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Septic epiphysitis and sequestrum formation in the glenoid of the scapula in a five-month-old foal diagnosed by computed tomography
  1. Peter E Clements1,
  2. Becky Jones2 and
  3. Richard Coomer3
  1. 1Cotts Equine Hospital, Narberth, Pembrokeshire, UK
  2. 2Veterinary Diagnostic Imaging, B & W Equine Vets, Gloucestershire, UK
  3. 3Cotts Equine Hospital, Narberth, Pembrokeshire, UK
  1. Correspondence to Dr Peter E Clements; pclements{at}


A five-month-old Connemara foal presented for acute-onset, severe left forelimb lameness with fever, neutrophilia and an elevated serum amyloid A concentration. Radiographs were suspicious of septic physitis of the proximal humerus. CT identified a large defect involving the central portion of the subchondral bone plate of the glenoid and a sequestered bony fragment within the defect, which were not seen radiographically. CT findings were consistent with septic epiphysitis and sequestrum formation, which had significant implications on available treatment options. The foal was given a poor prognosis for returning to soundness so was subject to humane euthanasia.

  • lameness
  • arthritis
  • osteomyelitis
  • shoulder
  • foal
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  • Contributors All authors contributed to this case report in the following areas: substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data; drafting the work or revising it critically for important intellectual content; final approval of the version published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No additional data are available.

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