{"id":9847,"date":"2022-12-30T09:12:30","date_gmt":"2022-12-30T09:12:30","guid":{"rendered":"https:\/\/hallmarq.net\/?post_type=studies&#038;p=9847"},"modified":"2024-12-19T13:02:14","modified_gmt":"2024-12-19T13:02:14","slug":"a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images","status":"publish","type":"studies","link":"https:\/\/hallmarq.net\/us\/case-studies\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\/","title":{"rendered":"POD Lesion With Mild Uptake on Scintigraphy"},"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\">A Substantial POD Lesion With Mild Uptake on Scintigraphy Images<\/h2>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">History<\/h4>\n\n\n\n<p>A 3-year-old Thoroughbred colt had pulled up forelimb lame after his last race and subsequently developed a left hindlimb lameness. The cause of the forelimb lameness was identified using diagnostic analgesia and radiography, whilst the hindlimb lameness could not be localized.<\/p>\n\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">Scintigraphy Findings<\/h4>\n\n\n\n<p>The colt underwent scintigraphic imaging of the lumbar spine, pelvis and hindlimbs to help identify the pathology present. No abnormalities were seen in the lumbar spine, pelvis, stifles and tibiae. <\/p>\n\n\n\n<p>There was a linear increased radiopharmaceutical uptake bilaterally in the subchondral bone of the tarsometatarsal joints (figure 1).<\/p>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture1-1.png\" alt=\"\" class=\"wp-image-9840\" width=\"491\" height=\"420\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture1-1.png 326w, https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture1-1-300x257.png 300w\" sizes=\"auto, (max-width: 491px) 100vw, 491px\" \/><figcaption>Figure 1: <em>Lateral images with bilateral uptake in the subchondral bone of the tarsometatarsal joint.<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<p>The plantarodistal aspect of the condyle of the left third metatarsal bones showed a mildly increased radiopharmaceutical uptake compared to the right (figure 2). This uptake was not visible in the plantar images and therefore laterality could not be determined.<\/p>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture2-1.png\" alt=\"\" class=\"wp-image-9841\" width=\"466\" height=\"373\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture2-1.png 320w, https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture2-1-300x240.png 300w\" sizes=\"auto, (max-width: 466px) 100vw, 466px\" \/><figcaption><em>Figure 2: Lateral images showing the mild uptake in the left third metatarsal bone<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">CT Findings<\/h4>\n\n\n\n<p>The horse then underwent standing cone beam computed topography of the left hind fetlock joint prior to any further diagnostics. This displayed:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A mild depression in the plantaro-distal articular surface of the lateral condyle of the third metatarsal bone.<\/li><li>A separate ill-defined, bony fragment, seen at the level of the depression, measuring approximately 4.5mm in diameter and 1.6mm in thickness (figure 3).<\/li><\/ul>\n\n\n<div class=\"wp-block-image is-style-default\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture3-1.png\" alt=\"\" class=\"wp-image-9842\" width=\"786\" height=\"437\" srcset=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture3-1.png 556w, https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture3-1-300x167.png 300w, https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture3-1-500x278.png 500w, https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture3-1-540x300.png 540w\" sizes=\"auto, (max-width: 786px) 100vw, 786px\" \/><figcaption><em>Figure 3. Sagittal and dorsal reconstructions showing the fragment at the articular surface (arrowheads) and the surrounding hypodense lesion (arrows) in the lateral condyle of the third metatarsal bone.<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\"><li>A hypodense area involving the subchondral bone and trabecular bone deep to the abnormal articular surface (figure 3); this region was approximately 10mm in diameter and surrounded by a larger area with increased attenuation, consistent with sclerosis, affecting the entire plantar half of the lateral condyle.<\/li><li>Mild subchondral bone thickening was also seen on the dorsal distal aspect of the sagittal ridge of the third metatarsal bone.