ABNORMAL BONE SCAN FINDINGS OF THE EQUINE ISCHIAL TUBEROSITY AND THIRD TROCHANTER

Obtaining high-quality radiographs of the proximal aspect of equine limbs is difficult because of the large muscles in these regions. The use of scintigraphy may provide further information. Abnormal bone scan findings of the ischial tuberosity or the third trochanter were found in 29 adult horses with obscure hind limb lameness between 1986 and 1996 at the Large Animal Clinic of the University of Bern. Each had abnormal radiopharmaceutical uptake but not all had radiographic changes. Radio-pharmaceutical uptake ratios between the ischial tuberosity and the greater trochanter were calculated. The uptake ratio in a control group of 11 clinically sound horses was lower than in 11 lame horses with subjectively enhanced radiopharmaceutical uptake.     

Detachment of the ischial tuberosity sows

The clinical and pathological features of five cases of detachment of the ischial tuberosity are described. In two cases, the detachment occurred unilaterally; one was a gilt showing severe lameness which precluded mating and the other was a uniparous sow which showed only slight lameness. Three gilts which were affected bilaterally developed progressive lameness during pregnancy and were unable to stand after farrowing. One of these gilts died and two had to be slaughtered. The diagnostic features of the epiphyseal detachment were shortening of the caudal extremity of the ischium, palpation of the displaced ischial tuberosity and crepitation elicited by pressing the displace tuberosity against the ischium.     

Histophilus somni infection in cows with fertility problems and vaginitis

Histophilus somni associated with vaginitis in cattle; fasciolosis still prevalent in cattle; clostridial metritis in a large goat herd; detachment of the ischial tuberosity in pigs; fowl cholera in commercial and backyard flocks. These are among matters discussed in the Veterinary Laboratories Agency's (VLA's) disease surveillance report for September.     

Arthroscopy of the Coxofemoral Joint of Foals

An arthroscopic procedure for examination of the coxofemoral joint was developed in nine foals (four cadavers, five anesthetized) to determine if access was sufficient for evaluation and surgical treatment of intra-articular lesions. The joint was distended and the arthroscope inserted through the notch (incisura trochanterica) between the cranial and caudal parts of the greater trochanter. This portal allowed examination of the cranial, lateral, and caudal aspects of the joint. Mechanical distraction of the joint through an instrument portal located 2 to 4 cm cranial and 1 to 2 cm ventral to the arthroscope portal allowed examination of the ligament of the head of the femur, the femoral head, and articular and nonarticular surfaces of the acetabulum. Adduction and rotation of the limb improved visualization of the craniomedial and caudomedial portions of the femoral head. Traction applied to the distal limb allowed visualization of the same structures that were observed when mechanical distraction was used. Traction also created space for placement of surgical instruments into the joint through the instrument portal. Access to most regions of the joint was adequate, but access to the caudal and medial aspects of the joint was limited. Three foals were killed while they were anesthetized, and their coxofemoral joints were dissected. Two foals were allowed to recover from anesthesia and were observed for 30 days after surgery. One foal was mildly lame for 2 days after surgery. The other foal was not lame after surgery. The incisions healed, and the coxofemoral joints were radiographically normal by postoperative day 30.     

Triple osteotomy of the pelvis and trochanteric osteotomy as a treatment for hip dysplasia in the immature dog: the surgical technique and results of 77 consecutive operations

Triple osteotomy of the pelvis with transplantation of the greater trochanter was performed in 41 immature dogs (77 hips) with hip dysplasia. Before surgery, all hips were moderately to severely subluxated and unstable on palpation. The juxta-acetabular location of the ilial, ischial, and pubic osteotomies allowed repositioning of the acetabulum over the femoral head even when subluxation was severe. The acetabular fragment was rotated 70 degrees to 90 degrees in all hips. After surgery, craniodorsal coverage of the femoral head was increased and each hip was stable on palpation. Bilateral procedures were performed 4 to 7 weeks apart. The functional status of the limb was assessed and physical examination and radiography were performed in 71% (55) of the hips 1.0 to 5.5 years (mean, 2.7 years) after surgery. Functional ability was considered satisfactory in 93% (51) of the limbs, though few dogs had a normal gait. On palpation, all hips were stable and all but one were evaluated as nonpainful. In most instances, contact between the femoral neck and the repositioned acetabular rim resulted in a variable amount of crepitus and restriction of motion when the hip was abducted and rotated externally and internally. Eighty-two percent (45) of the hips had little or no evidence of degenerative joint disease. A satisfactory functional, physical, and radiographic result was obtained in 73% (40) of the hips.     

