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PubMed2000

Interaction between cutaneous and muscle afferent activity in polysynaptic reflex pathways: a human experimental study.

Interactions between the input from cutaneous and nociceptive muscle afferents in polysynaptic reflex pathways were investigated in man. Interaction was tested by evoking reflexes before, during, and after a period of muscle pain induced by intramuscular injection of hypertonic saline. Muscle pain was induced either in the ankle flexor (tibialis anterior, TA) or in the extensor (soleus, SOL) muscles by injection of 1 ml hypertonic saline. Electrical skin stimulation (1.1 x initial reflex threshold) at the dorsum of the foot over the tarsal joint was used to elicit cutaneo-muscular polysynaptic reflexes in the knee flexor semitendinosus (ST). The injected hypertonic saline evoked a robust muscle pain (the subjects made a continuous score of the muscle pain on a 0-10 cm VAS scale, and the mean VAS area was 1229+/-251 cm x s and lasting 390+/-30 s). In five of 12 subjects, the infusion of hypertonic saline into TA evoked referred pain to the dorsal aspect of the ankle. A significant inhibition (17+/-8.2%, P<0.05) of the ST-reflex by pain in SOL was observed. Pain in TA facilitated (92+/-36%, P<0.05) the short-latency part (50-70 ms post stimulation) of the reflex. The muscle pain did not modulate the perceived sensory intensity of the electrical stimuli. The findings indicate an interaction of input from thin muscle afferents and cutaneous group A-fibre afferents in polysynaptic segmental reflex pathways, which seems to depend on the location of the muscle pain.

Adult↗
PubMed1998

Use of the C3H/He Lyme disease mouse model for the recovery of a Spanish isolate of Borrelia garinii from erythema migrans lesions.

A skin biopsy from a patient with erythema migrans was inoculated into C3H/He mice and into culture medium. A Borrelia garinii strain named Rio1 was isolated from both a direct BSK medium culture and a mouse ear-punch biopsy culture. Inoculating human tissue into mice produced a disease resulting in severe inflammation of the left tibio-tarsal joint, development of perivascular infiltrates as seen in ear-punch biopsies and the spread of spirochaetes along the skin, far from the inoculation site. The isolation of this strain confirms the circulation of this Borrelia species in Spain as a human pathogen, as well as its arthrogenicity in an animal model. The method used to recover strain Rio1 from human tissue is described as rapid and sensitive compared to direct inoculation of tissue into BSK medium.

Animals↗
PubMed2003

The cranial sartorius muscle undergoes true hypertrophy in dogs with golden retriever muscular dystrophy.

The degree of atrophy or hypertrophy of selected pelvic limb muscles was determined in the canine homologue of Duchenne muscular dystrophy. While most muscles were atrophied, the caudal and cranial sartorius were hypertrophied. Cranial sartorius weights were corrected for body weight and endomysial space to determine true muscle weights (g/kg; mean+/-SD) in three golden retriever muscular dystrophy age groups, 4-10 (Group 1; n=15), 13-26 (Group 2; n=4), and 33-66 (Group 3; n=4) months and grouped normal dogs (6-20 months; n=12). Group 1 golden retriever muscular dystrophy weights (2.2063+/-0.6884) were greater than those of normal dogs (1.2699+/-0.1966), indicating that young golden retriever muscular dystrophy dogs have true cranial sartorius muscle hypertrophy. Values of Group 2 (1.3758+/-0.5078) and Group 3 (0.5720+/-0.2423) golden retriever muscular dystrophy dogs were less than those of Group 1, suggesting that the cranial sartorius muscle atrophies over time. Given that cranial sartorius muscle weight correlated with tarsal joint angle in affected dogs (r=-0.817), the hypertrophied muscle may play a role analogous to iliotibial band tightness in Duchenne muscular dystrophy.

Animals↗
PubMed2002

Short-latency stretch reflex modulation in response to varying soleus muscle activities.