<\/li><\/ul>\n\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">Conclusion<\/h4>\n\n\n\n<p>A conclusion was made that the horse showed severe plantar osteochondral disease (POD) with evidence of articular surface collapse affecting the lateral condyle of the third metatarsal bone which could explain the lameness observed. This lesion was suspected to correspond with the region of uptake detected scintigraphically and, because of the mild degree of uptake detected at this level, it was considered likely that the lesion was predominantly necrotic in nature, with only limited osteoblastic activity.<\/p>\n\n\n\n<h4 class=\"has-black-color has-text-color wp-block-heading\">Access to Advanced Imaging for Your Patients<\/h4>\n\n\n\n<p>In this case study, CT scans were performed using Hallmarq\u2019s&nbsp;<a href=\"https:\/\/hallmarq.net\/us\/products-services\/standing-equine-leg-ct\/\" target=\"_blank\" rel=\"noreferrer noopener\">Standing Equine Leg CT<\/a>&nbsp;system. Images and interpretation provided in collaboration with&nbsp;<a href=\"https:\/\/www.vet-ct.com\/gb\/\" target=\"_blank\" rel=\"noreferrer noopener\">VetCT<\/a>.<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>A 3-year-old Thoroughbred colt had pulled up forelimb lame after his last race and subsequently developed a left hindlimb lameness. The cause of the forelimb lameness was identified using diagnostic analgesia and radiography, whilst the hindlimb lameness could not be localized.<\/p>\n","protected":false},"author":2,"featured_media":9842,"parent":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_uag_custom_page_level_css":"","footnotes":""},"studies_category":[122],"class_list":["post-9847","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>POD Lesion With Mild Uptake on Scintigraphy - Hallmarq Veterinary Imaging<\/title>\n<meta name=\"description\" content=\"A 3-year-old Thoroughbred colt had pulled up forelimb lame after his last race and subsequently developed a left hindlimb lameness. The cause of the forelimb lameness was identified using diagnostic analgesia and radiography, whilst the hindlimb lameness could not be localized.\" \/>\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\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"POD Lesion With Mild Uptake on Scintigraphy - Hallmarq Veterinary Imaging\" \/>\n<meta property=\"og:description\" content=\"A 3-year-old Thoroughbred colt had pulled up forelimb lame after his last race and subsequently developed a left hindlimb lameness. The cause of the forelimb lameness was identified using diagnostic analgesia and radiography, whilst the hindlimb lameness could not be localized.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hallmarq.net\/us\/case-studies\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\/\" \/>\n<meta property=\"og:site_name\" content=\"Hallmarq Veterinary Imaging\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-19T13:02:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hallmarq.net\/app\/uploads\/2022\/12\/Picture3-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"556\" \/>\n\t<meta property=\"og:image:height\" content=\"309\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/hallmarq.net\\\/us\\\/case-studies\\\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\\\/\",\"url\":\"https:\\\/\\\/hallmarq.net\\\/us\\\/case-studies\\\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\\\/\",\"name\":\"POD Lesion With Mild Uptake on Scintigraphy - Hallmarq Veterinary Imaging\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/hallmarq.net\\\/us\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/hallmarq.net\\\/us\\\/case-studies\\\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/hallmarq.net\\\/us\\\/case-studies\\\/a-substantial-pod-lesion-with-mild-uptake-on-scintigraphy-images\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/hallmarq.net\\\/app\\\/uploads\\\/2022\\\/12\\\/Picture3-1.png\",\"datePublished\":\"2022-12-30T09:12:30+00:00\",\"dateModified\":\"2024-12-19T13:02:14+00:00\",\"description\":\"A 3-year-old Thoroughbred colt had pulled up forelimb lame after his last race and subsequently developed a left hindlimb lameness. 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Horner","author_link":"https:\/\/hallmarq.net\/us\/author\/sara\/"},"uagb_comment_info":0,"uagb_excerpt":"A 3-year-old Thoroughbred colt had pulled up forelimb lame after his last race and subsequently developed a left hindlimb lameness. 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