Femoral Head Osteotomy in Horses and Cattle

Femoral head ostectomy was performed in six horses, three ponies, and four cattle for treatment of fractures of the femoral capital physis, coxofemoral luxation, fractured acetabulum, or severe degenerative joint disease. The procedures were performed via a cranial approach that did not involve osteotomy of the greater trochanter. A dorsal approach for femoral head ostectomy via osteotomy of the greater trochanter was evaluated in three healthy adult ponies. Three animals (2 ponies, 1 calf) were euthanatized within a month and one horse was euthanatized at year 2 due to postoperative complications. Nine animals were discharged to owners and six of them fulfilled their intended functions of breeding, milking, and being kept as companions. One horse was lost to follow-up and two horses died of causes unrelated to the surgery. All surviving animals had a residual lameness that was described by owners as mild to moderate. None of the horses were used as riding animals. The mean age and weight of 10 animals that regained weight-bearing locomotion was 3.1 months and 84 kg; for three unsuccessful cases it was 34 months and 174 kg. We concluded that femoral head ostectomy was a viable salvage procedure for large animals with capital femoral physeal fracture, chronic coxofemoral luxation, or acetabular fracture. Surgical prognosis appeared to be favorable in young cattle and fair in young horses or ponies weighing less than 100 kg. Osteotomy of the greater trochanter resulted in superior exposure of the intact coxofemoral joint and allowed easier, less traumatic surgical luxation of the joint to facilitate femoral head ostectomy.     

Lameness and fertility of sows and gilts in randomly selected loose-housed herds in Finland

The prevalence of lameness among 646 sows and gilts in 21 selected herds was determined; 8.8 per cent of the animals were lame and the most common clinical diagnoses were osteochondrosis, infected skin lesions and claw lesions. The lame animals had higher serum concentrations of haptoglobin and C-reactive protein than the sound animals. Animals housed on slatted floors had twice the odds of being lame and 3.7 times the odds of being severely lame than animals housed on solid floors. Yorkshire pigs had 2.7 times the odds of being lame than Landrace or crossbred animals. Higher parity and the use of roughage decreased the odds of the sows not becoming pregnant; however, lameness was not a risk factor for non-pregnancy.     

DEVELOPING A TECHNIQUE FOR ULTRASOUND‐GUIDED INJECTION OF THE ADULT CANINE HIP

An accurate method for guiding injections into the canine hip would facilitate diagnostic localization of lameness and targeted treatments. Ultrasound‐guided hip injections are commonly used in humans and large animals. Aims of this prospective study were to describe ultrasound (US) anatomy of the adult canine hip and determine the feasibility and accuracy of intra‐articular placement of injectate using US‐guidance. Seven adult dogs were used to describe US anatomy, five dog cadavers were used to assess the feasibility of the injection technique and 11 dog cadavers were used to assess accuracy of injections. For the accuracy test, 22 joints were injected with iodinated contrast medium by three operators with different experience. With dogs in lateral recumbency, the hyperechoic femoral head surface was identified by following the femoral neck from the greater trochanter or the acetabular rim was localized by following caudally the ilium from the iliac wing.  An anechoic gap between the femoral head and acetabular surface represented the joint. The capsule was visible as a triangular echoic structure and the femoral head articular cartilage appeared as an anechoic band. The needle was inserted axial to the greater trochanter and directed in a dorsolateral–ventromedial direction toward the joint space and then pushed through the capsule. Based on postinjection radiography, accuracy was 81.8% at first attempt and 100% at second attempt. This study indicated that US‐guided injection is a feasible and accurate technique for injecting the adult canine hip. Future studies in live dogs are needed to assess safety and efficacy.     