The current investigation examined the effect of various types of background muscle contractions on the short-latency stretch reflex (SLR) elicited from the soleus muscle while subjects were in a sitting position. A stretch was applied to the calf muscles while they performed an isometric (pre-ISO), shortening (pre-SHO) and lengthening contraction (pre-LEN) with several pre-contraction levels. The ankle was at a 90 degrees tibio-tarsal joint angle when the perturbation was applied. Subjects developed and maintained a given pre-load level, which was maintained at various percentages of the maximum voluntary isometric plantar flexion torque. This was performed at 80 degrees in pre-SHO, 90 degrees in pre-ISO and 100 degrees in pre-LEN for about 2s before the contractions. The SLRs in trials with 0, 35 and 50% of the maximum voluntary contraction torque level were compared among the three conditions. The main results were as follows. (1) Pre-ISO and pre-SHO showed an equal SLR area and a different SLR waveform in the active muscle. (2) Pre-LEN showed the smallest SLR area of three conditions in the active muscle. (3) Pre-LEN showed shorter SLR latencies than the other conditions. (4) Pre-SHO showed a longer SLR latency in the relaxed muscle than in the active muscle. (5) The SLR area was larger in the active muscle than in the relaxed muscle. These findings demonstrate that the muscle contraction type and the pre-contraction level before a stretch perturbation have a considerable influence on the latency, the area and the waveform of the SLR. In particular, the equal area and the different waveforms of the SLR between pre-ISO and pre-SHO were a unique finding in the present study. They might result from differences in muscle spindle sensitivity and afferent input from various receptors induced by the present motor task.

Adult↗
PubMed2002

Stretch-reflex mechanical response to varying types of previous muscle activities.

This study was designed to examine the effects of varying types of background muscle activity on the stretch-reflex mechanical response. A rapid stretch was applied to the calf muscles after an isometric (pre-ISO), shortening (pre-SHO) and lengthening contraction (pre-LEN) with several pre-contraction levels, respectively. The stretch perturbation was applied with the tibio-tarsal joint angle at 90 degrees. The ankle joint torque elicited by the stretch showed a first peak (non-reflex torque: NRT), a transient drop and a second peak (reflex torque: RT). The muscle activities before the stretch clearly influenced the stretch-reflex mechanical response. The NRT reached the largest peak with the longest duration in pre-ISO. The peak NRT increased with the pre-contraction level in pre-ISO and pre-LEN, whereas it remained unchanged in pre-SHO. The RT responded to the stretch-reflex EMG response most quickly and reached the largest peak in pre-ISO. Pre-ISO generated the mechanical response most efficiently against the size of the stretch-reflex EMG response. Pre-SHO showed lower peak RT than pre-ISO in spite of the similar size of stretch-reflex EMG response. The peak RT was closely related to the peak NRT in all conditions. Consequently, the peak RT also increased with the pre-contraction level in pre-ISO and pre-LEN, whereas it remained unchanged in pre-SHO. In conclusion, a stretch after an isometric contraction evoked a larger stretch-reflex mechanical response more efficiently than that after phasic contractions when a given effort was being maintained.

Adult↗
PubMed2000

Putative peripheral neuropathy in suckling piglets.

Over a period of almost 2 years, a progressive motor disturbance was found to occur in 20-50% of the litters of both primiparous and multiparous sows in a large pig herd of 1000 sows. The motor disturbance sometimes affected the entire litter; however, in most cases only a few piglets per litter were affected. The clinical signs appeared at 3-5 days of age and consisted of difficult movement followed by anteflexion or retroflexion of the tarsal joints or 'rabbit-like posture'. Subsequently, primarily after weaning, inflammatory and necrotic lesions developed on the paralysed limbs as a result of secondary infections of injuries. The tibial nerve and the common fibular nerve of recently affected (5- to 6-day-old) piglets showed degeneration, demyelination and necrosis of some of the nerve fibres, accompanied by restorative changes in more chronic cases. The central nervous system, bones, skeletal muscles, tendons and joints showed no lesions that could have accounted for the symptoms of motor disturbance. Aetiological investigations excluded the possibility of lead, copper and cadmium toxicity. Vitamin B2 administered orally at 1 day old proved to be ineffective. The disease did not develop in piglets of sows kept at another farm under the same management and fed a diet prepared according to an identical formula from the same ingredients as those used on the affected farm, but with no milk whey added. This raised the suspicion of triaryl phosphate (TAP) poisoning, but this was found not to be the cause of the disease. New boars had not been brought to the farm in the year preceding the onset of disease, and the disease could not be linked to a specific boar or boar line. The aetiology of the disease has remained unclear.

Animal Feed↗
PubMed2003

The equine hind limb is actively stabilized during standing.

Horses spend much of their life standing, and they are believed to be able to keep their limbs straight without muscular effort. We tested the hypothesis that the stifle (knee) and hock (tarsal) joints could be stabilized merely with the help of a passive lock mechanism whereby the patella is secured behind a hook, formed by the medial femoral trochlea. In anaesthetized animals and isolated limbs the stifle and hock flex readily under compression. In isolated limbs this collapse was prevented by a small force applied to the patella, mimicking the action of the vastus medialis muscle. In vivo, when the limb was planted loosely on the ground none of the muscles with a connection to the patella was active. However, during weight-bearing the vastus medialis (but no other muscle) was active, providing the necessary traction to stabilize the stifle. The required tension was estimated to be less than 2% of the force that would be needed in absence of a lock mechanism. Diagnosis and treatment of patellar fixation should include the possibility of overactive vastus medialis muscle as a possible cause of the disorder.

