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Metacarpal and metatarsal fractures in dogs.

Metacarpal fractures were more common than metatarsal fractures in this retrospective study of 37 dogs. Fractures of one metacarpal or metatarsal bone occurred in 24 per cent of the dogs, two metacarpal bones in 16 per cent, three metacarpal or metatarsal bones in 19 per cent, and four metacarpal or metatarsal bones in 41 per cent. Eighty-seven per cent of the dogs with fractures of four bones had fracture displacement or malalignment of at least one digit. Progressive fracture healing usually occurred irrespective of stabilisation method. For malaligned fractures, however, external coaptation did not consistently improve alignment. Fracture alignment was consistently improved by open reduction and internal fixation of acute fractures with bone plates. Fractures of four bones occurred most often in the distal metacarpus as opposed to the proximal metatarsus. Therefore, open reduction and internal fixation may be more commonly indicated for severe metacarpal fractures, because fracture displacement or axial malalignment was significantly associated with fractures of the mid or distal regions of the metacarpus or metatarsus (P = 0.052).

Animals↗

Ultrasound as a tool for assessment of bone quality in the horse.

A simple non-invasive method is described for calculating the transverse apparent velocity of sound of horse bone. This was achieved, both in vivo and at post mortem examination using the metacarpal bone and its covering soft tissue. On 34 post mortem specimens (ie, 68 limbs) from horses older than one year an average measurement of 2802 +/- 37 (1sd) m/sec was obtained. There were changes noted according to age and at different sites on the shaft of the metacarpus. The highest readings were obtained in the proximal shaft where the cortex was thickest. The velocity values gradually decreased towards the distal end where the cortex was thinner, particularly in animals less than 12 months old. The soft tissue component of the velocity measurement was uniform throughout the length of the metacarpus and effectively decreased the apparent velocity of the bone alone by about 170 m/sec (6 per cent). The shortest flight path of the ultrasound beam was found to be through the midcortical region of the metacarpal shaft. A good correlation was obtained between velocity of sound measurements and bone mass. Furthermore partial demineralisation of specimens from the mid-metacarpal region caused a considerable reduction in the apparent velocity of sound. In a series of young thoroughbreds (n = 52) measured in vivo the apparent velocity of sound increased from around 2650 m/sec at six months to approximately 2880 m/sec at three years.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorptiometry, Photon↗

Induced mandibular condylar growth in a sheep model after functional appliance treatment.

This paper reports on changes in mandibular condylar growth in sheep fitted with experimental functional appliances. The paper also addresses the similarities of mandibular condylar growth in sheep and humans. Experimental functional appliances were developed, constructed and applied to four, four-month old, male sheep. Another four sheep served as matched controls. All animals received fluorochrome bone labels during the study and their weight gain also was recorded. Fifteen weeks later, all animals were sacrificed and each temporo-mandibular joint and left metacarpus were removed. Undecalcified mid-sagittal sections of the joint and metacarpus were prepared for fluorescence microscopy. The mandibular condylar growth vector in sheep was found to be in a postero-superior direction. Condylar growth in the control sheep during the experimental period varied from 8.8 to 11.9 mm, with the mean being 10.6 mm, which is quantitatively similar to two years of condylar growth in human adolescents. In the experimental sheep, the condylar growth varied from 8.5 to 13.3 mm, with the mean being 11.4 mm. When metacarpal growth and weight gain were taken into consideration using multivariant analysis, the coefficients for growth in the postero-superior and posterior direction were found to be high, with adjusted r2 as 0.84 and 0.82 respectively. The induced condylar growth was estimated to be largest in the posterior direction (2.30 mm), which is also similar to previous reports in humans. These findings suggest the appropriateness of using sheep as a model for quantitative histological analysis when investigating the mechanisms of functional appliance treatment.

Analysis of Variance↗

In vivo measurement of bone strain in the horse.

Strain gauges were successfully bonded in vivo to the cranial, caudal, medial, and lateral aspects of the equine radium and tibia and to the dorsal, palmar, or plantar, medial, the lateral aspects of the metacarpus and metatarsus--all in the mid-diaphyseal region. Various activities were investigated, including walking, trotting or pacing, and standing up from anesthesia. The strain patterns showed that each stride produced a characteristic deformation cycle. The strains were measured and the axial loads were calculated as the horse performed certain activities. The tension band side of each bone was predicted from the results. The tension band sides of the metacarpus and metatarsus were the dorsomedial and dorsolateral aspects; for the radius and tibia, the tension band sides were the cranial and craniolateral aspects, respectively.

Animals↗

Hypertrophic osteoarthropathy in a blesbok (Damaliscus dorcas phillipsi).

