary Imaging\" \/>\n<meta property=\"og:description\" content=\"In this case study, we examine a horse with marked right forelimb lameness. An MRI scan of the affected limb revealed extensive bone oedema in the distal and middle phalanges. 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