Effect of triple pelvic osteotomy on the proximal femoral geometry in dysplastic dogs

Triple pelvic osteotomy (TPO) is one of the surgical procedures for use to try to reduce subsequent degenerative joint disease or modify the progress of hip dysplasia in young dogs. Joint force and pressure distribution were changed by this procedure. Therefore, the aim of this study was to find out whether the remodeling of proximal femur exists or not after TPO in dysplastic dogs. Ten femora from five young dysplastic mongrel dogs, treated unilaterally with TPO using 20° canine pelvic osteotomy plates, were used. One year after TPO, neck-proximal shaft angle, femoral head, neck, diaphyseal and mid-shaft diameters, total femoral, femoral neck axis, and intertrochanteric, femoral head offset lengths as well as the lengths from head center to lateral margin of greater trochanter and to proximal femoral axis were measured from the bone. The significant differences between treatment and control side were determined in Norberg angle, neck-proximal shaft angle, neck diameter, diaphyseal diameter, mid-shaft diameter, length from head center to proximal femoral axis and femoral head offset length. In conclusion, although small number of cases was used, it was determined that the aforementioned variables are affected by TPO. So, these variables may be supply additional information about the changes to the joint following TPO in dysplastic dogs.     

Gross osteology and radiology of the pelvic limb of the adult small East African goat

The aim of this study was to provide the detailed normal gross osteology and radiographic anatomy of the pelvic limb in adult small East African goats as a reference for clinical use, biomedical research and teaching. Radiography of the pelvic limb was performed in five adult small East African goats. Bone specimens of four skeletally mature small East African goats were used for gross osteological study. The ilial wing was wide. The ischiatic tuberosity was prominent and well developed. The acetabulum was rounded. The minor trochanter was located caudomedially, and the femoral trochlea was deep and narrow. The lateral and medial condyles of the femur were approximately of the same size. The tibial tuberosity was prominent, and the cochlea grooves were deep with a pronounced intermediate ridge. The trochlea of the talus was deep. The patella presented a prominent tuberosity on the cranial surface. The metatarsal sesamoid bone was seen in all animals. The observed gross osteology and radiographic anatomy of the pelvic limb of small East African goats was consistent with the presence of strong extensor muscles of the hip, stifle and tarsus for propulsion during terrestrial walking and trotting.     

Flooring preference and behavior in sound and lame sows

The objectives of this study were to assess sow flooring preference and behavior during sound, induced lame and lameness recovery states. Thirty-four multiparous, non-pregnant sows were compared prior to and following lameness induction (day 0). Behavior was recorded on six days (days ?1, +1, +2, +3, +4 and +10). Three flooring locations (Alley, Concrete and Mat) and four behaviors (lying lateral, lying sternal, sitting and standing) were recorded. Sows increased Mat frequency and decreased Alley frequency on day +1 (most lame) relative to day ?1. Lying lateral frequency increased, whereas lying sternal and standing frequencies decreased between day ?1 and day +1. Sows appear to prefer the Mat within 24?h following lameness induction. Lying lateral is likely a more comfortable position than standing or lying sternal in these lame sows. In conclusion, these behaviors may be reliable indicators to further ascertain if a sow is lame.     

Evaluation of patterns of removal and associations among culling because of lameness and sow productivity traits in swine breeding herds

OBJECTIVE: To characterize patterns of removal and evaluate the associations among culling because of lameness and sow productivity traits among culled gilts and sows. DESIGN: Cross-sectional study. SAMPLE POPULATION: Data from a convenience sample of 11 farms pertaining to the removal of 51,795 gilts and sows from January 1991 to December 2002. Mean culling and mortality (death and euthanasia) rates for all inventoried gilts and sows ranged from 23% to 50% and 4.7% to 9.5%, respectively. PROCEDURE: An analysis of categories of removal (cull, death, or euthanasia) and reasons for removal of gilts and sows was performed. Multivariate logistic regression was used to determine associations among culling because of lameness and sow productivity traits among culled gilts and sows. RESULTS: Among sows that were removed, the proportion of parity > or = 1 sows that died (both death and euthanasia) was > 3 times the proportion of parity > or = 1 sows that were culled within 20 days after farrowing. Among lame sows that were removed, the proportion of parity > or = 1 sows that died (death and euthanasia) was higher than the proportion of parity > or = 1 sows that were culled within 20 days after farrowing. Among sows that were removed, the proportion of sows that died (deaths and euthanasia) was higher during lactation than nonlactation. This was also observed among lame sows that were removed. CONCLUSIONS AND CLINICAL RELEVANCE: The proportion of death among removed sows, especially lame sows, was higher during lactation than nonlactation. Results indicated that risk of death is not the same for sows throughout their lifetime.     

