A flexed dorso-palmar projection of the equine fetlock in demonstrating lesions of the distal third metacarpus.
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Animals↗
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Successful replantation of a hand amputated through the metacarpus.
A successful replantation is reported of a hand completely severed by a circular saw through all five metacarpals. The sequence of primary reconstruction of all important structures beginning three hours after the injury and the functional results eighteen months later are presented.
Adult↗
[Effects of Shujin Zhuanggu Tablets on fracture healing of metacarpus: a report of 225 cases].
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Adult↗
[A case of isolated volar-ulnar dislocation of the base of the 5th metacarpus].
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Adult↗
[Internal fixation in the stabilisation of fractures of the metacarpus and phalanges (author's transl)].
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Finger Injuries↗
Bone stress in the horse forelimb during locomotion at different gaits: a comparison of two experimental methods.
Longitudinal stresses acting in the cranial and caudal cortices of the radius and the dorsal and palmar cortices of the metacarpus in the horse were determined using two independent methods simultaneously. One approach involved the use of rosette strain gauges to record in vivo bone strain; the other involved filming the position of the horse's forelimb as it passed over a force plate. Agreement between the two analyses was better for the radius than for the metacarpus. Both methods showed the radius to be loaded primarily in sagittal bending, acting to place the caudal cortex in compression and the cranial cortex in tension. At each gait the magnitude of peak stress in each cortex based on the film/force analysis was 1.5-2 times higher than that determined from the bone strain recordings. In the metacarpus, the magnitude of stress in each cortex calculated from the film/force method was 2-3 times greater at each gait than that shown by the bone strain recordings. However, whereas the film/force analysis indicated that the metacarpus was loaded in sagittal bending (acting to place the palmar cortex in compression and the dorsal cortex in tension), the bone strain recordings showed the metacarpus to be loaded primarily in axial compression at each gait. Because the film/force method depends on an accurate measure of limb segment orientation relative to the direction of ground reaction force, comparatively small errors in calculations of bending moments may lead to a significant difference in the level and distribution of stress determined to act in the bone's cortices. The discrepancy in metacarpal loading obtained by the two methods may be explained in part by the simplicity of the biomechanical model which, for instance, neglected the force exerted by the sesamoids on the distal end of the metacarpus. The records of stress determined from the in vivo bone strain recordings showed that each bone was subjected to a consistent loading regime despite changes of gait. Such a consistent strain distribution should allow these bones to maximize economy in the use of tissue required to support the dynamic loads applied. Peak stresses measured from the bone strain recordings in the radius during locomotion at constant speed (-40.8 +/- 4.1 MN m-2) were significantly larger than those in the metacarpus (-25.1 +/- 2.8 MN m-2), regardless of speed and gait. During acceleration and deceleration, however, peak stress rose dramatically in the metacarpus (-40.6 +/- 3.4 MN m-2) but remained constant in the radius (-37.8 +/- 5.8 MN m-2).(ABSTRACT TRUNCATED AT 400 WORDS)
Animals↗
Evaluation of cutaneous analgesia after non-focused extracorporeal shock wave application over the 3rd metacarpal bone in horses.
Extracorporeal shock wave therapy is becoming increasingly used in equine practice to treat musculoskeletal disorders. Although the exact effects of extracorporeal shock waves on tissues still need to be elucidated, transient cutaneous analgesia has been observed within treated areas in humans and horses. The purpose of this study was to determine the onset, magnitude, and duration of cutaneous analgesia after non-focused extracorporeal shock wave (ESW) application by comparing the limb withdrawal reflex latency (LWRL) in treated and untreated areas on the metacarpus of horses, using a focused light source. A single treatment with non-focused ESW was applied to 3 areas over the dorsal aspect of one metacarpus in 12 horses. The LWRL was measured to assess cutaneous sensation in treated and untreated control areas of the treated metacarpus and in an untreated area on the opposite metacarpus, before and at various time points after ESW application. Most treated and control areas revealed a significant decrease in LWRL over time compared with baseline values. Although the results of our study do not suggest cutaneous analgesia after ESW application to the equine metacarpus, we advise cautious use of this treatment modality for horses in training or before competition until further research is done.
