Effects of warfarin on blood rheology in navicular disease

A preliminary investigation has been undertaken of blood rheology in horses and ponies, its variation in navicular disease and the changes following treatment with warfarin. Erythrocyte flexibility, measured by a centrifuge packing technique, is higher in horses (30 per cent min-1) than in ponies (23.8 per cent min-1). There are corresponding differences in blood viscosity. The high erythrocyte flexibility in horses is caused by an unknown factor present in plasma. The erythrocyte flexibility in horses with navicular disease is even higher, at 38.5 per cent min-1. Treatment with warfarin reduces the flexibility to just below the normal value. A significant fall in plasma viscosity and erythrocyte flexibility was found after treatment of four ponies with 6 mg warfarin daily for one week.     

Navicular suspensory desmotomy in the treatment of navicular disease: technique and preliminary results

The technique of navicular suspensory desmotomy for the treatment of navicular disease is described and the rationale behind its development is discussed. To date 16 horses involved in a clinical evaluation of the technique have been assessed six months after surgery. Thirteen of these horses are able to work without lameness.     

非典型鸡新城疫的病因研究初报（一）

应用血清学、生物学方法、从我省产蛋量下降、HI抗体在1：128以上的疑似非典型鸡新城疫（CND）病鸡群中分离到1株病毒，经鉴定和致病力测定，明确是1株ND强毒，毒力与F48E9相近，然后采用该株野毒感染不同抗体水平的3批蛋鸡及肉鸡，结果3批蛋鸡均是低抗体滴度组（1：10－1：40）发生了CND症状，感染后6－7天开始产蛋停止，经15－17天后才恢复产蛋，高抗体滴定组（1：80以上）无明显变化，无抗体对照组出现典型鸡新城疫变化，全部死亡；病毒感染后第6、10天监测HI抗体，结果低滴度组第6天达1：80－1：160，第10天达1：160－1：1280。试验结果表明，我们分离到的NDV，既可引起典型的ND，也可引起非典型的ND；高HI抗体蛋鸡产生非典型鸡新城疫的病因之一，是由于存在低抗体鸡群而发生了CND，其高HI抗体有竞争是由于强毒感染后产生的抗体。     

Surgical treatment of navicular syndrome in the horse using navicular suspensory desmotomy

Seventeen horses diagnosed as having navicular syndrome on the basis of history, clinical findings, regional local anaesthesia and radiography were subjected to bilateral navicular suspensory desmotomy. Before surgery, the duration of navicular lameness ranged from 6 weeks to 4 years. Previous unsuccessful treatments prior to surgery included nonsteroidal anti-inflammatories, corrective shoeing, rest and isoxsuprine. For the seventeen horses subject to surgery, twelve horses were sound, one horse was improved and four horses were lame at a minimum of 6 months after surgery.     

Heredity of navicular disease

Summary

Bone structure, nutrient canals, form and definition, and a total evaluation of both fore navicular bones were radiologically evaluated in 169 three‐ and four‐year‐old Dutch warmblood mares divided into eleven daughter (half sister) groups. On the basis of the ‘total evaluation’, differences between the three‐and four‐year‐old horses were detectable. Using the ‘total evaluation’, significant differences were found between daughter groups consisting of three‐year‐oldmares. These differences support the theory that podotrochleosis may be (partly) due to the presence of genetic factors. The possibilities concerning selection are presented. The results of the radiological evaluation of the stallion do not have predictive value as far as his progeny is concerned.     

The arterial supply of the navicular bone in adult horses with navicular disease

A macroscopical, arteriographical and histological study was made of the arterial supply of the navicular bones of horses with clinical and/or radiographic signs of navicular disease. Based on the clinical and radiological findings the navicular bones of 40 Warmblood horses are divided into four different groups. In the pattern of the arteriogram obvious changes are noticed: an imbalance and a distal to proximal shift between the distal and proximal arterial supply occur, indicating a reduction of the distal blood supply with a compensatory reaction of the proximal, medial and lateral supply. The changes in the pattern of the arteriogram are histologically defined by arterio(lo) sclerosis and newly formed arteries. The presence of radiologically visible nutrient foramina is associated with a changed pattern in the arteriogram, increased bone remodelling and fibrosis. Ischaemia and increased pressure (hypertension and/or increased intra-articular pressure) are considered to be responsible for changes in form and number of radiologically visible nutrient foramina.     

Heredity of navicular disease

Bone structure, nutrient canals, form and definition, and a total evaluation of both fore navicular bones were radiologically evaluated in 169 three- and four-year-old Dutch warmblood mares divided into eleven daughter (half sister) groups. On the basis of the 'total evaluation', differences between the three- and four-year-old horses were detectable. Using the 'total evaluation', significant differences were found between daughter groups consisting of three-year-old mares. These differences support the theory that podotrochleosis may be (partly) due to the presence of genetic factors. The possibilities concerning selection are presented. The results of the radiological evaluation of the stallion do not have predictive value as far as his progeny is concerned.     

Ischaemic necrosis of the navicular bone and its treatment.

In a survey of 95 control horses and 16 horses with navicular disease, the incidence of erosions and discoloration of the flexor cartilage of the navicular bone was no different between the control horses and those with navicular disease. All cases of navicular disease showed thrombosis of the distal navicular nutrient arteries and this could be related to a change to a rounded or flask shape of the distal nutrient foramen of the navicular bone. Erosions and discoloration of the navicular bone are therefore of no significance in navicular disease. Previously described lines of treatment are of little value in the treatment of navicular disease. Preliminary experience with the use of anticoagulant therapy may indicate another alternative form of treatment, but the long term results have yet to be assessed.     

