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PubMedDate not supplied

[Ultrasonographic examination of the hip joint region and bony pelvis in cattle].

Transcutaneous and transrectal ultrasonographic examination of the hip joint region and the pelvis was carried out in 7 cadavers, transcutaneous ultrasonography in 17 healthy young and adult cattle, and transrectal sonography was performed in 12 healthy cows in order to study the normal ultrasonographic appearance of these regions. 7.5 MHz linear-, 5.0 MHz and 3.5 MHz convex transducers and a 7.5 MHz rectal probe were used. The bone surfaces of the greater trochanter, the femoral neck and head, the acetabulum and the other pelvic bones were visualised as hyperechoic contours. The coxofemoral joint space was identified in all cadavers and live cattle. The joint pouch could not be visualised, neither in cadavers nor in live cattle. After experimental filling of the coxofemoral joint pouch by injection of 35-45 ml eosin-solution it appeared as a large anechoic zone between the articular surface and the echogenic joint capsule. The inner contours of the pelvic girdle, both iliosacral joint spaces, the abdominal aorta and the external iliac arteries were depicted clearly by transrectal ultrasonography. The practical application of diagnostic ultrasound in these regions is demonstrated in clinical patients suffering from a septic coxarthritis and a sequestration of a part of the tuber coxae following an open fracture. These results serve as reference data for ultrasonographic investigation of disorders of the hip joint and the pelvic region in cattle.

Animals↗
PubMed1990

Chronic proliferative synovitis of the equine metacarpophalangeal joint.

Chronic proliferative synovitis of 27 metacarpophalangeal joints in 16 horses is described. The diagnosis was based on a history of lameness and, or, poor performance, pain on flexion of the metacarpophalangeal joint, the response to intra-articular anaesthesia, and plain and contrast radiography. Radiographic findings included concavity of the distal dorsal metacarpus proximal to the sagittal ridge, and an increase in size of the synovial tissue adjacent to the proximal, dorsal attachment of the joint capsule. Mineralisation of the synovial tissue was present in some joints, and chip fractures from the dorsal aspect of the proximal phalanx were also occasionally seen. Treatment by arthroscopic resection of the tissue gave excellent results.

Animals↗
PubMed1984

Anatomy of the knee joint of the cat.

Based on dissection of 20 adult specimens the anatomy of the knee joint of the cat is described. An attempt is made to include all functionally relevant structures such as bones, ligaments, menisci, joint capsule and capsular reinforcements. A comparison with the human knee joint is made. There is a high resemblance in construction with the main differences occurring in the proportions of the constituent elements. A comparison of the semimembranosus and biceps femoris receives particular attention. These descriptions lead to functional considerations in relation to the stability and force transmission of the knee joint in the cat.

Animals↗
PubMed1984

[Topography of the posterior horn of the lateral meniscus--arthroscopico-anatomic study].

The topographic relation of the popliteus bursa to the peripheral rim of the lateral meniscus is described with particular attention to the arthroscopic appearance. The arthroscopic findings are compared to sections of knee joints obtained after amputation. As a constant result we found a peripheral separation of the lateral meniscus in the posterior part which extends for 2-3 cm. In consequence of these physiological defects in the superior and inferior attachments to the joint capsule the popliteus bursa communicates with the central part of the joint cavity on the femoral and in the majority of cases on the tibial level of the lateral meniscus. These anatomical conditions which appear arthroscopically as a peripheral longitudinal tear might be confounded with a traumatic or degenerative lesion of the lateral meniscus.

Arthroscopy↗
PubMed1998

[Anatomic characteristics pf the elbow joint of the cheetah (Acinonyx jubatus)].

Anatomical structures of elbow joints of six cheetahs were examined by dissection, corrosion casts and radiography. As a result, it was observed that the distal end of humerus is divided into the trochlea humeri for articulation with the ulna and the capitulum humeri for articulation with the radius. As the trochlea humeri is posed oblique and looks like a disc-shaped cone sector, flexion. Flexion of elbow joint is always combined with adduction of the distal parts of the limb, and, respectively, extension with abduction. The cylindrical but also in sagittal direction convex capitulum humeri enables the head of the radius all movements on a spheric sector. Furthermore, advantageous preconditions for rotation in the proximal radioulnar joint are the mighty medical coronoid process, the displacement of the radial tuberosity to the caudal surface of the radius and the insertion of the biceps brachii muscle exclusively on this elevation of the radius. Limiting factors are the insertions of collateral ligaments at the antebrachial skeleton. The lateral collateral ligament inserts only on the radius, the medial collateral ligament mainly on the ulna. The radial anular ligament directly connects the two coronoid processes of the ulna and moreover is intracapsular. The joint capsule is common for both the cubital and the proximal radioulnar joint and five pouches could be described. These were between the lateral epicondyle of humerus and the olecranon, underneath the tendon of origin of the extensor carpi ulnaris muscle, cranially in the bend of the elbow joint, between the head of the radius and the tendon of origin of supinator muscle and the lateral part of radial anular ligament, just as between the medial epicondyle of humerus and the tendons of origin of flexor muscles of the forearm.

