Panosteitis

Question 1

What is panosteitis?

Answer 1

Self limiting inflammatory disease of the medullary cavity of long bones

Question 2

What are the risk factors for panosteitis?

Answer 2

Large giant breeds
5-18 months old
Males > females

Question 3

What are the clinical signs/presentation of panosteitis?

Answer 3

Acute onset, no trauma
Shifting leg lameness
variable degree of lameness
Pain on long bone palpation

Question 4

What are the common locations associated with panosteitis?

Answer 4

humerus
radius
ulna
femur
tibia
fore limbs > hind limbs

Question 5

What diagnostics would you want to rule in/out panosteitis?

Answer 5

Radiographs

Question 6

What would the radiographs show if it was early panosteitis?

Answer 6

May appear normal
intramedullary opacity
Usually seen in the diaphysis near the nutrient foramen
Blurring of the trabecular pattern

Question 7

What would the radiographs show if it was late panosteitis?

Answer 7

Medullary opacities become better delineated giving a patchy appearance
adjacent opacities may coalesce
endosteal surface is rough

Question 8

What are the treatments for panosteitis?

Answer 8

Will spontaneously resolve
exercise restrictions
analgesics
nursing care if not willing to walk
balanced nutrition

Question 9

What is the prognosis of panosteitis?

Answer 9

Self-limiting
Good if mild
O may elect euthanasia in severe cases
can reoccur