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Ultrasonography of the equine elbow technique and normal appearance
Authors:MA Tnibar DMV  PhD  JA Auer Dr Med Vet MS  S Bakkali DVM
Institution:M.A. Tnibar DMV, PhD1, J.A. Auer Dr. Med. Vet. MS2,S. Bakkali DVM1
Abstract:This study was intended to document normal ultrasonographic appearance of the equine elbow and anatomic landmarks useful in clinical imaging. Both forelimbs of five equine cadavers and both forelimbs of six live adult horses were used (4 Arabian-Barbes, 3 Arabs, 2 Anglo-Arabs, 1 Selle Français, 1 Anglo-Hispano-Arab, three to 18 years old). To facilitate the reading of the scans, a zoning system was developed for some anatomic structures. Ultrasonography was performed with a real-time B-mode semi-portable sector scanner using 7.5 & 5 MHz transducers. On one cadaver limb, MRI was performed on a system at 1.5 Tesla, T1 weighted spin echo, TR of 475 msec, RE of 15 msec, image matrix size 179 × 256 pixels. Ultrasonography images were compared with gross anatomy and with MRI scans to provide the normal ultrasonographic representation of the equine elbow. The lateral collateral ligament, the triceps brachii tendon with its subtendinous bursa, the proximal tendon of the ulnaris lateralis and the articular cartilage of the humeral trochlea were easy to examine ultrasonographically. The medial collateral ligament and the distal biceps brachii tendon required more expertise to assess. Ultrasonographic appearance and course of these structures are described. The 7.5 MHz transducer was best to be used. Ultrasonographic findings correlated well with MRI scans and with gross anatomy in the cadavers' limbs.
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