Acinonyx↗
PubMed1985

A biomechanical model of the posterior knee capsule of the cat.

A biomechanical model is presented which represents the upper edge of the posterior knee capsule in the cat as a two-segment, vertically loaded catenary suspension cable from which the capsule sheet is suspended. Data are presented which show that the upper edge of the capsule is organized as a cable, which spans the notch between the femoral condyles. When a point load is applied to the cable, measurement of the cable shape allows for calculation of the cable tension and the downward distributed loads acting on the cable. This method was used to measure the in-vivo cable tension and the distributed downward loading acting on the capsule cable. The results show that the lateral side of the posterior joint capsule sustains a higher loading than the medial side.

Animals↗
PubMed1987

Facet joint menisci of the cervical spine: correlative MR imaging and cryomicrotomy study.

An analysis of the cervical facet joint menisci was done in which cryomicrotomy sections were correlated with magnetic resonance (MR) images. In parasagittal anatomic sections in ten cadavers, 10-69 years of age at death, four types of meniscus were defined. Type 1 was a thin washer of dense connective tissue covering 50% or more of the joint space. Type 2 in sagittal section appeared as a wedge of connective tissue containing collagen in the tapering free edge and fat in the peripheral portion attached to the joint capsule. Type 3 had no meniscuslike connective tissue extending into the joint. Type 4 had irregular, thick masses of collagen, fat, and cartilage in the periphery of the joint space. Menisci in the child were predominantly type 1. In adults type 2 menisci predominated at C1-2 and type 3 in the lower cervical facet joints. The few type 4 menisci found were in association with facet joint degeneration. Types 2 and 4 menisci could be demonstrated with MR imaging. In MR images the collagenous portion of the menisci were of low signal intensity, and the fat was of higher signal intensity. Few menisci conform to the traditional anatomic description.

Adult↗
PubMed1978

Migrating bone shards in dissecting Charcot joints.

Extensive periarticular calcification is characteristic of Charcot joints. Fragmentation of the articular margins of bone contributes to the bony detritus, but the majority forms de novo in the joint capsule. Occasionally the calcific debris is seen far removed from the joint. Dissection of a chronically distended joint along muscle planes is most commonly associated with the inflammatory joint disease of rheumatoid arthritis. Its occurrence in Charcot joints is documented by arthrography, which demonstrates continuity of the joint space and the distant calcifications.

Adult↗
PubMed1993

The functional anatomy of the elbow complex.

The functional anatomy of the elbow joint complex is unique in orientation and configuration. Three bones, the ulna, radius, and humerus, articulate to form four articulations: the humeroulnar, humeroradial, superior radioulnar, and inferior radioulnar joints. This unique osseous structure provides the elbow excellent static stabilization, which is enhanced by the ulnar collateral ligament, the lateral collateral ligament, and the elbow joint capsule. Twenty-three muscles are directly associated with the elbow joint and can be classified into four main groups: the elbow flexors and extensors and the flexor-pronator and extensor-supinator groups. These muscles provide dynamic stabilization to the elbow and enable the hand to perform skilled, precise motions. The purpose of this review article is to provide the clinician with an understanding of the unique anatomy at the elbow joint and to enhance the clinician's knowledge of the biomechanics, clinical examination, and rehabilitation of the elbow complex.

Elbow Joint↗
PubMed1988

A technique for catheterization of the equine antebrachiocarpal joint.