Analgesia↗
[Hands and feet of Simian primates: an attempt at morphological characterization].
The carpal height, the length of the metacarpus, the metatarsus, and of all the phalanges of 269 simians were measured, then for each specimen, converted to percentage taking the 3rd metacarpus as the reference unit. They were then compared despite differences between specimens. The average values were determined for the different species, subspecies or families. Mathematical ratios were established: height of the carpus divided by the 3rd metacarpus, carpus divided by the 1st metacarpus, 1st ray of the hand divided by the 2nd, 1st ray of the hand divided by the 1st ray of the foot. CONCERNING THE HAND: For little monkeys, the length of the carpus and the medial metacarpus were similar to those observed in humans. Colobinae exhibited a relatively short thumb column. The length of the thumb was slightly shorter for the platyrrhinii and cercopithecinae, especially macacus. Some hapalidae had a relatively longer thumb than humans. All of their medial fingers were longer than those observed in humans. The big monkeys had a smaller carpus and thumb column, sometimes much smaller than in humans, with a similar length for the metacarpi and the medial fingers, except for gibbons, whose medial fingers were longer. CONCERNING THE FOOT: The 1st ray in humans is nearly as long as the 2nd toe, the other toes being very short. The 1st ray of the hallux of all monkeys was always longer than the ray of the thumb, but shorter than the hallux of humans. The other metatarsi of little monkeys were similar to those in humans, except for the platyrrhinii which had a shorter 2nd metatarsus. The lateral toes, which were much longer than in humans, were very similar to fingers though slightly longer, except for platyrrhinii with much longer toes. The big monkeys had very short metatarsi and slightly smaller lateral toes than humans.
Animals↗
Comparison of blood pressure measurements obtained in dogs by use of indirect oscillometry in a veterinary clinic versus at home.
OBJECTIVE: To compare blood pressure and heart rate measurements performed in a veterinary clinic to similar measurements performed in a dog's home. DESIGN: Prospective study. ANIMALS: 14 client-owned, clinically normal dogs. PROCEDURE: Sequential blood pressure and heart rate measurements were recorded from the metatarsus and metacarpus of conscious dogs by indirect oscillometry. Measurements were performed in the dogs' homes and were repeated in a veterinary clinic. Blood pressures and heart rate were derived from 7 serial estimates over 8 to 10 minutes. Statistical differences between the home and clinic and between recording sites were calculated. RESULTS: Systolic, diastolic, and mean blood pressure and heart rate measurements obtained from the metatarsus and metacarpus in the dogs' homes were significantly lower than measurements from the metatarsus in the clinic, but were similar to measurements from the metacarpus in the clinic. Significant differences were not found between blood pressure measurements from the metatarsus and metacarpus in the dogs' homes, but systolic and mean blood pressure and heart rate measurements from the metacarpus in the clinic were significantly lower than measurements from the metatarsus. Whereas all dogs had normal blood pressure in their homes, 5 of 14 dogs had transient hypertension (systolic pressure > 165 mm of Hg or diastolic pressure > 95 mm of Hg) in the clinic. CLINICAL IMPLICATIONS: Blood pressure and heart rate measurements obtained in the clinic initially overestimate comparable measurements in a dog's home. The differences are best explained by transient autonomic responses to the stress of the clinic. Blood pressure must be measured by use of standardized techniques on dogs acclimated to the clinic environment.
Acclimatization↗
Cross-sectional geometry of the metapodial bones in the calf and ox.