A 4.5-yr-old female blesbok (Damaliscus dorcas phillipsi) was radiographed following the appearance of lameness and swelling of the right front fetlock. Radiographic interpretation at that time was osteoarthritis caused by periosteal proliferation of the right metacarpus with periarticular osteophytes surrounding the fetlock. No treatment was initiated. Gradual abdominal enlargement over several months was interpreted as evidence of pregnancy. Six months after the initial lameness complaint, the blesbok suddenly collapsed and was unable to stand. Physical examination revealed a large firm mass occupying most of the abdomen that was found to be inoperable. Following exploratory laporotomy, the blesbok was euthanized. At necropsy, the mass weighed 17 kg. It had probably caused the animal's collapse. Histologically, the bony lesions of the right metacarpus, seen radiographically at the previous examination, were consistent with hypertrophic osteoarthropathy and may have been a sequela of the intra-abdominal mass.

Abdominal Neoplasms↗

Evolution during growth of the mechanical properties of the cortical bone in equine cannon-bones.

Two specimens (70.0 x 4.5 x 1.8 mm) (proximal and distal) of cortical bone were taken from each of the cranial, caudal, lateral and medial quadrants at mid-diaphysis of the third metacarpus and metatarsus of French saddle horses (12 males and seven females) aged from 1 day to 4 years. The mechanical properties (bending strength, Young's modulus, yield stress and ultimate specific deflection) were determined by a 4-point bending test, loading at a rate of 166 x 10(-6) ms-1. During growth, the mechanical properties of the cortical bone were not significantly different (p > 0.05) between metacarpus and metatarsus, but they were slightly higher in the proximal than in the distal diaphysis. The variations in these properties were significant (p < 0.0001) between quadrants. From birth to adult age, the lateral and medial quadrants had greater average bending strength (Sb = 226 +/- 27 MPa), average Young's modulus (E = 16 +/- 2 GPa) and average yield stress (Sy = 110 +/- 23 MPa) than the cranial quadrant (Sb = 209 +/- 23 MPa, E = 15 +/- 2 GPa, Sy = 99 +/- 18 MPa) while the caudal quadrant gave the lowest values (Sb = 195 +/- 30 MPa, E = 14 +/- 2 GPa, Sy = 92 +/- 21 MPa). During the growing period, the bending strength, the Young's modulus and the yield stress were positively correlated with age (p < 0.01) and the total body weight (p < 0.001) of the horses. Conversely, the ultimate specific deflection decreased slightly during the same period. The mechanical properties of the cortex were also related (p < 0.005) to the mineral content (ash or calcium). The Young's modulus was particularly correlated to calcium content (p < 0.0001). It is also linearly related to the bending strength (r = 0.8), and its in vivo determination by the ultrasound method should provide an easy and non-invasive investigation means of the mechanical properties of the cortical bone in equine cannon-bones.

Animals↗

A radiographic study of mineralised tendons in the domestic fowl.

1. The occurrence of mineralised tendons in the wing and pelvic limb of the domestic fowl was studied radiographically in adults and in growing birds from hatching to 182 d. 2. Mineralised tendons were found to occur in all the adults in the dorsal and plantar tarsometatarsus and variably in the caudal tibiotarsus, cranial metacarpus and caudal antebrachium. In the cranial tibiotarsus a mineralised tendon was detected in two cockerels only. 3. Mineralisation was detected from 91 d onwards, at first in tendons in the plantar tarsometatarsus and cranial metacarpus and later in the dorsal tarsometatarsus. The mineralised tendons found in adults at other sites were not found during the growing period studied.

Animals↗

Mid-metacarpal deep digital flexor tenotomy in the management of refractory laminitis in horses.

Deep digital flexor tendon transection at the mid-metacarpus was performed in 20 horses with severe acute or chronic laminitis that was not responsive to conventional treatment. Sixteen horses improved within 72 hours, one horse worsened, and two horses were unaffected by the surgery. Eleven horses survived less than 1 month after surgery and six horses survived longer than 6 months. Three horses surviving longer than 6 months have remained lame and no horse has returned to athletic performance. Transection of the deep digital flexor tendon at the mid-metacarpus may decrease the pain associated with the acute refractory stage of laminitis and may be useful as an immediate salvage procedure; however, despite the early clinical improvement observed after tenotomy, the survival rate of affected horses may not be altered.

Acute Disease↗

In vitro transmission and attenuation of impact vibrations in the distal forelimb.