A 2.5-cm long, 0.8 mm in diameter catheter was placed percutaneously into the palmarolateral pouch of the antebrachiocarpal joint in 6 clinically normal horses. The catheter was affixed in place for 72 hours. Cytologic analysis was performed on synovial fluid specimens obtained through the catheter at postcatheterization hours (PCH) 0, 24, and 72. The horses were euthanatized at PCH 72, and macroscopic and microscopic examinations were performed on the dorsal portion of the joint capsule and the palmarolateral pouch of the catheterized and contralateral (noncatheterized) joint. Clinical, synovial fluid cytologic, and synovial membrane histologic examinations were performed to assess the effect of the catheter on clinically normal equine synovial membrane. Serially obtained synovial fluid specimens were yellow and clear or hazy and had good mucinous precipitate quality at all times in all horses, except 2, in which the catheter required readjustment. Mean refractive index was slightly decreased, and the RBC count was high at PCH 24 and 72, compared with PCH 0; the highest RBC count was 12,550 cells/microliter (PCH 24). Statistically significant (P less than 0.05) increases were observed in WBC, neutrophil, and large and small mononuclear cell counts between PCH 0 and 72. These increases were modest, except the mean WBC count (51,000 cells/microliter, PCH 72) observed in 1 horse in which the catheter was dislodged, requiring reinsertion into the joint. At necropsy, subcutaneous hemorrhages were observed at the catheter insertion site in all horses. The synovial membrane of the catheterized joint was discolored (ranging from yellow-orange to salmon), compared with the contralateral synovium (noncatheterized joint).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed2006

Stepwise reduction of functional spinal structures increase range of motion and change lordosis angle.

Many investigators have performed studies on specific defect situations or determined the contribution on isolated structures. Investigating the contribution of functional structures requires obtaining the kinematic response directly on spinal segments. The purpose of this study was to quantify the function of anatomical components on lumbar segments for different loading magnitudes. Eight spinal segments (L4-5) with a median age of 52 years (ranging from 38 to 59 years) and a low degree of disc degeneration were utilized for the in vitro testing. Specimens were mounted in a custom-built spine tester and loaded with pure moments (1-10 N m) to move within three anatomical planes at a loading rate of 1.0 degrees /s. Anatomy was successively reduced by: ligaments, facet capsules, joints and nucleus. Data were evaluated for range of motion, neutral zone and lordosis angle. Transection of posterior ligaments predominantly increased specimen flexion for all bending moments applied. Supraspinous ligament also indicated to resist in extension slightly, whereas the facet capsules did not. Facet joints contributed to axial rotation, but not in lateral bending. The anterior longitudinal ligament was found to slightly resist in axial rotation, but strongly in extension. Nucleotomy caused largest increase of all movements. The unloaded posture of the specimens changed after ligament dissection, indicating ligament pretension. The region of lumbar spine is interesting for finite element (FE) simulation due to the high evidence of disc degeneration and injuries. This study may help to understand the function of specific anatomical structures and assists in FE model calibration. We suggest to start a calibration procedure for such models with the smallest functional structure (annulus) and to cumulatively add further structures.

Adult↗
PubMedDate not supplied

Kinetics of salicylates in blood and joint fluid.

Samples of blood and joint fluid from 30 patients who had taken acetylsalicylic acid were examined for concentrations of total salicylates. The data were arranged in groups according to diagnosis of the joint disease. Analysis of the data did not show significant differences in the kinetics of total salicylates into blood. In groups, the time to first appearance of 0.3 mg/liter averaged 6 minutes, and levels "close to maximum" concentration averaged about 23.0 mg/liter. Time to first appearance of 0.3 mg/liter of total salicylates in joint lfuid ranged from 10 to 31 minutes. The average level of maximum concentration of total salicylates in joint fluid was 14.8 mg/liter. Transport of total salicylates from blood to joint fluid showed a pattern consistent with the type of joint disease. Support was found for the hypothesis that diffusion was the major factor in the process of movement of total salicylates from blood to joint fluid. The histopathologic changes in different types of synovitis influenced the biophysical properties of the inner part of the joint capsule.

Adult↗
PubMed1982

Concepts of multiple congenital contractures (arthrogryposis) in man and animals.

This is a concept of multiple congenital contractures, based upon clinical experience with the malformation and available literature, leading to a conception of the multiple categories of etiology, which cause neuropathic or myopathic muscle weakness or limb immobilization. The muscle weakness and imbalance of muscle power around the joints elicits a physiological compensatory collagenic response, which replaces atrophied muscle fibers with connective tissue and thickens the joint capsule sufficiently to result in prenatal fixation of limb segments at the joint.

Animals↗
PubMed1992

Sertl shelf arthroplasty (BOP procedure) in the treatment of canine hip dysplasia.

