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Biomedical subjects

R M Embertson

Publications and source records attributed to R M Embertson.

30 records · Page 2Linked to original sources
PubMed1993

Lesions of the caudal aspect of the femoral condyles in foals: 20 cases (1980-1990).

Medical records and radiographs were reviewed from 20 foals with caudal femoral condylar lesions. Osseous lesions were classified radiographically into 3 categories. Type-I lesions were characterized by a discrete area of radiolucency within the subchondral bone of the caudal aspect of a femoral condyle and were associated with septic arthritis and osteomyelitis. Type-II lesions had localized, osseous irregularities involving < 50% of the femoral condyle. Type-III lesions had widespread irregularities involving a large area of the condyle, and in 5 foals with type-III lesions, there was a thin osseous fragment displaced from the condyle and free in the femorotibial joint pouch. Foals with type-I and -III lesions were severely lame and often required assistance to stand. Foals with type-II lesions were not as lame, but lameness was evident at the trot and was exacerbated by flexion of the affected stifle. Cytologic evaluation of the synovial fluid from foals with type-I lesions was compatible with septic arthritis, whereas synovial fluid from foals with type-II and -III lesions was not septic. Surgical exploration and debridement were performed in 4 foals. Two foals with type-II lesions are currently performing athletically. The remaining 2 foals, in which surgery was performed, had type-III lesions; both of those foals were euthanatized at surgery because of the severity of the lesions. Follow-up information was available in 5 foals that did not have surgery. Two foals with type-I lesions and 1 foal with a type-III lesion were sound 1 year after diagnosis. One foal with a type-II lesion had residual lameness that prevented performance, and 1 foal with a type-III lesion was salvaged for breeding. Eleven foals were euthanatized and available for postmortem examination. Gross examination of the joints in foals with type-I lesions revealed a subchondral bone defect with intact articular cartilage in 3 of 4 foals examined. In 1 foal with a type-II lesion, a gross examination was performed, which revealed a focal indentation of the articular cartilage and on cross section had a retained cartilaginous core. Postmortem examination of 4 foals with type-III lesions revealed a large, denuded area with a shell-like cartilage fragment free within the joint. Two additional foals within this same group had marked irregularity of the articular cartilage with deep reticulation in the articular surface. In 2 of 3 foals examined with type-I lesions, histologic examination revealed suppurative osteomyelitis. The third foal in this group had changes compatible with focal ischemia.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1992

Colopexy in broodmares: 44 cases (1986-1990).

Colopexies were performed in 44 broodmares requiring abdominal surgery for large colon volvulus or right dorsal displacement of the large colon. Colopexies were performed by suturing the lateral bands of the left and right ventral colon to the ventral abdominal wall. Forty-seven percent of the mares in which a colopexy was performed had previous surgery for a large colon volvulus or right dorsal displacement of the large colon. Postoperative complications considered directly associated with the colopexy procedure were intermittent abdominal pain in 7, reoperation in 5, subcutaneous fistulous tracts in 1, and catastrophic rupture of the left ventral colon in 2 horses. Thirty-six horses survived greater than 6 months after colopexy, 34 of which had complete follow-up examinations. Twenty-seven mares have foaled at least once subsequent to the colopexy procedure, totalling 40 foals. Colopexy was considered a viable technique to prevent recurrence of large colon displacement or volvulus in selected predisposed populations.

Animals↗
PubMed1992

Retrospective study of 38 cases of femur fractures in horses less than one year of age.