An in vitro model was developed and validated in vivo to quantify the attenuation of impact vibrations, transmitted through the lower equine forelimb and to assess the effects of horseshoeing on this attenuation. The transsected forelimbs of 13 horses were equipped with custom-made hollow bone screws in the 4 distal bones, on each of which a tri-axial accelerometer could be mounted. The limbs were then preloaded while the impact was simulated by dropping a weight on the steel plate on which the hoof was resting. At the hoof wall, the distal, middle and proximal phalanx and at the metacarpal bone, the shock waves resulting from this impact were quantified. To assess the damping effects of shoeing, measurements were performed with unshod hooves, hooves shod with a normal flat shoe and hooves shod with an equisoft pad and a silicone packing between hoof and pad. The in vitro model was validated by performing in vivo measurements using one horse, and subjecting the limb of this horse to the same in vitro measurements after death. Approximately 67% of the damping of impact vibrations took place at the interface between the hoof wall and the distal phalanx. The attenuation of impact vibrations at the distal and proximal interphalangeal joints was considerably less (both 6%), while at the metacarpophalangeal joint 9% of the amplitude of that at the hoof wall was absorbed, leaving approximately 13% of the initial amplitude at the hoof wall detectable at the metacarpus. Compared to unshod hooves the amplitude at the hoof wall is 15% higher in shod hooves. No differences could be observed between shoe types. At the level of the first phalanx and metacarpus the difference between shod and unshod vanished; it was therefore concluded that, although shoeing might influence the amplitude of impact vibrations at the hoof wall, the effect of shoeing on the amplitude at the level of the metacarpophalangeal joint is minimal.

Animals↗

Angular limb deformity in a calf treated by periosteotomy and wedge osteotomy.

A carpus valgus deformity was diagnosed in a five-week-old Brown Swiss calf. The 45 degrees deformity was caused by the malaligned healing of a fracture of the left metacarpus after birth trauma. The deviation improved to 25 degrees after being treated with a semicircular lateral periosteotomy above the distal physis of the radius. A complete correction was made by means of a wedge osteotomy five months after the first treatment. A 20 degrees wedge of bone was removed. The metacarpus was stabilised with a seven-hole dynamic compression plate which was removed 12 weeks later. Thirty months later the calf was sold as a pregnant heifer at an auction of breeding cattle.

Animals↗

Radiographical evaluation of bone maturation in Japanese black beef cattle.

Epiphyseal ossification in the radius, ulna, metacarpus, proximal phalanx and tuber calcaneus was examined radiographically in Japanese Black beef cattle. The grade of standard ossification was assessed monthly for each epiphysis. Bone maturations could be divided into 8 grades for the distal radius and distal ulna, 7 grades for the distal metacarpus, 5 grades for the proximal phalanx, and 8 grades for the tuber calcaneus, respectively. The closure of the epiphyseal line completed at the earliest (12-14 months of age) on the proximal phalanx, and at the latest (35-37 months of age) on the distal ulna. Changes in gradings were steep at 0 to 5 months of age but became almost constant after 10 months of age in all the epiphyses. There were no significant differences in bone maturation between the cattle with different sex and breeding conditions.

Aging↗

Age-related morphometry of equine calcified cartilage.

Although there are many studies in the equine literature focused on articular diseases and the aetiology of osteoarthritis, few have concentrated on normal articular structures and how they change with age. The objective of this investigation was to study the thickness and morphology of the calcified cartilage layer of the distal metacarpus over a range of ages. A parasagittal slab of bone was sectioned from the region of sesamoid contact on the medial condyle of the metacarpi from 34 horses. The slab of bone was preserved, dehydrated and embedded, undecalcified, in methylmethacrylate and then stained with toluidine blue. Six repeatable fields of interest from the distal aspect of each metacarpus were digitised and examined to determine the morphology of the calcified cartilage layer. The thickness of the calcified cartilage, range 88-426 microm, was estimated using a method of integration. The results indicate an age-related influence on the thickness of the calcified cartilage layer, generally increased in older horses. While this finding is significant, perhaps more importantly a positional relationship was also identified, indicating that pressures endured by different regions within a joint may dictate morphological development of the tissues. This study has begun to lay the groundwork to determine whether the calcified layer of the hyaline cartilage could be involved in the development of osteoarthritis.

Age Factors↗

Three-dimensional carpal kinematics of trotting horses.

REASONS FOR PERFORMING STUDY: Descriptions of 3D kinematics assist in understanding joint function and dysfunction, and are an essential step toward 3D inverse dynamic analysis. OBJECTIVES: To measure 3D carpal joint motion during trotting. METHODS: Three-dimensional trajectories of bone-fixed markers on the radius and third metacarpus of the right forelimb of 3 healthy horses were recorded at 120 Hz using a 6-camera analysis system. Joint kinematics were calculated in terms of helical angles between the 2 segments using a spatial attitude method. RESULTS: All horses showed carpal extension and internal rotation of the metacarpus relative to the radius as the carpus assumed the close-packed position. In late stance, the carpus began a cycle of flexion that continued through midswing, accompanied by a small cycle of internal rotation. The direction of abduction/adduction varied between horses. The predominant rotational movement was flexion/extension, which showed a range of motion of 15 +/- 6 degrees in stance and 76 +/- 13 degrees in swing. CONCLUSIONS: Carpal motions were generally similar between horses with the exception of abduction/adduction. POTENTIAL RELEVANCE: Knowledge of carpal joint motion should assist in understanding the pathogenesis of carpal injuries. However, it seems probable that real differences exist between individuals; therefore, further investigations of the effect of conformation on carpal motion should be performed in a much larger population of horses.

