{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T11:53:21Z","timestamp":1793274801250,"version":"4.5.0"},"reference-count":14,"publisher":"American Veterinary Medical Association (AVMA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2005,2,1]]},"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 determine clinical history, structures\ninvolved, treatment, and outcome of lacerations of\nthe heel bulb and proximal phalangeal region (pastern)\nin horses.<\/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>\u2014101 horses.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Procedures<\/jats:bold>\u2014Medical records of horses with lacerations\nof the heel bulb and pastern were reviewed, and\nfollow-up information was obtained.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Results<\/jats:bold>\u201475 horses were Quarter Horses. Most\nhorses were not treated with antimicrobial drugs prior\nto referral. Mean \u00b1 SD time from injury to referral was\n24 \u00b1 45 hours (range, 1 to 168 hours). Lacerations\nwere most frequently caused by contact with wire or\nmetal objects. In 17 horses, lacerations involved synovial\nstructures; the distal interphalangeal joint was\nmost commonly affected. One horse was euthanatized\nafter initial examination. Wound treatment consisted\nof cleansing, lavage, debridement, lavage of\naffected synovial structures, suturing of fresh\nwounds, and application of a foot bandage or cast.\nFifty-six horses were treated with systemically administered\nantimicrobial drugs. Follow-up information\nwas collected for 61 horses. Fifty-one horses returned\nto their intended use and had no further complications;\n10 horses had complications associated with\nthe wound, and of those horses, 5 were euthanatized\nand 1 horse died from an unrelated cause. Horses\nwith lacerations that involved synovial structures had\nworse outcomes than horses with lacerations that did\nnot involve synovial structures.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Horses that\nsustain heel bulb lacerations can successfully return\nto their intended use. Involvement of the distal interphalangeal\njoint is associated with poor prognosis.\n(<jats:italic>J Am Vet Med Assoc<\/jats:italic> 2005;226:418\u2013423)<\/jats:p>","DOI":"10.2460\/javma.2005.226.418","type":"journal-article","created":{"date-parts":[[2005,12,21]],"date-time":"2005-12-21T15:27:17Z","timestamp":1135178837000},"page":"418-423","source":"Crossref","is-referenced-by-count":14,"title":["Heel bulb lacerations in horses: 101 cases (1988\u20131994)"],"prefix":"10.2460","volume":"226","author":[{"given":"John C.","family":"Janicek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin M.","family":"Dabareiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clifford M.","family":"Honnas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Crabill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"p_1_287","first-page":"41","volume":"52","author":"Fessler JF","year":"1971","journal-title":"Mod Vet Pract"},{"key":"p_2_288","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0749-0739(17)30611-9","volume":"5","author":"Stashak TS","year":"1989","journal-title":"Vet Clin North Am Equine Pract"},{"key":"p_3_289","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1111\/j.1532-950X.1992.tb00061.x","volume":"21","author":"Honnas CM","year":"1992","journal-title":"Vet Surg"},{"key":"p_4_290","unstructured":"Baxter GM, Doran RE, Moore JN. Management of lower leg wounds with delayed closure in horses, in Proceedings. 32nd Annu Meet Am Assoc Equine Pract 1986;341-347."},{"key":"p_5_291","first-page":"B5","volume":"66","author":"Harle RP","year":"1985","journal-title":"Mod Vet Pract"},{"key":"p_6_292","first-page":"191","volume":"9","author":"Peyton LC","year":"1987","journal-title":"Compend Contin Educ Pract Vet"},{"key":"p_7_293","first-page":"S435","volume":"5","author":"Steckel RR","year":"1983","journal-title":"Compend Contin Educ Pract Vet"},{"key":"p_8_294","unstructured":"Gaughan EM. 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