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1.
RON MCLAUGHLIN JR DVM DVSC Diplomate ACVS JAMES K. ROUSH DVM MS Diplomate ACVS 《Veterinary surgery : VS》1995,24(3):207-214
Two scapulohumeral arthrotomy techniques were evaluated and compared in 10 normal, young adult greyhounds. A caudolateral approach with craniodorsal retraction of the teres minor muscle (no-tenotomy) and a craniolateral approach with tenotomy of the infraspinatus tendon were each performed unilaterally in 5 dogs. The dogs were evaluated using force plate gait analysis, lameness evaluation, radiography, and goniometry for 5 weeks and then euthanatized. Tenotomy sites and sections of the humeral articular cartilage were collected from shoulder joints that had been operated on and examined microscopically. The same surgical approach was then performed on the contralateral shoulder in the cadavers and exposure of the humeral articular cartilage was measured using planimetry. Peak vertical force applied to the operated limbs in the tenotomy group was significantly less than preoperative levels on day 3 and significantly less than the no-tenotomy group on days 21 and 28. The peak vertical force applied to the operated limbs in the no-tenotomy group was not significantly different from preoperative levels during the study. Scapulohumeral arthrotomy by tenotomy of the infraspinatus resulted in decreased range-of-motion and joint extension compared with joints operated on without tenotomies, but provided significantly greater exposure to the articular surface. Scapulohumeral arthrotomy with craniodorsal retraction of the teres minor muscle did not significantly alter goniometric measurements compared with unoperated joints. Both techniques resulted in similar subjective lameness scores and caused no gross microscopic or radiographic evidence of articular cartilage damage. 相似文献
2.
An arthroscopic technique for examination and surgical treatment of conditions of the shoulder joint was evaluated in eight normal horses and two horses with osteochondrosis lesions. A single arthroscope entry point caudal to the infraspinatus tendon allowed inspection of the cranial, lateral, and caudal surfaces of the shoulder joint. With the humeral head and glenoid cavity distracted by a curved forceps, the entire cartilage surface of the shoulder could be examined. The caudomedial portion of the humeral head was seen better with a 70 degree angled arthroscope. Instruments for intra-articular manipulation were introduced through a separate skin incision 2 to 4 cm caudal to the arthroscope entry point. Two horses with osteochondrosis lesions of the shoulder were examined arthroscopically and debrided with instrument triangulation. Five normal horses and both horses with osteochondrosis lesions were euthanized immediately after the procedure and a necropsy was performed. Minor iatrogenic damage to the cartilage surfaces and joint capsule resulted from the technique. Three horses recovered from anesthesia and were killed 3, 30, or 60 days after surgery. Subcutaneous fluid that accumulated during surgery had resorbed by 3 days and lameness was evident for 12 to 24 hours. Gross examination and histopathologic findings of specimens collected at 30 and 60 days showed several small nonhealing partial-thickness cartilage defects attributed to instrument insertion. Arthroscopy is a satisfactory method to examine the joint surfaces and to evaluate and treat osteochondrosis lesions of the shoulder joint in horses. 相似文献
3.
DENNIS D. CAYWOOD D.V.M. M.S. MICHAEL P. SCHENK M.S. † NORMAN J. WILSMAN D.V.M. Ph.D. ‡ PAULINE L. WONG D.V.M. JAMES P. TOOMBS D.V.M. ALAN J. LIPOWITZ D.V.M. M.S. § 《Veterinary surgery : VS》1980,9(2):74-76
A craniomedial approach to the scapulohumeral joint of the dog is described for the removal of large, intraarticular cartilaginous bodies from the medial aspect of the joint. This technique was used successfully in 4 dogs with chronic osteochondritis dissecans in which the medial aspect of the joint was inaccessible through a standard lateral approach. 相似文献
4.
JAMES TOMLINSON dvm MVetSci Diplomateacvs GHEORGHE CONSTANTINESCU dvm dmv ROBERT McCLURE dvm PhD M. JOSEPH BOJRAB dvm ms PhD Diplomateacvs 《Veterinary surgery : VS》1986,15(4):294-299
A caudal approach to the scapulohumeral joint for treatment of osteochondritis dissecans of the humeral head was performed in seven dogs. By 14 days after surgery, three of the seven dogs were walking normally. At 6 weeks after surgery, all dogs were considered sound. Visualization was adequate for curettage of the osteochondritis dissecans lesions. Access to the medial joint compartment also was afforded. 相似文献
5.
