Arthroscopic release of the medial femoropatellar ligament for canine medial patellar luxation

Five dogs of varying breeds and ages were presented for evaluation of medial patellar luxation that was unresponsive to conservative treatment. Arthroscopy of each affected stifle was performed, and adequacy of the femoral trochlea and patellar tracking in the trochlea were assessed. Medial femoropatellar ligament release was then performed using a bipolar radiofrequency electrosurgical system with or without a tibial tuberosity transposition. The procedure resulted in good to excellent outcomes for four dogs and a fair outcome for a fifth dog.     

Avulsion of the medial epicondyle of the humerus in the dog

Avulsion of the medial epicondyle of the humerus is described in five dogs. In four cases the injury followed recent trauma while in the other, it appeared as a chronic problem.     

Ultrasonography of the medial iliac lymph nodes in the dog

Sixty-one medial iliac lymph nodes of 38 different dogs (eight with adenocarcinoma of the apocrine glands of the anal sac, 13 with multicentric lymphoma, six with multicentric lymphoma but in clinical remission, and 11 control dogs) were evaluated to assess the ability of ultrasound to identify and interrogate these lymph nodes across the different groups and to differentiate these groups using different sonographic parameters. Ultrasound proved to be useful to assess canine medial iliac lymph nodes. An increase in size or number of detected lymph nodes or finding rounder or heterogeneous lymph nodes could differentiate lymph nodes of dogs of the control group from lymph nodes of dogs with lymphoma or an adenocarcinoma of the apocrine glands of the anal sac. Subcategories of malignancy could not be differentiated. More studies need to be performed, both with patients with reactive lymph nodes and also focusing on other canine superficial lymph nodes, before generalizing the results of this study to other areas or diseases.     

Impregno-architectonic study of the medial part of the hypothalamus in sheep

Impregno-architectonics of neurons in the nuclei of the medial part of hypothalamus was studied in two-month and adult female and male sheep using the methods after Ramón-Moliner and Golgi-Cox. Types of neurons in the hypothalamic nuclei are given, morphology of synaptic conjugations and orientation of nerve processes are described. Ventromedial nucleus has the most interesting structure as a part of the medial hypothalamus: it is ring-shaped in cross-section with paucicellular center, contains various types of neurons and all kinds of synapses which can occur in hypothalamus. Only small numbers of neurons in the pars caudalis of tuberomammillary nucleus, similarly like in nucl. supraopticus and nucl. paraventricularis, are impregnated so that they can be supposed to belong to true neurosecretory nuclei.     

Estrogen receptor alpha expression in the medial preoptic area and the medial basal hypothalamus under different physiological conditions in cattle

The distribution and morphology of immunoreactive estrogen receptor alpha (ERalpha)- containing cells were examined in the cattle brain. The brains were collected from two cows and a male calf. One of the cows was sacrificed one week after parturition. ERalpha expressions in the preoptic area of the rostral forebrain and the medial basal hypothalamic area were evaluated immunohistochemically using a mouse monoclonal antibody. In all animals, the signals that indicate ERalpha were detected in the medial preoptic area, the level of the organum vasculosum of the lamina terminalis and the bed nucleus of the stria terminalis. In the caudal hypothalamic region, they were detected in the arcuate nucleus, the periventricular and ventromedial hypothalamic nuclei. ERalpha-containing cells were characterized by a dense nuclear reaction product. In all the subjects examined, ERalpha signals were clearly detected in the cytoplasm as well. The density of ERalpha expression was different among the three cattle; the number of ERalpha containing cells in the postpartum cow was much lower than that in the other cow and the male calf. The present findings suggest that ERalpha expression in the forebrain is influenced by the reproductive status in the cattle.     

Pressure distributions on the medial tibial plateau after medial meniscal surgery and tibial plateau levelling osteotomy in dogs

OBJECTIVE: To evaluate the effect of medial meniscal release (MMR) and medial, caudal pole hemimeniscectomy (MCH) on pressure distribution in the cranial cruciate ligament (CCL) deficient canine stifle, and with tibial plateau levelling osteotomy (TPLO). ANIMALS: Twelve adult dogs. METHODS: In experiment one, six pairs of cadaveric canine stifles with an intact CCL were axially loaded with a servo-hydraulic material testing machine and pressure distributions were mapped and quantified using pressure sensitive films. Axial loading of each joint was then repeated following MMR, and again after MCH. In experiment two, six pairs of cadaveric canine stifles with or without TPLO were tested before and after CCL transection, and each MMR and MCH procedure using the same methods of experiment 1. RESULTS: In experiment one, MMR and MCH had significant effects on the pressure distribution resulting in a 2.5-fold increase in the percentage of surface area with pressure higher than 10 MPa. In experiment two, CCL transection resulted in a significant change in pressure distribution only in the stifle without TPLO (P<0.05). Both MMR and MCH resulted in a 1.7-fold increase in the percentage of area with peak pressure in the stifle with TPLO (P<0.05). CONCLUSIONS: Meniscal surgery results in a change in pressure distribution and magnitude within the medial compartment of the stifle. CLINICAL RELEVANCE: Compromised function of the meniscus by either MMR or MCH result in stress concentration which may predispose to osteoarthritis.     

