{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T11:53:52Z","timestamp":1793274832312,"version":"4.5.0"},"reference-count":21,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2000,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Objective<\/jats:bold>\u2014To evaluate the outcome of horses with\nlarge fragments of the extensor process of the distal\nphalanx that were removed by use of arthrotomy.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Design<\/jats:bold>\u2014Retrospective study.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Animals<\/jats:bold>\u201414 horses with large fragments of the\nextensor process of the distal phalanx.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Procedure<\/jats:bold>\u2014Medical records for horses with large\nfragments of the extensor process that were\nremoved by use of arthrotomy were reviewed. Data\nretrieved from medical records included signalment,\nuse of horse, affected limb, lameness history, lameness\nexamination findings, radiographic findings, surgical\ntechnique, and outcome. Follow-up evaluation\nwas obtained by telephone interview.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Results<\/jats:bold>\u2014Most affected horses were &lt; 5 years old\nand had a history of chronic lameness. Lameness\ngrade ranged from 1\/5 to 4\/5. Fragments involved 20\nto 45% of the dorsopalmar articular surface of the distal\nphalanx. Eight of 14 horses had a successful outcome.\nOutcome was not associated with age, duration\nor severity of lameness, or fragment size.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Despite\ninvolvement of a large portion of the articular surface\nand use of arthrotomy, joint instability and permanent\nsoft tissue injury was not a problem in most horses.\nOutcome may be improved by selection of horses\nwith lameness of &lt; 2 years' duration and careful management\nafter surgery. A fair prognosis may be anticipated\nfor removal of large fragments of the extensor\nprocess via arthrotomy. (<jats:italic>J Am Vet Med Assoc<\/jats:italic> 2000;\n217:1351\u20131355)<\/jats:p>","DOI":"10.2460\/javma.2000.217.1351","type":"journal-article","created":{"date-parts":[[2005,12,6]],"date-time":"2005-12-06T17:43:57Z","timestamp":1133891037000},"page":"1351-1355","source":"Crossref","is-referenced-by-count":20,"title":["Removal of large fragments of the extensor process of the distal phalanx via arthrotomy in horses: 14 cases (1992\u20131998)"],"prefix":"10.2460","volume":"217","author":[{"given":"Julie E.","family":"Dechant","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayle W.","family":"Trotter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ted S.","family":"Stashak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean A.","family":"Hendrickson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"p_1_1","first-page":"526","author":"Stashak TS.","year":"1987","journal-title":"Philadelphia: Lea & Febiger"},{"key":"p_2_2","first-page":"1208","volume":"87","author":"Honnas CM","year":"1992","journal-title":"Vet Med"},{"key":"p_3_3","first-page":"994","author":"Honnas CM","year":"1992","journal-title":"Philadelphia: WB Saunders Co"},{"key":"p_4_4","first-page":"219","author":"McIlwraith CW","year":"1990","journal-title":"Philadelphia: Lea & Febiger"},{"key":"p_5_5","unstructured":"Boening KJ, von Saldern FC, Leenderste IP, etal Diagnostic and surgical arthroscopy of the equine coffin joint, in Proceedings. 34th Annu Meet Am Assoc Equine Pract 1989;311-317."},{"key":"p_6_6","first-page":"292","author":"McIlwraith CW","year":"1996","journal-title":"Philadelphia: WB Saunders Co"},{"key":"p_7_7","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1111\/j.2042-3306.1976.tb03308.x","volume":"8","author":"Pettersson H","year":"1976","journal-title":"Equine Vet J"},{"key":"p_8_8","first-page":"61","volume":"164","author":"Haynes PF","year":"1974","journal-title":"J Am Vet Med Assoc"},{"key":"p_9_9","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1751-0813.1979.tb09543.x","volume":"55","author":"Rose RJ","year":"1979","journal-title":"Aust Vet J"},{"key":"p_10_10","first-page":"226","volume":"38","author":"MacLellan KNM","year":"1997","journal-title":"Can Vet J"},{"key":"p_11_11","first-page":"201","volume":"159","author":"Duncan DB","year":"1971","journal-title":"J Am Vet Med Assoc"},{"key":"p_12_12","doi-asserted-by":"crossref","first-page":"595","DOI":"10.2460\/javma.1991.199.05.595","volume":"199","author":"Scott EA","year":"1991","journal-title":"J Am Vet Med Assoc"},{"key":"p_13_13","first-page":"1337","volume":"174","author":"Scott EA","year":"1979","journal-title":"J Am Vet Med Assoc"},{"key":"p_14_14","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/S0749-0720(15)31007-0","volume":"5","author":"Yovich JV","year":"1989","journal-title":"Vet Clin North Am Equine Pract"},{"key":"p_15_15","unstructured":"Adams OR. 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