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Quittor
(Coronary sinus)
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Quittor is a chronic, purulent inflammation of the cartilage of the third phalanx characterized by necrosis of the cartilage and one or more sinus tracts extending from the diseased cartilage through the skin in the coronary region. It is seldom encountered today but used to be common in working draft horses. Quittor follows injury to the coronet or pastern over the region of the cartilage, by means of which infection is introduced into the deep tissues to form a subcoronary abscess, or it may follow a penetrating wound through the sole. The first sign is an inflammatory swelling over the region of the alar cartilage, which is followed by abscessation and sinus formation. During the acute stage, lameness occurs.
Surgery to remove the diseased tissue and cartilage is usually successful. Local or parenteral therapy (or both) without surgery is likely to fail. In the absence of any therapy, poor drainage, cartilage necrosis, and recurrent abscessation lead to chronic lameness and extension to deep structures. If damage is extensive and the distal interphalangeal joint has been invaded, the prognosis is unfavorable.

See Also
Introduction
The Lameness Examination
Overview
Imaging Techniques
Overview
Anatomic Imaging Techniques
Physiologic Imaging Techniques
Arthroscopy
Regional Analgesia
Disorders of the Foot
Bone Cyst in Pedal Bone
Bruised Sole and Corns
Canker
Contracted Heels
Fracture of Navicular Bone
Fracture of Pedal Bone
Keratoma
Laminitis
Navicular Disease
Pedal Osteitis
Puncture Wounds of the Foot
Pyramidal Disease
Sandcrack
Scratches
Seedy Toe
Sheared Heels
Sidebone
Thrush
Disorders of the Fetlock and Pastern
Fracture of Phalanges and Proximal Sesamoids
Osselets
Ringbone
Sesamoiditis
Villonodular Synovitis
Windgalls
Disorders of the Carpus and Metacarpus
Overview
Bucked Shins
Degenerative Subchondral Lesions of the Carpal Bones
Desmitis or Sprain of the Inferior Check Ligament
Fracture of the Carpal Bones
Intra-articular Osteochondral Chip Fragments of the Carpus
Carpal Slab Fractures
Accessory Carpal Bone Fractures
Fractures of the Small Metacarpal and Metatarsal (Splint) Bones
Fracture of the Third Metacarpal (Cannon) Bone
Hygroma
Osteoarthritis (Degenerative Joint Disease)
Osteochondrosis
Osteochondroma of the Distal Radius (Supracarpal Exostosis)
Rupture of the Common Digital Extensor Tendon
Splints
Subchondral Cysts and Septic Arthritis
Suspensory Desmitis
Synovial Hernia and Ganglion and Synovial Fistulae
Tearing of the Medial Palmar Intercarpal Ligament
Tenosynovitis of the Tendon Sheaths Associated with the Carpus
Traumatic Synovitis and Capsulitis
Disorders of the Shoulder and Elbow
Arthritis of the Shoulder Joint
Bicipital Bursitis
Fractures of the Elbow
Fractures of the Shoulder
Sweeney
Disorders of the Tarsus
Overview
Bog Spavin
Bone Spavin
Curb
Displacement of Superficial Flexor Tendon from the Point of the Hock
Fracture of the TArsus
Hindlimb Tendon Ruptures
Rupture of the Peroneus Tertius Muscle
Stringhalt
Thoroughpin
Disorders of the Stifle
Fracture of the Stifle
Gonitis
Patellar Luxation
Subchondral Bone Cyst
Disorders of the Hip
Coxitis
Dislocation of the Hip
Pelvic Fracture
Trochanteric Bursitis
Disorders of the Back
Fractures
Muscle and Ligament Strain
Ossifying Spondylosis
Overriding of the Dorsal Spinous Processes
Sacroiliac Injury
Developmental Orthopedic Disease
Overview
Osteochondrosis
Physitis
Flexion Deformities