Large Animal Adult with Sequestrum You see a larger animal at first as opposed to a foal except for in the case on miniatures Signs/Symptoms Lame on the affected leg History of trauma Hard mass on the affected leg Possible draining tract (cloaca) Radiographs Dense fragment of bone(sequestrum) in line with the cortex surrounded by an area of lysis/radiolucency and that is surrounded by an area of denser bone/sclerosis(involucrum) Management Remove the dead fragement of bone surgically, which will remove the source of infection Systemic and local antibiotics should be used based on culture and sensitivity Prognosis Guarded until bone fragment is removed and then fair How/Why Different The growth plate is closed, so the prognosis is much better Bones are mature so bone deformity is not a sequelae Young animals are more likely to have hematogenous spread where with adults are more likely to have exogenous introduction of the bacteria Young animals are more likely to develop an abscess under the periosteum Older animals more likely to develop a cloaca due to the tightly adhere d periosteum Mature animal has a better prognosis because the growth plate is closed and is unlikely to be adversely affected by spread of the infection