Animals↗
PubMedDate not supplied

Peritalar dislocations: a retrospective study of 18 cases.

The purpose of this study is to retrospectively evaluate 18 consecutive cases of peritalar dislocations referred to our department during a period of 25 years and to delineate the factors influencing long-term prognosis. There were 13 (73%) medial and 5 (27%) lateral dislocations. Six patients (33%) suffered an open injury, including 2 of 13 (15%) medial and 4 of 5 (80%) lateral dislocations. Associated fractures involving the hindfoot or forefoot were noted in 7 feet, including 3 of 5 lateral dislocation cases. Reduction was accomplished under general anesthesia; in no case was open reduction necessary. In 4 of 6 open injuries with associated fractures, temporary fixation with Kirschner wires was performed. Patients were immobilized in a plaster cast for 4 weeks, or for 6 weeks in the presence of fracture, followed by weightbearing as tolerated. At a mean follow-up of 10.2 years (range, 4 to 26 years), 10 patients (56%) showed excellent results; all had sustained a closed medial low-energy dislocation. There were 3 cases (17%) with fair results and 5 cases (28%) with poor results. Forty-five percent of patients showed a restriction of activity, a reduction of subtalar range of motion, and moderate or severe radiographic signs of hindfoot degenerative arthritis. There were no cases of talar avascular necrosis, and in no case was secondary surgery necessary. Lateral dislocation and open medial dislocations with concomitant fractures showed a greater potential for poor prognosis. The results were independent from period of cast immobilization, suggesting that 4 to 6 weeks of immobilization provides acceptable long-term results.

Adolescent↗
PubMedDate not supplied

[10 years follow-up of athrodeses of the hindfoot joints and upper ankle joint].

PURPOSE: What is the clinical and radiographic outcome of arthrodeses at the hindfoot and at the ankle more than 10 years postoperatively? METHODS: Between 1968 and 1988, 155 arthrodeses (ankle joint, triple arthrodeses, subtalar, pantalar and talonavicular arthrodeses) were performed on 147 patients. Indications for arthrodesis were posttraumatic arthritis, congenital deformity, idiopathic degenerative arthritis and rheumatoid arthritis. A variety of internal fixation devices or no internal fixation were used. 79 patients with 82 arthrodeses were reexamined clinically and radiographically, after 11.1 years on average. Static and dynamic foot print measurements were recorded with a capacitive sensor system. Another 26 patients with 27 arthrodeses replied to a questionnaire. RESULTS: Subjectively, the average pain score improved significantly. The overall function score improved only slightly. Results were inferior in the talonavicular arthrodesis. Radiographic evaluation revealed bony union in only 59 percent of the arthrodeses, one third at the talonavicular joint. Secondary degenerative arthritis of the foot and ankle occurred in 107 joints of the 82 feet. Evaluation of dynamic foot pressure measurements revealed an overall prolonged weightbearing on the midfoot region. CONCLUSION: An unacceptably low rate of bony union in some locations, a high incidence of secondary degenerative changes at neighboring joints, and a persistent abnormality of the plantar weightbearing pattern in the operated feet demonstrate unsatisfactory results with the techniques used more than 10 years ago. We now recommend stable internal fixation with optimum adaptation of the bone surfaces of the arthrodesis.

Activities of Daily Living↗
PubMed1985

The incidence of Chorioptes bovis (Acarina: Psoroptidae) on the feet of horses, sheep, and goats in the Netherlands.

The feet of horses, sheep, and goats of different breeds and from many different localities were examined for Chorioptes bovis. In horses, mites were mainly found in the Belgian and Frisian breeds (40% and 62% infected, respectively). In sheep and goats, respectively 63% and 86% were infected. In horses as well as in sheep and goats, mange-lesions were rarely seen. A number of sheep and goats were examined for mites and lesions quantitatively. In sheep all mites were restricted to the region close to the accessory digits and the claws. In goats the average number of mites was higher than in sheep, and mites could be found on all locations of the feet at least as far as the carpal and tarsal joint. Both in sheep and goats the biggest density of mites was found just below the accessory digits. When crusts were present, they were generally small and hidden under the coat. In sheep, which were housed for a long period, crusts were seen more often and were more distinct than in pastured animals. A negative correlation between the number of mites and the presence and extensiveness of crusts was observed. A possible explanation for this phenomenon is suggested. From the results of this study it is clear that there is no necessity to list chorioptic mange in sheep and goats as a notifiable disease.