The purpose of this study was to present a detailed description of the cross-sectional geometry at three levels of the metapodial bones and to assess the bone strength from the bone geometry in calf and ox. For this purpose, 20 metapodial bones from five calves and 40 metapodial bones from ten oxen were used. Sections were made at 25, 50 and 75% of the bone length and scanned. The cortical thickness, endosteal and periosteal diameters, cortical and medullar areas as well as second moment of area and section modulus were obtained from the images with the aid of a computer program. The cortical thickness and area values were higher in the metatarsus than that those in the metacarpus. The smallest cortical area and the thinnest cortical thickness were found at the distal level of metapodial bone in both calf and ox. When compared with the calf, relative increases in cortical area were seen at the proximal and distal levels, and the increases in cortical thickness were pronounced in the medial, lateral and dorsal sides in the metacarpus of the ox. With respect to the second moment of area and the polar moment, significant differences between metacarpus and metatarsus were found at the distal half of the bones in the calf while these differences were at the proximal half in the ox. The results of the current study indicated that there were important differences between the metacarpus and metatarsus as well as between the levels of the same bone with regard to the values of the geometric and strength parameters.
Age Factors↗
Correlation between antler and long bone relative bone mass and circulating androgens in white-tailed deer (Odocoileus virginianus).
The relationship between serum androgen concentrations and relative density changes in the antlers and long bones of male deer was determined. Four male white-tailed deer were sampled 2 times a week during the antler-growing period. Serum androgen values were determined by radioimmunoassay, and relative bone mass (RBM) coefficients were determined by radiograph densitometry. As circulating androgen concentrations increased over the antler-growing period, the RBM coefficients of the antler increased from a mean of 18.5 (+/- 1.96 SD) to a mean of 57.7 (+/- 2.74) at 2 weeks after "rubout." Concurrently, the RBM coefficients of the metacarpus decreased from a mean of 52.0 (+/- 1.92) to a mean of 46.4 (+/- 1.86). There were positive correlation between increasing androgen concentrations and increasing antler RBM and negative correlation between androgens and decreasing metacarpus RBM. Antler RBM coefficients continued to increase after rubout, but metacarpus RBM did not change after rubout. Two castrated deer were injected subcutaneously with 1 g of testosterone and sampled every other day. Similar but smaller changes occurred in RBM values of the metacarpus and developing antler.
Androgens↗
Single photon absorptiometry for the measurement of bone mineral content in horses.
A safe, non-invasive method for the accurate measurement of bone mineral content in the third metacarpal bone of the horse is described. The technique involves scanning the bone with a single photon beam from an Americium-241 source. Data were obtained from the excised metacarpal bones from both forelimbs of 50 normal and seven lame horses. Measurements were made in vivo on eight normal and seven lame horses and on one experimental horse with osteopenia induced by partial weightlessness in a flotation tank. In the normal horses bone mineral content altered with age, particularly in the first six months of life. There were also differences according to the site of scanning on the metacarpus. The contribution of the splint bones to the total bone mineral content was less than 2 per cent distal to the mid-point of the metacarpus, but in the proximal shaft it increased to 12 per cent. No significant differences were noted either between right and left limbs, or between male and female animals. A reduction in bone mineral content was demonstrated in the affected leg of horses with chronic lameness and with osteopenia induced by weightlessness. The bone mineral content (g/cm) correlated well with the ash content (mg/100 mg dry bone weight), the specific gravity and the apparent transverse velocity of ultrasound (m/sec) through the bone. A measure of bone mineral density (g/cm3) was calculated from the bone mineral content and cross sectional area of the bone to overcome the individual differences in size of the metacarpus.
Age Factors↗
Evaluation of dual energy x-ray absorptiometry for in situ measurement of bone mineral density of equine metacarpi.