Biochemical characterisation of navicular hyaline cartilage,navicular fibrocartilage and the deep digital flexor tendon in horses with navicular disease

The study hypothesis was that navicular disease is a process analogous to degenerative joint disease, which leads to changes in navicular fibrocartilage and in deep digital flexor tendon (DDFT) matrix composition and that the process extends to the adjacent distal interphalangeal joint. The objectives were to compare the biochemical composition of the navicular articular and palmar cartilages from 18 horses with navicular disease with 49 horses with no history of front limb lameness, and to compare navicular fibrocartilage with medial meniscus of the stifle and collateral cartilage of the hoof. Cartilage oligomeric matrix protein (COMP), deoxyribonucleic acid (DNA), total glycosaminoglycan (GAG), metalloproteinases MMP-2 and MMP-9 and water content in tissues were measured. Hyaline cartilage had the highest content of COMP and COMP content in hyaline cartilage and tendon was higher in lame horses than in sound horses (p<0.05). The concentration of MMP-2 amount in hyaline cartilage was higher in lame horses than in sound horses. The MMP-2 amounts were significantly higher in tendons compared to other tissue types. Overall, 79% of the lame horses with lesions had MMP-9 in their tendons and the amount was higher than in sound horses (p<0.05). In horses with navicular disease there were matrix changes in navicular hyaline and fibrocartilage as well as the DDFT with potential implications for the pathogenesis and management of the condition.     

Role of navicular bone shape in the pathogenesis of navicular disease: a radiological study

From progeny lists of 30 Dutch Warmblood sires, 586 3-year-old females by these stallions were randomly selected, each progeny group aimed at 20 animals for statistical reasons. The front feet of the sires and female progeny were examined radiographically using lateromedial and dorsopalmar upright pedal projections. The radiological features associated with navicular disease were classified 0–4 using a standardised classification, grades 3 and 4 representing the more severe changes. The shape of the proximal articular border of the navicular bone outlined on the dorsopalmar view was classified 1–4: l=concave; 2=undulating; 3=straight; 4=convex. A significant shape-grade association was found, the highest grades 3 and 4 incidence associated with shape 1 and the lowest grades 3 and 4 incidence demonstrated by shape 4. In shapes 1 and 2, navicular bones grades 3 and 4 features were mainly characterised by inverted flask-shaped channels. In shape 3, navicular bones grades 3 and 4 were dominated by enthesiophytes. These findings indicate an apparent shape predisposition to radiological changes associated with navicular disease. The shape of the navicular bone in the offspring was on average the same as the sire, indicating an hereditary element in navicular bone shape.     

Current concepts of navicular disease

Navicular disease is unlikely to be a single disease. The close anatomical and functional relationships between the navicular bone, collateral sesamoidean ligament, distal sesamoidean impar ligament, deep digital flexor tendon, navicular bursa and distal interphalangeal joint result in the frequent occurrence of combinations of injuries. There are a number of different pathological processes that affect the navicular bone, which probably have different aetiopathogeneses. While there is strong evidence that biomechanical forces may result in failure of functional adaptation and excessive modelling, it is likely that each disease or injury type has a multifactorial cause.     

A preliminary report of the use of an oral liquid diet in small animal therapeutics

A liquid diet for oral use has been administered to selected small animal cases over the past 18 months. This diet provides the total daily needs of the patient and from this preliminary study it is evident that it has a definitive role in small animal therapeutics.
Résumé. Au cours des derniers 18 mois, on a administré un régime liquide pour usage oral, chez des cas de petits animaux selectionnés. Ce régime pourvoit aux besoins entiers quotidiens du malade et d'après cette étude préliminaire, il est évident qu'il a un rôle défini dans la thérapie des petits animaux.
Zusammenfassung. In den letzten 18 Monaten wurde an auserwählten Fällen von Kleintieren eine durch den Mund bezogene, flüssige Nahrung erteilt. Diese Nahrung enthält den gesammten Nahrungsstoff des Patientens täglichen Bedarf und von preliminären Beobachtungen ist zu schliessen, dass diese Nahrung durchaus eine bestimmte Rolle, in der Therapeutik von Kleintieren, spielt.     

Diagnosis and treatment of the navicular syndrome in horses

Navicular syndrome can be treated in a variety of ways. This is related to the fact that it has a variety of causes. Prognostically, most horses will improve with treatment. One can expect about 50 per cent of the horses to become useably sound for 1 year, no matter what treatment is used. The disease is progressive, and affected horses eventually will need to be retired because of lameness. The author's therapeutic approach is to utilize shoeing as the primary therapy. Shoeing is performed to correct structural problems and to ensure that shoeing is physiologically sound. Nonsteroidal anti-inflammatory drugs are not used unless radical changes have been made in the shoeing. In cases of confirmed distal interphalangeal joint synovitis, either sodium hyaluronate or polysulfated glycosaminoglycans will be used in conjunction with shoeing. In cases where decreased circulation is documented, isoxsuprine hydrochloride will be administered if shoeing alone has not improved the horse within 6 weeks. If therapy does not improve the horse within 6 to 12 weeks, palmar digital neurectomy is recommended.