Two caudolateral approaches to the canine scapulohumeral joint that do not require myotomy, tenotomy, or osteotomy were used to expose the humeral heads of both scapulohumeral joints in 10 clinically normal dogs. One approach (method 1) was used on the left shoulder of 5 dogs and on the right shoulder of the other 5 dogs. The other approach (method 2) was used on the opposite joints. The amount of humeral head articular cartilage that could be exposed with each approach was measured. The amount of articular cartilage exposed with method 1 was significantly greater than that exposed with method 2 (P less than 0.0001). Method 1 also provided for exposure of the caudomedial aspect of the scapulohumeral joint. Method 1 was used unilaterally in 20 dogs with osteochondritis dissecans. This approach provided excellent exposure of the humeral head and osteochondritis dissecans lesion. Of the 16 dogs that were available for follow-up evaluation, 1 developed a seroma after surgery. Other complications were not observed or reported. 相似文献
6.
John S. Mattoon DVM Wm Tod Drost DVM Michael R. Grguric MS DVM Danelle M. Auld RDMS Stephen M. Reed DVM 《Veterinary radiology & ultrasound》2004,45(3):238-240
Degenerative changes and osteochondrosis of articular processes are common sources of stiffness or pain in the equine cervical spine. Temporary relief of the clinical signs related to these maladies may be achieved by injecting corticosteroids into the joint. This is routinely done by ultrasound-guided needle placement. The cervical articular processes and joint form an easily identifiable sonographic landmark, a step-like echogenic surface described as having the appearance of a "chair." 相似文献
7.
ALICIA L. BERTONE DVM MS C. WAYNE MclLWRAITH BVSC PhD DiplomateACVs 《Veterinary surgery : VS》1987,16(4):312-317
Arthroscopic approaches to the scapulohumeral joint were developed in four clinically normal, live horses (5 limbs) to determine their usefulness for evaluation and potential surgical treatment of intraarticular lesions. The articular surface of the entire glenoid, cranial humeral head (medial and lateral) and caudolateral humeral head, as well as the synovial membrane, could be closely examined from an arthroscopic portal cranial to the infraspinatus tendon. The caudomedial humeral head could be examined partially. Cranial and caudal instrument portals allowed good surgical access to the entire glenoid and the majority of the humeral head (except caudomedial in adult, heavily muscled horses). The described arthroscopic and instrument portals allowed access to the areas frequently affected with osteochondritis dissecans (OCD). Potential difficulties with this technique include problems establishing triangulation, extravasation of fluids, and inability to reach potential lesions on the caudomedial humeral head with conventional equipment in heavily muscled horses. 相似文献
8.
Arthrodesis of the pastern joint in the horse 总被引：1，自引：0，他引：1
Arthrodesis of the pastern joint was performed in six horses with a history of acute trauma and in 10 horses with a history of chronic lameness of one to six months duration. Five surgical techniques were employed: curettage of the joint, lag screw compression and immobilisation in a plaster cast; curettage, compression using a T plate and immobilisation; drilling, lag screw compression and immobilisation; lag screw compression and immobilisation; and curettage and immobilisation. Pre- and postoperative clinical course are described together with significant radiographical findings. The best results were achieved by luxating the joint to curette the articular cartilage, followed by fixation and compression with either lag screws or a T plate and immobilisation in a plaster cast. 相似文献
9.
Laurence Evrard DVM Géraldine Bolen Nathalie MaquetValeria Busoni DVM PhD Dip. ECVDI 《Journal of Equine Veterinary Science》2012
This study describes ultrasound (US) technique and reference images of the equine distal interphalangeal joint collateral ligaments (CLs), and evaluates the portion of the CLs assessable by US in a series of normal forelimbs. Transverse and longitudinal US images were obtained on five healthy horses and on 25 equine cadaver forelimbs. On six limbs, a needle was placed under US-guidance at the distal limit of visualization of each CL, and the portion of CL visible at US was evaluated on computed tomographic (CT) images. The normal CLs appear as oval structures located abaxial to the fossae of the middle phalanx in the transverse sections, obtained at the level of the coronary band. A centrodorsal hypoechoic image appears with increasing proximodistal probe inclination, demonstrating different fiber orientations within the ligament. Two main fascicles, a deep and a superficial, distally divergent, are visible on longitudinal images obtained in the central part of the ligament. The proportion of CL visible at US examination was more than 50% of the total ligament length in nine of the 12 CLs assessed by CT. Awareness of the estimated portion of distal interphalangeal joint CLs visible at US and detailed knowledge of the US technique and CLs morphology are essential to efficiently use US examination on clinical cases. 相似文献
10.