OBJECTIVE: To determine the accuracy and precision of dual energy x-ray absorptiometry (DEXA) for measuring bone mineral density in horses in situ. Sample Population-12 randomly selected forelimbs from 12 horses. PROCEDURE: Metacarpi were scanned in 2 planes and DEXA measurements obtained for 6 regions of interest (ROI). Each ROI was isolated and bone density measured by Archimedes' principle. Linear regression analysis was used to determine the correlation between the 2 measurements at each ROI. An additional metacarpus was measured 10 times to determine the coefficient of variation for both techniques. RESULTS: Dual energy x-ray absorptiometry and bone density were significantly associated at multiple ROI. The addition of age, weight, and soft tissue or bone thickness improved these associations. Repeated measurements had a low coefficient of variation. CONCLUSIONS AND CLINICAL RELEVANCE: Dual energy x-ray absorptiometry can be used to accurately and precisely measure the bone density in the equine metacarpus. Dual energy x-ray absorptiometry appears suitable for serial in vivo measurement of bone density of the equine metacarpus. Dual energy x-ray absorptiometry may be used for studies to evaluate the effects of diet or drugs on bone density or density changes from bone remodeling that develop prior to stress fractures.
Absorptiometry, Photon↗
Effects of divergent selection for limb weakness on bone and muscle cross-sectional areas in Duroc swine.
The relationship of muscle and bone structure to limb weakness was examined in 60 Duroc pigs from 3 lines divergently selected for thoracic limb weakness. The lines were designated high, control, or low, with the low line having inferior thoracic limb structure. At approximately 100 kg, 10 pigs of each line and gender were scored for thoracic limb structure and movement. Right and left thoracic limbs were collected at slaughter. A computerized morphometric image analysis system was used to determine cross-sectional areas of muscles, bones, and soft tissues at levels through the brachium, antebrachium, metacarpus, and digits. The statistical model that was used to analyze the data included the effects of line, sire, gender, and side (left vs right), with weight as a covariate. Total bone area was similar for all 3 lines of pigs at all cross-sectional levels, but significant differences in muscle and other soft tissue areas were observed, including significantly greater extensor area for the antebrachium (P less than 0.001) in low-line pigs than in control- and high-line pigs, smaller total area (P less than 0.05) of the metacarpus in low-line pigs than in control and high-line pigs, and less total area of the medial digit (P less than 0.01) in low-line pigs than in control- or high-line pigs. Total area of bone and soft tissue for each cross-sectional region was significantly greater (P less than 0.05) in boars than in gilts. Side differences also were observed in total cross-sectional areas of bone and soft tissue of the antebrachium, metacarpus, and digits.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Relationships between fetal body weight of Wistar rats at term and the extent of skeletal ossification.
We investigated the relationship between fetal body weight at term (pregnancy day 21) and the extent of ossification of sternum, metacarpus, metatarsus, phalanges (proximal, medial and distal) of fore- and hindlimbs and cervical and coccygeal vertebrae in Wistar rats. The relationships between fetal body weight and sex, intrauterine position, uterine horn, horn size, and litter size were determined using historical control data (7594 fetuses; 769 litters) of untreated rats. Relationships between body weight and degree of ossification were examined in a subset of 1484 historical control fetuses (154 litters) which were subsequently cleared and stained with alizarin red S. Fetal weight was independent of horn size, uterine horn side (left or right) or intrauterine position. Males were heavier than females and fetal weight decreased with increasing litter size. Evaluation of the skeleton showed that ossification of sternum, metacarpus and metatarsus was extensively complete and independent of fetal weight on pregnancy day 21. In contrast, the extent of ossification of fore- and hindlimb phalanges and of cervical and sacrococcygeal vertebrae was dependent on fetal body weight. The strongest correlation between body weight and degree of ossification was found for hindlimb, medial and proximal phalanges. Our data therefore suggest that, in full-term rat fetuses (day 21), reduced ossification of sternum, metacarpus and metatarsus results from a localized impairment of bone calcification (i.e., a malformation or variation) rather than from general growth retardation and that ossification of hindlimb (medial and proximal) phalanges is a good indicator of treatment-induced fetal growth retardation.