On the weight-bearing function of the medial coronoid process in dogs

The shape of and proportions between the surface areas of the medial coronoid process (MCP) and the fovea of the radial head were determined in 88 juvenile dogs and 146 adult dogs grouped as giant, large, mid-sized, chondrodystrophic, or small dogs. Thereby, the longitudinal (length) and transverse (width) extension of the MCP and fovea of the radial head have been measured. Original values were used to describe changes of the parameters attributed to growth. Normalized values (i.e. values expected in case of a width of the fovea of the radial head of 20 mm) were used to determine potential differences between constitutional types. All original values increased during growth (P < 0.05) except for the width and length of the MCP in chondrodystrophic and small breeds. Normalized values revealed a proportional decrease in width and length of the MCP during growth (P < 0.05) compared with the radial head. In adults, the normalized MCP was widest in giant dogs followed by large, mid-sized, small, and chondrodystrophic breeds. The MCP was also longest in giant dogs but shortest in large and chondrodystrophic dogs with those of large dogs being significantly (P < 0.05) shorter than those in giant, mid-sized and small dogs. Present results suggest that a deficiency in length-growth of the MCP--which has been present especially in large dogs--results in smaller humeral contact areas and decreased weight-bearing capacity of the MCP. Because loading forces acting on the MCP increase with body weight, the condition noted in large dogs might increase the risk of fragmentation of the MCP in these.     

Periorbital epidermoid cyst in the medial canthus of three dogs

Periorbital epidermoid cyst in the medial canthus was identified ultrasonographically and confirmed histologically in 3 dogs. Surgical resection of the cysts, with reconstruction of the lacrimal canaliculi, was curative in all 3 cases.     

Osteomyelitis of the medial trochlear ridge of the talus in a horse

A 12‐year‐old Quarter Horse gelding was evaluated for chronic recurrent right hindlimb cellulitis and severe lameness. Chronic tibiotarsal joint sepsis and osteomyelitis of the medial trochlear ridge were diagnosed and confirmed cytologically, arthroscopically and histologically. Trauma and secondary cellulitis and chronic septic arthritis were suspected aetiological factors.     

Desmitis of the medial tarsal collateral ligament in 7 horses

Severe lameness, tarsocrural joint effusion and medially focused peritarsal swelling combined with focal pain on palpation are clinical signs suggestive of acute injury to the medial tarsal collateral ligament. Diagnosis can be made on physical examination and ultrasonographic findings; however, magnetic resonance imaging may provide more information especially with subtle injury. Acute exacerbation of the injury during the prolonged convalescence is common. The prognosis for medial tarsal collateral ligament desmitis appears good for survival but fair for return to previous levels of performance and requires prolonged periods of rest and a controlled exercise programme.     

Ultrasound diagnosis of injuries of the cranial meniscotibial ligament of the medial meniscus

Ultrasonographic examination of the femorotibial joint is now commonly performed for investigating hindlimb lamenesses. Different types of meniscal injuries have been described using this technique. In our practice, the cranial meniscotibial ligament of the medial meniscus (CrMTL‐MM) is the most frequently affected soft tissue structure of the stifle. This article describes the technique to image this ligament, normal images and the ultrasonographic manifestations of desmopathies and enthesopathies of the CrMTL‐MM.     

Osteochondritis dissecans of the medial trochlear ridge of the talus in a calf

Osteochondritis dissecans of the proximal aspect of the medial trochlear ridge of the talus was found to be causing lameness and tarsocrural joint effusion in a male Limousin calf. Arthroscopy via a dorsolateral approach was unsuccessful in revealing the lesion in this calf. A caudomedial arthrotomy or medial malleolar osteotomy, which can be used to gain access to lesions of the medial trochlear ridge in dogs, was not attempted. The lameness gradually worsened, and the calf was slaughtered.     

Ultrasonographic changes of the equine stifle following experimental medial patellar desmotomy

The objective of this study was to evaluate, through ultrasonography, the effect of medial patellar desmotomy. Middle patellar desmitis, enthesophytes in the patella, and irregularities in the cartilage of the femoral trochlear groove were observed. Medial patellar desmotomy leads to lesions in the stifle, and restriction of movement does not prevent these lesions from occurring.     

Cartilage canals in the medial coronoid process of young Golden Retrievers

The aim of the study was to establish the location of cartilage canals in the medial coronoid process (MCP) of the ulna of young Golden Retrievers, a breed that is predisposed to fractures of the medial coronoid process (FMCP). To determine whether the presence of cartilage canals could be associated with the predilection site of FMCP, the right elbows of nine young Golden Retrievers (aged 4, 6, 8, 10, 13, 16, 18, 22 and 24 weeks) were dissected and, with no prior decalcification, the formaldehyde-fixed MCPs were embedded in methylmethacrylate. The entire MCPs were serially sectioned in the frontal plane from cranial to caudal and the sections (5 microm) were routinely stained. Between the ages of 5 and 10 weeks, three main cartilage canals were visible--medial, central and lateral. All originated from the periosteum of the distal parts of the MCP and ended proximally under the articular cartilage. Branches of the main canals were seen more cranially and caudally. At the age of 13 weeks, the central canal was absent, and the remaining canals showed a smaller diameter. From 16 weeks onwards, no cartilage canals were seen. No direct relationship could be established between the predilection site of FMCP (lateral part of the MCP) and the presence/absence of cartilage canals, since both medial and lateral canals disappeared at the same age. Further research is needed to elucidate the pathogenesis of FMCP.