Intra‐articular injections of the scapulohumeral joint (SHJ) in horses are difficult to perform because of the thick muscles covering the area and a reduced articular space. Ultrasonographic guidance was demonstrated to be helpful to perform intra‐articular injections. This technique applied to the SHJ can be performed in the field with a portable machine. The joint space is firstly imaged in transverse and proximodistal scans. After aseptic preparation of the shoulder area, the probe is placed to image the SHJ space in transverse section and the needle is inserted cranially in the ultrasound beam. The progression of the needle is followed towards the SHJ space, limiting joint injuries and side effects. 相似文献
11.
Reasons for performing study: Diagnosis and treatment of pathologies involving synovial structures in the shoulder region are technically difficult. Ultrasound‐guided (UG) injection techniques have been shown to be highly accurate, safe and reliable for various structures in human and equine patients. Objectives: To develop easy‐to‐use and reliable UG injection techniques for the infraspinatus bursa (IB), bicipital bursa (BB) and scapulohumeral joint (SHJ) and to compare them with conventional ‘blind’ methods. Methods: Eight pairs of equine shoulders were positioned on a computed‐tomography (CT) table with left and right shoulders randomly assigned to Operator A (UG) and Operator B (‘blind’). Contrast medium mixed with methylene blue was injected into the target structures. Time and number of attempts for correct needle placement and ease of injection were recorded. A CT scan of each shoulder was performed after every injection to evaluate the location of contrast material. Once injections and CT scans were completed, anatomic dissections were conducted. Statistical analysis was used to compare UG and ‘blind’ techniques with significance set at P<0.05. Results: Intra‐synovial injections using UG techniques were successful in all 24 synovial structures compared with 14/24 with conventional methods. The median number and range of needle repositioning to obtain accurate needle placement was 1 (1–2) for UG and 2 (1–4) for the ‘blind’ techniques. The median time and range required for accurate needle placement was 75.5 s (32–210 s) for UG and 43.5 s (11–140) for ‘blind’ technique. In 31% of all attempts, ease of injection was not indicative of successful intra‐synovial administration. Conclusions: Ultrasound‐guided injections of IB, BB and SHJ proved to be highly reliable and more accurate than conventional ‘blind’ techniques. Potential relevance: Ultrasound‐guided injection techniques may be of great help for equine practitioners in the diagnosis and treatment of pathologies involving synovial structures in the shoulder region. Further work is needed to confirm these results in clinical cases. 相似文献
12.
A five-year-old Border Collie bitch was presented to Massey University Small Animal Clinic, for examination of a right forelimb lameness of three months duration. The distal forelimb was deviated laterally, there was limited mobility of the shoulder joint, and the animal showed gait abnormalities. Marked atrophy of the infraspinatus, supraspinatus and deltoideus muscles were present. Contracture of the infraspinatus muscle caused the lameness, and tenotomy of the infraspinatus tendon resulted in restoration of a normal gait. Although the exact aetiology is unknown, several possibilities are discussed. 相似文献
13.
GHERY D. PETTIT † CECILY C. CHATBURN‡ GERALD A. HEGREBERG§ KENNETH M. MEYERS‡ 《Veterinary surgery : VS》1978,7(1):8-11
Contracture of the infraspinatus muscle has been recognized as a cause of shoulder lameness in hunting dogs. Electrophysiologic studies of four affected dogs indicated that infraspinatus contracture was a primary muscle disorder rather than a neuropathy. Histologically, affected tissues from six dogs showed degeneration and atrophy of skeletal muscle with fibrous tissue replacement. These findings supported the hypothesis that an acute traumatic event caused incomplete rupture of the infraspinatus muscle, leading to fibrosis and contracture. Seven dogs were successfully treated by infraspinatus tenotomy. 相似文献
14.
15.
T. A. MASON R. B. LAVELLE S. C. SKIPPER W. R. WRIGLEY 《The Journal of small animal practice》1980,21(12):641-656
Osteochondrosis is a failure of the normal process of endochondral ossification. In the elbow joint there are three manifestations of osteochondrosis, namely osteochondritis dissecans of the medial condyle of the humerus, ununited coronoid process and ununited anconeal process. This paper describes a series of sixty-eight cases diagnosed at a referral centre over a 10-year period. Ununited coronoid process and OCD of the medial condyle are not readily diagnosed because the lesions are difficult to demonstrate radiographically, but signs of degenerative joint disease of the elbow in young dogs of the medium to large breeds is strongly suggestive. Surgical treatment is indicated and the surgical approach to the medial aspect of the joint is described. 相似文献
16.
Infraspinatus muscle contracture associated with trauma in a dog 总被引：1，自引：0，他引：1
C A Carberry D R Gilmore 《Journal of the American Veterinary Medical Association》1986,188(5):533-534
Infraspinatus muscle contracture was diagnosed in a 4 1/2-year-old female Doberman Pinscher with lameness characterized by abduction and outward rotation of the right antebrachium and carpus. After infraspinatus tenotomy, the dog recovered. This case differs from previously reported cases of infraspinatus muscle contracture because of an associated history of blunt trauma. 相似文献
17.
