Diagnostic and Surgical Arthroscopy of the Equine Shoulder Joint     

ALAN J. NIXON BVSc  MS  DiplomateACVS 《Veterinary surgery : VS》1987,16(1):44-52

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   

Controlled Cross Circulation in Dogs: Effects on Donor Hemodynamics     

CHARLES A. KUNTZ DVM  MS    SPENCER A. JOHNSTON VMD  Diplomate ACVS    JOHN JACOBSON DVM  MS  Diplomate ACVA    ROBERT A. MARTIN DVM  Diplomate ACVS  ABVP    MARTHA MOON DVM  Diplomate  ACVR    PETER SHIRES BVSc  Diplomate ACVS  JOHN C. LEE PhD 《Veterinary surgery : VS》1996,25(1):29-39

Controlled cross circulation (CCC) was performed in six pairs of dogs for 45 minutes with aortic cross clamping and cardioplegia. Data were collected in donor dogs at 10 minute intervals three times before, three times during, and three times after CCC and included arterial blood pressure, pulmonary capillary wedge pressure (PCWP), central venous pressure (CVP), cardiac index (CI), heart rate (HR), blood gas analysis, temperature, maximum rate of rise of left ventricular pressure dP/dt max/End diastolic volume (EDV), blood volume (BV), complete blood count (CBC) and activated clotting times (ACT). Pulse pressure (PP), systemic vascular resistance (SVR), oxygen delivery (Do₂), and left ventricular cardiac work (LVCW) were calculated. Arterial blood pressure, CVP, blood gas analysis, temperature, BV, CBC, and ACT were measured in recipient dogs. During CCC, donor hemodynamic changes resembled those observed in models of acute onset arteriovenous fistulas. Insidious BV shifts can occur despite the use of occlusive roller pumps. After CCC, donor hemodynamics resembled acute blood loss, characterized by decreases in mean arterial pressure (MAP), CVP, PCWP, and CI, and increases in SVR and dP/dt max/EDV. These changes were probably caused by pump imbalance and BV shift to the recipient dog.  相似文献   

Carotid Body Tumors in the Dog Eleven Cases (1978–1988)     

Joyce E. Obradovich DVM    Stephen J. Withrow DVM    Barbara E. Powers DVM  PhD  Richard Walshaw BVSc 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》1992,6(2):96-101

Case records of 11 dogs with histologically confirmed carotid body tumors were reviewed. Surgical excision had been attempted in ten dogs with carotid body tumors, and one dog had been euthanatized at diagnosis. There were no intraoperative deaths but perioperative mortality was 40%. Horner's syndrome and laryngeal paralysis were the most common postoperative morbidities. The median survival time after surgery alone in the four dogs that survived the perioperative period was 25.5 months (range, 12-45 months). Two dogs treated with postoperative radiation therapy had survival times of 6 and 27 months. Of the six dogs surviving the perioperative period, two dogs are still alive at 19 and 32 months postoperatively. Of the four dogs that died, one was euthanatized 12 months postoperatively for nontumor-related causes. The remaining three dogs died of distant metastases. The carotid body tumors studied were characterized by local tissue invasion, neurovascular complications after therapy, and a propensity to metastasize to multiple sites in the body.  相似文献   

ULTRASONOGRAPHY OF THE EQUINE BICIPITAL TENDON REGION: A CASE HISTORY REPORT AND REVIEW OF ANATOMY     

Charles R.  Pugh  DVM  MS  Phillip J.  Johnson  BVSc  MS  Gregory  Crawley  DVM  MS  Susan T.  Finn  DVM  MS 《Veterinary radiology & ultrasound》1994,35(3):183-188

The equine shoulder region is difficult to investigate by conventional imaging modalities. Diagnostic ultrasound has proven valuable for investigation of soft tissue injuries of the human shoulder. In a horse with shoulder lameness, the authors employed diagnostic ultrasound to augment the use of conventional radiography. A defect in the subchondral bone layer of the medial humeral tuberosity, with adjacent bony fragments were clearly identified with ultrasound. Ultrasound was used for initial evaluation of the bicipital tendon and bursa. The technique was subsequently used to follow and evaluate the post-operative condition of the proximal cranial humerus, bicipital tendon and bursa in this patient. The bicipital regions of 2 immature and 3 adult normal horses were also examined with to illustrate the normal ultrasonographic anatomy of the cranial shoulder region.  相似文献   

Indirect measurement of blood pressure as a guide to the efficacy of fluid therapy in equine shock: A case report     

B.W. Parry BVSc  PhD  B.A. Christie BVSc  MACVSc  C.C. Gay DVM  MVSc  FACVSc  R.N. Haywood BVSc   《Journal of Equine Veterinary Science》1983,3(1):24-27

A case of acute circulatory failure in a horse is described. The response to intravenous fluid therapy was monitored by measurement of heart and respiratory rates, and arterial and central venous pressures. Heart rate was an unreliable guide to improved circulatory status. Central venous pressure and indirect arterial blood pressure were valuable guides to the efficacy of fluid therapy.  相似文献   

Wound Healing and Brain Stem Auditory Evoked Potentials After Experimental Total Ear Canal Ablation With Lateral Tympanic Bulla Osteotomy in Dogs     

J. F. MCANULTY DVM  MS  PhD    A. HATTEL DVM  C. E. HARVEY BVSc  FRCVS  Diplomate ACVS  AVDC 《Veterinary surgery : VS》1995,24(1):1-8