Animals↗
PubMed1977

Arthritis with sigmoid volvulus and HL-A B27.

A 43-year-old male developed seronegative polyarthritis after a short attack of diarrhoea. For about two years before he had experienced intermittent abdominal pain, distension and constipation. Laparotomy showed a chronic sigmoid volvulus for which sigmoid colectomy was performed. Post-operatively he had no further bowel symptoms, no further arthritis and there was radiological improvement of involved joints. Tissue typing showed HL-A B27 antigen.

Adult↗
PubMed1998

Charcot neuroarthropathy of the foot and ankle.

The goal of this study was to characterize Charcot neuroarthropathy of the foot and ankle by specific sites of involvement (ankle, hindfoot, midfoot, and forefoot), modes of presentation, methods of management, and outcome. A summary of treatment and results for 50 ankles, 22 hindfeet, 131 midfeet, and 18 forefeet is presented. Nondisplaced neuropathic ankle fractures typically healed uneventfully with casting and bracing. For displaced ankle fractures, closed reduction and casting generally resulted in loss of reduction and progressive deterioration; better results were obtained with open reduction and internal fixation, using supplemental Kirschner wires and screws. Ankles with Charcot neuroarthropathy and preexisting arthritis typically required arthrodesis. Of the ankles with neuropathic avascular talar necrosis, approximately 1/3 did well with nonoperative intervention and 2/3 required surgery. Chronic, unstable, malaligned Charcot ankles often required arthrodesis. Neuropathic calcaneal fractures were managed successfully nonoperatively. For feet with transverse tarsal joint involvement (Schon Type IV), management was more complex. Nonoperative treatment was successful for less than 1/2. Two thirds of the feet with midtarsus involvement (Schon Types I, II, and III) were managed successfully nonoperatively; 1/3 required surgery for recurrent ulceration, instability, or osteomyelitis. Half of the feet with forefoot neuroarthropathy required surgery for malalignment, ulceration, and/or difficulty with shoewear or braces. This review has established patterns of Charcot involvement of the foot and ankle with corresponding methods of treatment and subsequent responses. From this extensive clinical experience with 221 neuropathic fractures or Charcot joints, recommendations were derived to assist in selecting appropriate management options.

Ankle Joint↗
PubMed1993

Radiographic study of postnatal development of the tarsus in west African dwarf goats.

Seven goats of the West African dwarf breeds, three females and four males, from the same farm were studied by serial radiography from the first week of life and at 3, 6, 9, 16, 23, 28, 37 and 46 weeks of age. The radiological appearance of the developing tarsus as evaluated from radiographs is described. During the first week postnatally, eight loci were observed to be partially ossified. The talus, tarsi centrale (Tc), first (T1), second (T2), third (T3) and fourth (T4) tarsal bones had each a single loci. The calcaneus bone had two loci, one for the tuber calcanei and another for the calcaneus himself. Fusion of the locus for T2 and T3 was evident in radiographs taken at three weeks. The fused T2 + T3 also appeared fused with the Tc in one of the goats at 23 weeks. The Tc and T4 were observed to fuse in only three of the goats at 23 weeks while in others the bones remained separate throughout the study period. In those goats where the Tc and T4 tarsal bones were not fused, the three tarsal joints were linked by a radiolucent line between these bones. While in the goat where Tc and T2 + T3 bone fusion has occurred the distal intertarsal joint was blocked and the proximal intertarsal was communicating with the tarsometatarsal joint between the separate Tc and T4. The tarsus of the goat is variable and differs from that of sheep and cattle.

Animals↗
PubMedDate not supplied

Measurement of articular cartilage stiffness of the femoropatellar, tarsocrural, and metatarsophalangeal joints in horses and comparison with biochemical data.

