ARTHROGRAPHY AND MANIPULATION IN RIGIDITY OF THE SHOULDER JOINT.
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This retrospective study involved assessment of the three-dimensional bony and cartilaginous cover of the hip acetabular shelf of the hip joint using arthrograms. The extent of lateral and anteroposterior cover, the time course of the changes of cover in each direction, and the relationship between lateral and anteroposterior cover were investigated. It was found that the final extent of acetabular cover could be predicted sooner from the cartilaginous cover than from the bony cover on both the contralateral side and the affected side. There was no significant correlation between lateral and anteroposterior cover on the contralateral side, suggesting the need for assessment of anteroposterior cover to avoid a late diagnosis of anterior acetabular dysplasia.
The procedure, followed by the normal radiological anatomy of the various joint compartments of the wrist are described. The main indications (especially post-traumatic indications) and abnormal findings are then investigated.
Nine cats were available for the present trial. Six thoracic limbs were dissected without any previous treatment. In the remaining twelve thoracic limbs, each articular space was injected with silicone and then fixed with a 5% formalin solution before being submitted to dissection. For the radiological examination ten adult cats were available and arthrographs were taken in two axial planes of each joint. The elbow-joints of six additional cats were injected with six differently formulated contrast media. Radiographs were taken at different time intervals: instantly, five and ten minutes after intraarticular injection. The quality of the contrast and clarity of the structures are discussed. A lateral and a cranial location for injection are described for shoulder-joint, as well as a caudolateral and a craniolateral location for the elbow. A dorsal injection location is recommended for the antebrachiocarpal articulation and the middle carpal articulation. The injection sides described are discussed comparing them with those taken from the literature on dogs and cats. The results obtained from arthrograms are compared with data from literature on dogs. The radiographs of the elbow show clear differences in quality depending on the contrast medium used and on time between injection and exposure. As a result, recommendations can be made for suitable contrast media for arthrograms of the shoulder-, elbow- and carpal-joint in cats. Further, it is recommended that radiographs should be taken not later than five minutes after injection of the contrast media.
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