Medical records of 38 horses less than 1 year of age and diagnosed as having a fracture of the femoral diaphysis, metaphysis or distal physis were evaluated. Twenty-six foals had fractures of the femoral diaphysis or metaphysis with the most common fracture configuration being comminuted. Twelve foals had distal physeal fractures with the most common fracture configuration being a Salter-Harris type II. Twenty-one foals with fractures of the capital femoral physis, neck or greater trochanter during the same time period were excluded from this study. Surgical repair was attempted in 16 diaphyseal and 2 distal physeal fractures. Most of the diaphyseal fractures were repaired by placing plates on the lateral and cranial surfaces of the bone. Dynamic condylar screw plates or angle blade plates were used for increased bone purchase in 4 foals with short distal fragments. Five foals with distal physeal fractures were treated; 2 were surgically treated by placing an angle blade plate on the lateral cortex, and 3 foals with minimally displaced distal physeal fractures were managed with stall confinement. Eight of the 16 surgically repaired diaphyseal fractures healed. Fracture location and configuration was not a determinant of outcome, but the mean age of foals with successfully repaired diaphyseal fractures was 2 months compared with 4 months for the unsuccessful cases, indicating that the age and size of the foal was important. Long-term follow up revealed that 6 of the 8 successfully repaired diaphyseal fractures had no residual effects of the fracture observed during performance of the horse for its intended use. Only 1 of the 2 surgically repaired distal physeal fractures healed, but this horse was eventually killed because of unthriftiness related to a malabsorption syndrome. Some form of complication developed in 13 of the 18 surgically repaired fractures. Infection was the primary cause of failure. The greatest determinant associated with infection was the inability to control post-surgical seroma formation.

Age Factors↗
PubMed1991

Upper airway conditions in older horses, broodmares, and stallions.

Upper respiratory tract conditions of the older horse that are not necessarily associated with athletic exercise intolerance are discussed. Some of the diseases described include ethmoid hematoma, sinus disease, guttural pouch empyema and mycosis, retropharyngeal abscess, nasopharyngeal cicatrix, arytenoid chondropathy, and neoplasia.

Animals↗
PubMed1988

Response of pony peritoneum to four peritoneal lavage solutions.

Peritoneal lavage was performed on ponies to determine the effect on peritoneal surfaces. Lavage solution (20 L) was introduced into each pony's peritoneal cavity through catheters placed in the paralumbar fossa, and the solution was removed by drainage from the ventral portion of the abdomen. Six ponies each were lavaged with sterile saline (0.9% NaCl) solution, sterile saline solution containing 5 X 10(6) U of potassium penicillin and 3 g of neomycin or povidone-iodine diluted to 3% by volume with sterile saline solution, and 3 ponies were lavaged with povidone-iodine diluted to 10% with sterile saline solution. Peritoneal lavage catheters were inserted in 3 control ponies, but lavage fluids were not administered. Peritoneal fluid specimens were collected at 6, 24, 48, and 96 hours after lavage. Nucleated cell counts, RBC counts, total protein determinations, and cytologic analysis were performed. The ponies were euthanatized at 96 hours, and representative sections of the peritoneum were examined. Lavage with saline solution and saline solution with antibiotics induced a mild, transient inflammatory response in the peritoneal fluid, with minimal or no changes observed at necropsy. Solutions containing povidone-iodine induced chemical peritonitis, which was severe in ponies lavaged with 10% povidone-iodine solution. Peritoneal lavage with povidone-iodine solutions as dilute as 3% cannot be accomplished without causing inflammation of peritoneal surfaces.

Animals↗
PubMed1986

Near circumferential retroperitoneal rectal tear in a pony.

A 13-year-old, 370-kg, Appaloosa gelding with mild colic of 4 days' duration was found to have a near circumferential retroperitoneal rectal tear. Accumulation of feces at the site of the repair had created a large perirectal cavity. Removal of feces and cleansing of the perirectal cavity were performed daily. Sutures were placed to stabilize, but not reappose, the torn ends of the rectum. The perirectal cavity filled with granulation tissue, and the rectal tear healed.

Animals↗
PubMed1985

Semitendinosus tenotomy for treatment of fibrotic myopathy in the horse.