Animals↗
[Indications, technique and results of treatment of fractures of the base of the first metacarpal bone with movement stable osteosynthesis].
We report about the indication, technique and results of 27 fractures of the base of the metacarpus I. All those fractures were treated by open reduction and screw-/plate osteosynthesis according to the AOSIF-technique. Using these implants and the technique of open reduction with an additional autologous bone graft it offers the possibility to start active motion therapy immediately after operation. Perioperative complications can be bypassed with the use of external mini-fixateur as well as in those cases of open fractures with various types of damage patterns. Total active mobility (TAM) of the thumb joints showed in our series of 27 treated fractures an active total mobility of 80% or more in 25 patients. There where three patients with wound healing disturbances. No fracture healed delayed or resulted in non union, no patient showed signs of reflex dystrophy, yet in two cases insufficient joint reconstruction had to be noted. Neither our own short followed-up results or those few cases published so far allow us a final critical judgement of the best technique in treating the fractures of the base of metacarpus I.
Adult↗
Effects of alendronate on metacarpal and lumbar bone mineral density, bone resorption, and chronic back pain in postmenopausal women with osteoporosis.
The purpose of this study was to investigate the effect of alendronate on metacarpal and lumbar bone mineral density (BMD), bone resorption, and chronic back pain in postmenopausal women with osteoporosis. Eighty postmenopausal women with osteoporosis, 59-88 years of age, were divided into two groups of 40 each according to the site of BMD measurement: the metacarpus (M) and the lumbar spine (L). All of them were treated with alendronate (5 mg/day) for 12 months. Metacarpal or lumbar BMD was measured by computed X-ray densitometry or dual-energy X-ray absorptiometry in the M or the L group, respectively, at baseline and every 6 months. Urinary cross-linked N-terminal telopeptides of type I collagen (NTX) were measured by enzyme-linked immunosorbent assay, and chronic back pain was evaluated by face scale score at baseline and every 6 months in both groups. There were no significant differences in baseline characteristics, including age, body mass index, years since menopause, urinary NTX level, face scale score, or number of prevalent vertebral fractures per patient between the two groups. Urinary NTX level was reduced and chronic back pain was improved similarly in both groups. Whereas metacarpal BMD did not significantly change in the M group (0.20% increase), lumbar BMD increased by 8.15% in the L group. These results suggest that although alendronate increases BMD of the lumbar spine, which is rich in cancellous bone, and improves chronic back pain, with suppression of bone resorption in postmenopausal women with osteoporosis, it may fail to increase cortical BMD of the metacarpus, a distal site of the upper extremity.
Absorptiometry, Photon↗
A comparison of methods for proximal palmar metacarpal analgesia in horses.
Three techniques for inducing analgesia of the proximal metacarpal region were evaluated for the frequency of inadvertent injection into the middle carpal and carpometacarpal joints. Using methylene blue solution as a marker dye and 30 fresh cadaver specimens each, three clinicians performed either 30 infiltrations at the origin of the suspensory ligament (method A), 30 palmar and palmar metacarpal nerve blocks at the proximal end of the metacarpus (method B), or 30 palmar and palmar metacarpal nerve blocks at the distal aspect of the accessory carpal bone (method C). The frequency of inadvertent injection into the distal carpal joints was 37, 17, and 0% for methods A, B, and C, respectively. The association between method and injection into the joints was significant (p less than 0.01). Infiltration of the distal carpal joints occurred with injection distances from the carpometacarpal joint of 1.5 to 4.5 cm. Although there was no joint injection with method C, the carpal synovial sheath was inadvertently infiltrated in 68% of the specimens. Injection into the distal carpal joints can occur when deep injections are made into the proximal palmar aspect of the metacarpus because of the distopalmar outpouchings of the carpometacarpal joint between the axial surfaces of the second and fourth metacarpal bones and the abaxial surface of the suspensory ligament.
Analgesia↗