Pathological changes in the lumbar spine of pigs: gross findings.

The lumbar vertebral columns from 60 sows and 30 slaughter weight pigs were examined grossly for pathological changes. Asymmetry of lumbar articular facets and minor periarticular osteophytes were seen in the slaughter weight group. Degeneration of intervertebral discs or vertebral osteophytes were not present. In contrast, 38% of 60 sows had vertebral osteophytes and 40% had degeneration of intervertebral discs. Extensive ankylosing spondylosis was present in two sows. Other vertebral lesions observed in sows include asymmetry and arthrosis of articular facets, fissures and areas of cavitation in the annulus fibrosus and vertebral end plate, and vertebral osteomyelitis and/or vertebral fracture. Extravertebral skeletal lesions, some of which could be related to a clinical history of lameness or posterior paralysis, include sacroiliac arthrosis, pelvic deformity, polyarthritis, femoral osteomyelitis, sacroiliac dislocation and epiphyseolysis involving the femoral head or tuber ischii.     

The Effect of Claw Lesions and Claw Infections on Lameness in Loose Housing of Pregnant Sows

During a 12-month period lameness, claw lesions and claw infections were studied in 15 herds with loose housing of pregnant sows on partly slatted concrete floors. Of these herds, 12 herds had concrete slats and 3 herds had plastic slats. The mean prevalence proportion of lame sows in the herds was 13.1%. The risk of lameness increased with increasing claw lesion score and with the presence of claw infections. In the herds with concrete slats, the relative risk of lame sows was 2.4 times higher than in the herds with plastic slats. In the herds with poor floor hygiene, the relative risk of lameness was 2.8 times higher than in the herds with dry and clean floors. The mean prevalence proportion of sows with claw infections at the 3 separate examinations in the 15 herds was 3.8%. Claw infections were more prevalent in herds with dirty floors and in herds with little space per animal (<2m²). In the herds with concrete slats, the relative risk of claw infections was 2 times higher than in the herds with plastic slats.     

Effect of Osteotomy of the Greater Trochanter with Tension Band Fixation on Femorai Conformation in Beagle Dogs

Osteotomy of the greater trochanter with tension band fixation was performed on 14-, 20-, and 26-week-old Beagle dogs. Physeal growth of the greater trochanter was retarded, as determined by tetracycline labeling. The trochanteric-condylar distance was reduced and the articulotrochanteric distance was increased. There was no shortening of femoral leg length. There were mild increases in the length of the femora and tibiae of the experimental hindlimbs. The angles of inclination and anteversion of the femoral neck were measured. The experimental operations resulted in insignificant changes in these angles. There was no histologic or clinical evidence of coxarthropathy. All dogs were clinically normal at the termination of the study (38 weeks). It was concluded that osteotomy of the greater trochanter with tension band fixation could be performed on growing Beagle dogs without producing adverse effects.     

Risk factors of lameness in sows in England

Lameness in pigs is a major welfare concern and one of the most commonly reported reasons for premature culling of breeding sows. In this study, the prevalence of lameness in sows was estimated using data from 76 pig breeding units in England and risk factors associated with the occurrence of lameness were examined. The prevalence of lameness in sows was 4.5% (farm median 5.0%, range 0–40%), with at least one lame sow being observed at 54% of the 76 farms. Relative risk (RR) of lameness was determined by multivariable Poisson regression analysis. Farms with high producing sows had a lower rate of lame sows than farms with a medium level of production (P = 0.01). However, medium levels of production on a farm were associated with higher levels of lameness than farms having the lowest level of production (P = 0.02). Farms where the stockman had responsibility for more sows resulted in an increased risk of lameness (P = 0.0062). When indoor units were considered, the area of the pen and younger sows (two parities or less) had higher risk of lameness (P = 0.001 and P = 0.026 respectively). An increased awareness of the risk factors behind lameness is essential in farm management and can be useful when designing housing areas as well as developing future prevention plans for lameness.     