Experimental total ear canal ablation with lateral tympanic bulla osteotomy (TECA-LBO) was performed in 13 normal dogs to evaluate healing and retention of brain stem auditory evoked potentials (BSAEP) after surgery. Healing was evaluated by gross and microscopic examination of the surgery sites after 1 (n = 2), 4 (n = 8), 5 (n = 1), and 6 (n = 1) weeks. One dog was eliminated from the study. Brain stem auditory evoked potentials were measured using an air-conducted sound stimulus before and after surgery and before killing. Two dogs had nearly complete obliteration of the tympanic cavity by immature fibrous connective tissue. Eight dogs responded to surgery by either complete or partial re-formation of the tympanic cavity. Retention of the tympanic membrane in three dogs promoted re-formation of the tympanic cavity and blind epithelialized pockets in the surgery site with accumulation of keratinized debris. Granulation tissue formation and extensive proliferation of new bone on the internal surface of the tympanic bulla was seen in 10 dogs. Proliferative bone completely obliterated the tympanic cavity in two of these dogs. Eleven of 13 dogs had no detectable air-conducted BSAEP after surgery. There was no change in BSAEP measurements before killing compared with postoperative measurements in any dog. Two dogs with retained tympanic membranes had measurable BSAEP after surgery. This study shows that healing after TECA-LBO may be highly variable. Retention of the tympanic membrane and small osteotomies appeared to promote reformation of tympanic cavities and prevent ingrowth of granulation tissue. New bone proliferation was frequently observed in response to curettage of the epithelium lining the tympanic bulla. Hearing, as determined by BSAEP measurements, was lost except when the tympanic membrane and ossicles were retained. Retained tympanic membranes promoted accumulation of keratinized cellular debris that could become a nidus for infection or late abscessation in some dogs. These results indicate that resection of as much of the lateral and ventral tympanic bulla as possible and removal of the tympanic membrane may provide consistently improved results after TECA-LBO.  相似文献   

Cervical Intervertebral Disk Protrusion in a Horse   总被引：1，自引：0，他引：1  

ALAN J. NIXON BVSc  MS    TED S. STASHAK DVM  MS  DiplomateACVS    JAMES T. INGRAM DVM  MS    ROBERT W. NORRDIN DVM  PhD  DiplomateACVP  RICHARD D. PARK DVM  PhD  DiplomateACVR 《Veterinary surgery : VS》1984,13(3):154-158

A Hansen type ll intervertebral disk protrusion was diagnosed in an 18-year-old horse with signs of progressive ataxia and paresis. A soft tissue mass dorsal to the C6-C7 intervertebral disk space was identified at myelogram and found to be an intervertebral disk protrusion with enlarged dorsal annulus fibrosis at surgery. Surgical decompression was achieved using a ventral approach to the caudal cervical vertebrae, an approach limited in its application by the vertebral venous sinuses. Neurological signs remained unchanged for 3 days and then deteriorated. The horse was euthanized.  相似文献   

Dorsal Laminectomy in the Horse I. Review of the Literature and Description of a New Procedure     

ALAN J. NIXON BVSc  MS  TED S. STASHAK DVM  MS  DiplomateACVs 《Veterinary surgery : VS》1983,12(4):172-176

  相似文献   

Hemodynamic Function during Neurectomy in Halothaneanesthetized Horses with or without Constant Dose Detomidine Infusion     

ANN E. WAGNER DVM  MS  Diplomate ACVP    COLIN I. DUNLOP BVSc  Diplomate ACVA    R. BRUCE HEATH DVM  MS  Diplomate ACVA    A. SIMON TURNER BVSc  MS  Diplomate ACVS  GAYLE W. TROTTER DVM  MS  Diplomate ACVS 《Veterinary surgery : VS》1992,21(3):248-255

Nine horses were premediated with acepromazine, and anesthesia was induced with guaifenesin and thiamylal. Anesthesia was maintained in four horses with halothane in oxygen, and in five horses with halothane in oxygen plus a constant dose infusion of detomidine. Both maintenance regimens produced a MAC equivalent of 1.4 at the ambient barometric pressure. Hemodynamic and respiratory measurements were made after the horses were anesthetized, during surgical manipulations involving skin or tissues other than nerves, during manipulation and transection of digital nerves, and after surgery while the limbs were being bandaged. Heart rate was significantly higher in horses anesthetized with halothane only than in horses that also received detomidine; there were no other differences in hemodynamic function or recovery characteristics. Respiratory rate was significantly higher than baseline during soft tissue and nerve manipulations; arterial blood pressure was significantly higher after surgery began and highest during neurectomy; cardiac output and cardiac index were significantly decreased during surgery; systemic vascular resistance was significantly increased during neurectomy and bandaging and highest during neurectomy. The data suggest that the increase in blood pressure often associated with surgical stimulation is caused by increased vascular resistance and may be accompanied by a decrease in cardiac output.  相似文献   

The Mesh Expansion Method of Suturing Wounds on the Legs of Horses     

J. V. BAILEY BVSc  MVSc  K. A. JACOBS BVSc 《Veterinary surgery : VS》1983,12(2):78-82

Wound closure utilizing tension-relieving incisions located in the skin adjacent to the wound of horses was evaluated in three experiments. Healing of lower limb wounds was compared in four treatment groups; wounds sutured under tension, wounds sutured with 7 mm and 10 mm tension relieving incisions, and unsutured controls. The wounds sutured using 10 mm tension relieving incisions healed significantly faster than the other three groups (p > 0.05). The mesh expansion technique was further evaluated in four-week-old granulating wounds. The technique was found to be unsuccessful because the tension relieving incisions that were used were too small and postoperative support was inadequate. The technique was evaluated in two clinical patients, both of which had large metatarsal lacerations. Tension relieving incisions of approximately 15 mm were made and full leg walking bar casts were applied. Both wounds had healed almost completely on removal of the casts four weeks postoperatively.  相似文献