Animals↗

Surgical correction of polydactyly in a camel (Camelus dromedarius).

A 2-mo-old, 90-kg, intact male camel (Camelus dromedarius) was admitted for surgical removal of a supernumerary digit associated with the medial aspect of the right carpus and metacarpus. Radiographic views of the carpus and metacarpus revealed the supernumerary digit articulating with the middle carpal joint via an extra carpal bone. The supernumerary digit consisted of three bones. Surgical removal of the supernumerary digit was recommended to restore normal limb conformation, limit the possibility of future lameness, and improve the cosmetic appearance of the limb. Complete surgical removal of the digit was performed by disarticulating the extra carpal bone from its attachments to the second and radial carpal bones. One year after surgery, the leg appeared grossly normal and the camel showed no sign of lameness.

Animals↗

[Anatomical study of the normal and degenerative articular surfaces on the first carpometacarpal joint].

Specimens of 138 first carpometacarpal joints (CMJ) from cadavers consisting of 59 females and 79 males and averaging 68.8 years of age were grossly evaluated and morphological measurements were performed. Macroscopic degeneration of cartilage surface was noted in the metacarpus of 97 hands and trapezium of 73 hands. 1) Morphological measurements of normal articular surfaces showed that metacarpal concave depth was shallower in the female than in the male and trapezial convex height was flatter in the female than in the male. 2) The degeneration of the articular surface was more often observed in the metacarpal joint than the trapezial joint, and the degree of degenerative changes on each articular surface was greater in the female than in the male. 3) In Grade I, the degeneration of the cartilage surface was observed both in the radial and ulnar facets of the trapezium and in the dorsal and palmar facets of the metacarpus. 4) As the degeneration progressed in both sexes, the trapezial concavity became deeper and its convexity became flatter than normal. On the other hand, the metacarpal concavity was flatter and its convexity was higher than normal. Moreover, these changes were more apparent in the female than in the male.

Adult↗

Use of the distraction method in hand surgery.

The author describes three prototypes of a miniature distractor for the bones of hand constructed according to his own design, and its uses in clinical practice. The distractors are used for lengthening bones of the hand after injuries involving loss of the thumb or fingers, and for the treatment of patients with congenital developmental defects of the hand. Over a period of three years, the distractors were used in thirteen cases and Ilizarov's original apparatus in three cases: for the lengthening of metacarpus I in seven cases, metacarpus II in two cases, metacarpi II-IV in one case, metacarpi II-V also in one case. Similarly, in one case each for the elongation of the proximal and medial phalanges of fingers. A lengthening of 3.5 to 3.7 was achieved. Ilizarov's apparatus was exploited in two cases to lengthen the bone of the forearm for congenital hypoplasia of the radius and ulna, and for metatarsal bone lengthening in a case of congenital aplasia of the toes and hypoplasia of the remaining bones of the foot. In the last three cases a lengthening of 10 cm was achieved.

Adolescent↗

[Treatment of macrodactyly with epiphyseal plate excision in growth retardation].

Macrodactyly, the overgrowth of one or more fingers or toes, is a comparatively rare congenital deformity. The enlargement includes skin, subcutaneous tissue, nerve, joint and bone. The bony involvement is usually limited to phalanges and the metacarpus is rarely involved. Since 1979, 10 cases have been seen in our hospital. Among them, there were 6 cases whose giant fingers or toes were treated with epiphyseal plates removing. The postoperative results (the longest follow-up period was 9 years) were satisfying. The growth of fingers or toes was completely stopped but in one case whose toes became longer because his epiphyseal plates were not removed thoroughly. According to the experiences of two cases, when the gigantism occurred in the thumb, the first metacarpus was also involved. The excision of epiphyseal plates was an effective method to halt further growth of macrodactyly for children and teenagers. And this method is simply and easily to be performed.

Adolescent↗

The dynamic shear modulus of bone in dependence on the form.

Torsional testing of fresh cortical bovine bone showed highly divergent shear moduli at various sites in the middle part of the diaphysis of the right metacarpus. Two hundred samples taken from twenty-five bones were investigated with a free oscillating torsional pendulum to determine the dynamic shear modulus. The results clearly demonstrate the mutual dependence between the shape of the metacarpus and the modulus of the material. On the basis of the analysis of forty-eight samples, a positive correlation was found between the amount of Ca2+ and PO4(3)-ions in the bone and the shear modulus. The hypothesis is put forward that in bone, normal adaptation to increasing stress is obtained by a change in the modulus values, Wolff's law only being operative for extreme cases.

Animals↗