The clinical histories of nineteen cases of osteochondritis dissecans of the medial ridge of the tibial tarsal bone are described. The clinical signs were lameness and a reduced range of joint flexion. Radiography demonstrated changes over the medial ridge of the tibial tarsal bone. Untreated cases remained lame and the rapid development of degenerative joint changes was noted. Cases treated promptly by arthrotomy, removal of the detached flap of cartilage and curettage made a quick and permanent recovery. Access to the lesion was gained by a postero-medial approach. 相似文献
18.
Lecocq M Girard CA Fogarty U Beauchamp G Richard H Laverty S 《Equine veterinary journal》2008,40(5):442-454
REASONS FOR PERFORMING STUDY: The earliest osteochondrosis (OC) microscopic lesion reported in the literature was present in the femorotibial joint of a 2-day-old foal suggesting that OC lesions and factors initiating them may arise prior to birth. OBJECTIVE: To examine the developing equine epiphysis to detect histological changes that could be precursors to OC lesions. METHODS: Osteochondral samples from 21 equine fetuses and 13 foals were harvested from selected sites in the scapulohumeral, humeroradial, metacarpophalangeal, femoropatellar, femorotibial, tarsocrural and metatarsophalangeal joints. Sections were stained with safranin O and picrosiruis red to assess cartilage changes and structural arrangement of the collagen matrix. RESULTS: Extracellular matrix changes observed included perivascular areas of paleness of the proteoglycan matrix associated with hypocellularity and, sometimes, necrotic chondrocytes. These changes were most abundant in the youngest fetuses and in the femoropatellar/femorotibial (FP/FT) joints. Indentations of the ossification front were also observed in most specimens, but, most frequently, in scapulohumeral and FP/FT joints. A cartilage canal was almost always present in these indentations. The vascular density of the cartilage was higher in the youngest fetuses. In these fetuses, the most vascularised joints were the metacarpo- and metatarsophalangeal joints but their cartilage canals regressed quickly. After birth, the most vascularised cartilage was present in the FP/FT joint. Articular cartilage differentiated into 4 zones early in fetal life and the epiphyseal cartilage also had a distinct zonal cartilage structure. A striking difference was observed in the collagen structure at the junction of the proliferative and hypertrophic zones where OCD lesions occur. CONCLUSION: Matrix and ossification front changes were frequently observed and significantly associated with cartilage canals suggesting that they may be physiological changes associated with matrix remodelling and development. The collagen structure was variable through the growing epiphysis and a differential in biomechanical properties at focal sites may predispose them to injury. 相似文献
19.
A total hip arthroplasty was performed in a small equine patient with a history of traumatic subluxation of the coxofemoral joint during infancy resulting in severe degenerative changes to the femoral head and acetabulum. The transtrochanteric surgical approach used to expose the joint, as well as the technique and technology to replace the joint, is described. The patient was weightbearing within 24 h of surgery and walking successfully without sling support 4 days post operatively. On the fifth post operative day, the patient abruptly deteriorated and succumbed to multiple pulmonary thromboemboli and a jejunal infarction. Despite the systemic complications in this case, the initial short‐term success of this treatment option indicate its potential to be considered in the management of equine coxofemoral joint disease/lesions. 相似文献
20.
Verwilghen DR Martens A Busschers E Franck T Deberg M Henrotin Y Vanderheyden L Serteyn D 《Veterinary research communications》2011,35(7):401-408
The measurement of biomarkers that reflect cartilage breakdown is a powerful tool for investigating joint damage caused by
disease or injury. Particularly in cases of osteochondrosis, synovial concentrations of these biomarkers may reveal the presence
of osteoarthritic changes. Coll2-1, Coll2-1 NO2 and myeloperoxidase have recently been introduced in equine osteoarticular research but comparison between the concentrations
of these markers in OCD affected and healthy joints has not been made. Therefore, this study aimed at reporting the synovial
concentrations of these biomarkers in joints affected with osteochondral fragments in the tarsocrural joint compared to unaffected
joints. Myeloperoxidase and Coll2-1NO2 revealed to have similar levels between affected joints and controls. However, in contrast to previous studies using C2C
the present study demonstrated that synovial levels of Coll2-1 were significantly elevated in tarsocrural joints affected
with osteochondrosis. Thus, Coll2-1 may be an earlier marker of cartilage degeneration than other cartilage degradation markers
that have been previously used in equine medicine. 相似文献