Spontaneous and bilateral necrosis of the femoral head in a young experimental beagle dog

This report describes the pathological characterizations of a rare case of necrosis of the femoral head that was spontaneous, bilateral, avascular and nontraumatic. A 14-month-old beagle dog was presented with pain in the hind limbs. At necropsy, the articular surface in the bilateral femoral head was markedly irregular. There were no gross abnormalities other than in the hip joints. Microscopically, a wide range of trabecular bone necrosis localized in the subchondral area was observed in both femoral heads. In the right femoral head, fibrosis and proliferative vessels were noted in the subchondral area. The articular cartilage was thickened irregularly, but there was no evidence of cartilage necrosis. The bone marrow adjacent to the affected area showed severe depression. In the metaphysis, atrophic bone marrow, but not bone necrosis, was observed. This was a rare case of spontaneous necrosis of the femoral head in an experimental beagle dog.     

ABNORMAL IMAGING FINDINGS OF THE FEMORAL THIRD TROCHANTER IN 20 HORSES

Injuries involving the femoral third trochanter are an uncommon but important source of equine lameness; however, clinical localization can be challenging. The purpose of this retrospective study was to describe ultrasonographic and scintigraphic findings in a group of horses with presumed third trochanter injury. Medical records of an equine referral hospital were searched from 2004–2014, and 20 horses met the inclusion criteria. Lesions consistent with third trochanter fracture were identified with ultrasound in 14/20 horses. Onset of lameness was acute (11), insidious (2), or unknown (1). All but one horse was lame at presentation, ranging from Grade 2–4/5. Ultrasound was the primary diagnostic modality in 5/14 horses with fragmentation, while scintigraphic findings of intense (3), moderate (5), and mild (1) increased radiopharmaceutical uptake (IRU) prompted ultrasonographic examinations in 9/14 fractured horses. A nondisplaced fracture was suspected in an additional horse with intense IRU and negative ultrasound findings. In the remaining five horses, imaging findings included only mild IRU. Lameness was localized to other regions in these cases. Six of 12 fractured horses with available outcome data were returned to function after a prolonged rehabilitation of 8–18 months. Scintigraphic findings helped to direct focused ultrasound exams in the majority of fracture cases. Horses with evidence of third trochanter fracture had similar clinical characteristics to that reported for pelvic fractures and authors therefore recommend ultrasonographic examination of both regions, especially when scintigraphy is unavailable. Prognosis for return to function in horses of the current study was less favorable than previously reported.     

Effect of surgical technique and use of a rigid centralizing device on stem positioning and geometric reconstruction in the sagittal plane during total hip replacement in canine cadavers

OBJECTIVE: To determine the effect of surgical technique and use of a rigid centralizing device on stem positioning and geometric reconstruction in the sagittal plane during total hip replacement in dogs. SAMPLE POPULATION: Bilateral femurs from 8 adult mixed-breed canine cadavers. PROCEDURE: Femurs were prepared for femoral stem implantation, using 4 variations in technique. Proximal femoral reconstruction and femoral stem positioning were evaluated on radiographs. RESULTS: Implants evaluated in this study accurately reconstructed displacement of the femoral head of the intact canine femur in the sagittal plane. Centralization of the distal aspect of the stem was optimized by use of an undersized femoral stem. Ostectomy at the level of the lesser trochanter resulted in the smallest diaphysis-to-implant angle. Anteversion and retroversion of implants significantly decreased the distance between the distal tip of the implant and the adjacent cortex, compared with normoversion. The centralizing device significantly increased the minimum distance between the distal tip of the implant and adjacent cortex but did not improve the odds of actually centralizing the tip of the implant. CONCLUSIONS AND CLINICAL RELEVANCE: Malpositioning of implants in the sagittal plane may be minimized through ostectomy at the lesser trochanter and use of an undersized implant positioned in normoversion. Use of a polymethylmethacrylate centralizing device will help eliminate contact between the implant tip and adjacent cortex. Implantation of an undersized femoral component, avoidance of substantial anteversion or retroversion, and use of a rigid centralizing device are recommended when using the prosthesis described-for total hip replacement of dogs.