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Radiography revealed ill\u2010defined osteolysis of the axial apical regions of both proximal sesamoid bones (PSBs). Due to rapid clinical deterioration, low\u2010field magnetic resonance imaging was performed and demonstrated aggressive axial osteomyelitis of both PSBs, partial rupture of the intersesamoidean ligament and proximal scutum with herniation of synovium of the plantar joint recess, and an occult penetrating tract. Endoscopic surgical exploration confirmed the imaging findings. Following surgical treatment, the horse returned to full athletic function.<\/jats:p>","DOI":"10.1111\/vru.70242","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:23:38Z","timestamp":1790742218000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low\u2010Field Magnetic Resonance Imaging Features of Axial Proximal Sesamoid Osteomyelitis and Intersesamoidean Ligament Rupture in a Horse"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2686-0407","authenticated-orcid":false,"given":"Mahmoud","family":"Mageed","sequence":"first","affiliation":[{"name":"Equipixel Veterinary Teleradiology  Bakum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Bobrowski","sequence":"additional","affiliation":[{"name":"Equi Vet Serwis Klinika Dla Koni Sp. z o.o.  Buk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Przewo\u017any","sequence":"additional","affiliation":[{"name":"Equi Vet Serwis Klinika Dla Koni Sp. z o.o.  Buk Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi\u0142osz","family":"Grabski","sequence":"additional","affiliation":[{"name":"Equi Vet Serwis Klinika Dla Koni Sp. z o.o.  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