OBJECTIVE: To determine normal cartilage stiffness values in different weight-bearing and non-weight-bearing areas of 3 different equine joints, and to evaluate the relationship between cartilage stiffness and glycosaminoglycan (GAG) and collagen content. STUDY DESIGN: Compressive stiffness of the articular cartilage was measured in 8 horse cadaver femoropatellar (FP), tarsocrural (TC), and metatarsophalangeal (MT) joints. Gross evaluation, collagen content, GAG content, and histologic appearance were assessed for each measurement location. ANIMALS: Eight equine cadavers (4 intact females, 4 castrated males; 7 Quarter Horse or Quarter Horse type, 1 Arabian; aged 4-12 years, weighing 400-550 kg). METHODS: The articular surfaces of 8 equine cadaver FP, TC, and MT joints were grossly evaluated for signs of articular cartilage pathology. Stiffness at preselected sites (FP joint-6 sites; TC joint-3 sites; MT joint-4 sites) was determined using an arthroscopic indentation instrument. Biochemical composition (collagen, GAG content) and histologic evaluation (modified Mankin score) were assessed for each measurement site. RESULTS: All cartilage from all sites evaluated was determined to be normal based on macroscopic and histologic assessments. No significant correlation between Mankin scores and cartilage stiffness values was observed. Site differences in cartilage stiffness were measured in all 3 joints (P<.001). GAG or collagen content had a significant positive correlation with stiffness values in 6 of 13 sites (P<.05, r>0.622, r2>0.387). CONCLUSION: Relative cartilage stiffness values measured in healthy equine joints are site dependent and can be measured using an indentation device intended for arthroscopic application. CLINICAL RELEVANCE: An indentation instrument provided an objective means of determining relative compressive stiffness of articular cartilage. Further research needs to be performed to confirm the site and joint differences observed in this study in clinically normal horses and to determine if the tester can be used clinically to predict articular cartilage pathology.

Animals↗
PubMed1995

Agreement in the interpretation of extremity radiographs of injured children and adolescents.

OBJECTIVES: To measure agreement beyond chance (kappa) for comparison interpretations of extremity radiographs by pediatric radiologists and emergency physicians (EPs) and to identify factors associated with disagreement. METHODS: A random sample of 205 radiographs was selected from 1,016 patients having x-rays of their extremities in the emergency and radiology departments of a tertiary care pediatric hospital. Interpretations by the "official" reporting pediatric radiologist (ORPR), the treating EP, and a pediatric radiologist blinded to all clinical information (BPR) were compared for three categories: "abnormal" (one or more of fracture, dislocation, or effusion); "possibly abnormal"; and "normal." RESULTS: The overall weighted kappa (Kw) for the ORPRs and the EPs was 0.55. For fractures alone, the Kw for the ORPRs vs the EPs was 0.77; and for effusions alone, the value was 0.34. The Kw for the ORPRs vs the BPR was 0.63 (range 0.43-0.83 for individual ORPRs). The main areas of disagreement were in the identification of joint effusions and of nondisplaced fractures of the phalanges, elbow joint, tarsals, or metatarsals. CONCLUSIONS: There is good agreement between EPs and pediatric radiologists in interpreting extremity radiographs of injured children and adolescents. Disagreement occurs mainly for effusions or minor fractures and for the elbow region. Because of the importance of recognizing abnormalities in this region, an educational intervention to improve this area of deficiency is recommended.

Adolescent↗
PubMedDate not supplied

Effects of a digital filter on detectability of a phantom lesion in a scintigram of the equine tarsus.

The aim of this study was to examine the effects of a digital filter on the detectability of a phantom lesion in a scintigram of the equine tarsus. Lateral images containing 50, 100, 150, 500, or 1000 kcounts were acquired. A created phantom lesion of 0 (normal), 10, 15, 20, or 30% increased intensity relative to local background was placed in the centrodistal tarsal joint area in the images of different count levels. Duplicate images were filtered with a Metz filter. The complete set of filtered and unfiltered images totaling 180 images was projected as slides to a group of 9 observers. The sensitivity in 50 and 100 kcount images was improved by applying the filter. Digital filtering increased the false positive fraction at all count levels but this effect was most pronounced in 500 and 1000 kcount images. Based on receiver operating characteristic analysis, filtering of a 50 kcount image improved image quality to that of a 150 kcount image.

Animals↗
PubMed1980

Establishing a prognosis for fire damaged sheep.

Twenty, mixed age merino sheep suffering moderate bushfire burns were placed under observation to monitor the effects of the damage and to determine what indicators would provide a prognosis for burnt sheep. Eight sheep died within 29 days of the fire from the effects of their burns, while one which was killed when unable to stand 45 days after the fire had a heavy internal parasite burden. The best indicators that an animal would not survive were immobility and recumbency associated with burns to the hooves and legs below the carpal and tarsal joints which caused swelling and a dry leathery appearance of the skin. Neither burns to the legs not associated with swelling, nor burns to the hooves, head and woolless areas were themselves critical; such affected sheep generally recovered without complication. It was considered that burnt sheep should be assessed daily for the first 10 days. Control of internal parasites and blowflies may be required for recovering groups of sheep. It was found that sheep which survived their burns did not become unthrifty.

Animals↗