The medical records and follow-up data for 4 horses with fibrotic myopathy of the semitendinosus muscle treated by semitendinosus tenotomy were reviewed. The gait deficit for each of the 4 horses was typical of fibrotic myopathy. Two of the horses had the gait deficit since birth. The efficacy of semitendinosus tenotomy was compared with the traditional treatment of partial myotenectomy of the affected muscle. The functional results in the 4 horses appeared to be equal to partial myotenectomy in returning the horses to athletic function and, compared with what has been reported, was cosmetically superior.

Animals↗
PubMed1985

Ileal impaction in the horse.

Twelve cases of ileal impaction in the horse were reviewed. Clinical features of the disease included evidence of mild abdominal pain, reduced or absent intestinal sounds, rectally palpable distended small intestine, gastric reflux, and in the early stages, normal peritoneal fluid. Surgical correction of the impaction was accomplished in 10 horses. Of 8 horses discharged from the hospital, 7 returned to full function. It was concluded that the shorter the duration of colic before surgical intervention, the better the prognosis.

Animals↗
PubMed1984

Amikacin sulfate in mares: pharmacokinetics and body fluid and endometrial concentrations after repeated intramuscular administration.

Six mares were given 5 IM injections (at 12-hour intervals between doses) of amikacin sulfate at a dosage of 7 mg/kg of body weight. Serum amikacin concentrations were measured serially throughout the study; synovial, peritoneal, endometrial, and urine concentrations were determined after the last injection. Amikacin concentrations of the CSF were measured serially in 3 of the 6 mares; 1 of the 3 mares had septic meningitis. Mean serum amikacin concentrations peaked at 1 to 2 hours after IM injection. The highest mean serum concentration was 19.2 micrograms/ml (1.5 hours after the 5th injection). The highest mean synovial concentration was 10.8 micrograms/ml at 2 hours after the 5th injection; the highest mean peritoneal concentration was 16.2 micrograms/ml at 3 hours after the 5th injection. The mean endometrial amikacin concentration was 2.5 micrograms/g (1.5 hours after the 5th injection). Amikacin reached a CSF concentration of 0.97 micrograms/ml in the mare with meningitis, but amikacin was not detected in CSF of healthy mares. Urine concentrations reached 1,458 micrograms/ml. Pharmacokinetic values were estimated after the 1st injection (elimination rate constant = 0.31/hour; half-life = 2.3 hours; apparent volume of distribution = 0.26 L/kg), and after the 5th injection (elimination rate constant = 0.28/hour; half-life = 2.6 hours; apparent volume of distribution = 0.30 L/kg); significant differences were not observed.

Amikacin↗
PubMedDate not supplied

Colonic luminal pressure in horses with strangulating and nonstrangulating obstruction of the large colon.

Colonic luminal pressure (median, range) measured during ventral midline celiotomy in 69 horses with strangulating obstruction (SO) of the large colon (SO; > or = 270 degrees large colon volvulus; 27 cm H2O: 2 to 80 cm H2O) was greater (P = .0023) than that measured in 37 horses with nonstrangulating obstruction (NSO) of the large colon (NSO; < or = 180 degrees volvulus or a nonstrangulating displacement; 18 cm H2O; 6 to 46 cm H2O). Sixty-five percent (45 of 69) of horses with SO and all horses with NSO survived. Survival analysis was restricted to 59 horses with large-colon SO that survived to hospital discharge or met the criteria specified for classification as nonsurvivors. Colonic luminal pressure in nonsurvivors (48.5 cm H2O; 34 to 80 cm H2O) was higher (P =.0001) than that measured in survivors (18 cm H2O; 2 to 50 cm H2O) of SO. From response operating characteristic curves, a luminal pressure of 38 cm H2O optimized the distribution of horses with SO into survivor and nonsurvivor groups. Sensitivity, specificity, and positive and negative predictive values for a colonic luminal pressure greater than 38 cm H2O in predicting nonsurvival were 0.89, 0.91, 0.72 and 0.97, respectively. Measurement of colonic luminal pressure may be useful for predicting survival in horses with colonic volvulus.

Animals↗