The BOP/Sertl shelf arthroplasty procedure is not difficult or lengthy. It uses minimal metallic fixation. It is quite physiological with minimal morbidity because there is no change in the bony anatomic pelvis except to create an extension of the lateral rim of the acetabulum. The animal is able to walk the day after surgery. The procedure can be performed bilaterally the same day, thus creating good bony stability and decreasing stretching of the joint capsule, which in turn prevents further subluxation and pain in the hip joint. The aim of this procedure is to return the animal to a satisfactory lifestyle through an effective but less complicated surgical procedure as compared to other available options. This procedure is straightforward and can be done by a surgeon who is familiar with orthopedic surgical techniques and has been trained in this procedure. To date, more than 150 veterinarians have had hands-on training to perform this operation. We are not claiming that this procedure is a cure for CHD; rather, it is a procedure that dramatically slows down the progress of this malady and allows the dog to lead a more normal lifestyle and avoids euthanasia. After 51 months, our study of 200 hips has had a success rate of 99% on the animals available for follow-up as evidenced by returning those animals to a satisfactory lifestyle with stable hips.

Animals↗
PubMed1997

Cartilage and synovium of the human atlanto-odontoid joint. An anatomic and histological study.

The surface area, thickness and composition of articular cartilage of the atlanto-odontoid joints were investigated in twenty human cadaveric cervical spine specimens. The specimens were also examined grossly and by light microscopy to determine the location of the synovium. The anterior arch of the atlas and ventral and dorsal articular surfaces of the dens were covered with hyaline cartilage. The mean values of the articular surface areas on the ventral surface of the dens and anterior arch of the atlas were 55.10 and 58.24 mm2, respectively. The mean thickness of the articular cartilage of the anterior arch of the atlas, ventral and dorsal surfaces of the dens was 0.80, 0.81 and 0.82 mm, respectively. Synovial membranes were associated with the joint capsules and surrounding tissues of both anterior and posterior atlanto-odontoid joint spaces, where the synovial membranes were attached to the margins of the articular surfaces of the dens and anterior arch of the atlas anteriorly and the region of the cruciate ligament immediately peripheral to the cartilage region apposed to the dens and dens cartilage itself, posteriorly.

Adult↗
PubMed1988

Hemarthrosis after femoral neck fracture fixation.

In 34 femoral neck fractures, CT was performed within 1-32 days after internal fixation. All the cases except one showed an increased distance between the femoral neck and the anterior aspect of the joint capsule as compared with the intact side, indicating varying degrees of hip joint effusion and/or synovitis. Hip joint aspiration in 11 patients revealed increased intracapsular pressure varying between 10 and 112 mmHg and volumes of aspirated joint effusion up to 23 ml. Pain relief and increased joint motion after drainage of the intracapsular effusion was observed in 3 patients whose postoperative mobilization was facilitated.

Aged↗
PubMed1989

The pathological anatomy of claw and hammer toes.

We sought to determine the optimum surgical treatment of claw and hammer toes (except for the hallux) on the basis of the specific pathological anatomy of each type of deformity. We dissected thirty-three fresh-frozen specimens that had been obtained from below-the-knee amputations. The specimens included ten normal feet, fourteen feet that had claw toes, six feet that had hammer toes, and three feet that had an uncategorized deformity. The contributions of abnormalities of the skin, tendons, joint capsule, and collateral ligaments to deformity of the metatarsophalangeal and proximal interphalangeal joints were determined by sequential sectioning of all of those soft-tissue components. Any alteration in the range of motion of the joints was recorded after each stage of the dissection. The findings of this study suggested that surgical correction of claw and hammer toes may necessitate more extensive sectioning of the soft tissues than had previously been believed.

Foot Deformities, Acquired↗
PubMed1988

Adhesive capsulitis of the wrist. Diagnosis and treatment.

Adhesive capsulitis occurs as a pathologic entity in the shoulder, hip, and ankle joints. Thickening and contracture of the wrist joint capsule were demonstrated on arthrograms performed on ten patients ranging in age from 20 to 82 years. The patients had pain and limited range of motion in the wrist. The findings included: (1) resistance to the injection of smaller than normal volumes of contrast material, (2) obliteration of recesses, and (3) extravasation of the contrast agent along the needle tract. Closed manipulation under general anesthesia of the wrist on four patients resulted in some improvement in range of motion. A distal ulna fracture in one older patient occurred as a complication of manipulation. Careful technique and judicious patient selection are of paramount importance.

Adult↗