Osteochondrosis and arthrosis in pigs. IV. Effect of overloading on the distal epiphyseal plate of the ulna

The effect of overloading on the distal epiphyseal plate of the ulna is described. The right forelegs of 6 pigs were fixed such that the pigs were forced to walk on 3 legs during 2 periods, the first of 12 days duration at about 50 kg live weight, and the second of 7 days at about 100 kg live weight. Osteochondrosis developed to a more marked degree in the left than in the right epiphyseal plate of the ulna, but this did not lead to reduced lengthwise growth of the bones to any great extent. The overloading led to reversible changes in the distal epiphyseal plate of the ulna. It is conceivable that this was due to disturbances in the metaphyseal blood flow. It is also conceivable that the overloading was neither great enough nor of sufficient duration to affect the epiphyseal blood flow with consequential irreversible damage to, and premature closure of, the epiphyseal plate.     

Leg weakness in pigs. I. Incidence and relationship to skeletal lesions, feed level, protein and mineral supply, exercise and exterior conformation

Out of 373 Landrace boars and gilts involved in feeding experiments, 18.2 % showed severe degree leg weakness and 30 % mild degree leg weakness at 100 kg live weight. Of the boars at pig A.I. stations 23.9 % were slaughtered because of leg weakness, 75 % of these being under 1½ years. The practical significance of leg weakness is greatest in young breeding stock. High feed level in slaughter pigs resulted in poorer locomotory ability than medium feed level. Exercise resulted in pigs showing better movements. Variations of minerals and protein within limits used in practical feeding did not have any influence on the incidence of leg weakness. There was no statistically significant relationship (P > 0.05) between joint lesions and locomotory ability in pigs at 100 kg live weight, although severe lesions seemed to lead to poorer mobility. The joint regions which seemed to be mainly involved in severe degree leg weakness in boars were the elbow and stifle joints (31.3 %), the lumbar intervertebral joints (28.1 %) and the hip region (15.6 %). There was a significant relationship between narrow lumbar region, broad hams, large relative width between the stifle joints, and poor locomotory ability in slaughter pigs.     

Osteochondrosis and Arthrosis in Pigs: VI. Relationship to Feed Level and Calcium,Phosphorus and Protein Levels in The Ration

Eight feeding experiments, each comprising 48 boars or gilts, were carried out. The factors feed level, Ca, P and protein levels were varied within practical physiological limits. The animals were slaughtered at close to 100 kg live weight. Lesions in joints and bones were of a noninfectious, non-rachitic nature and of the osteochondrosis and arthrosis type. Ten to 12 g Ca and approx. 10 g P/kg ration gave histomorphologically seemingly more optimum structure of the spongious bone tissue and a higher ash percentage in bones than 7 g Ca and 6 g P, or unbalanced mineral levels in the ration. However, there was no significant difference in degree or incidence of joint and bone lesions between mineral groups. Neither were there such differences present between feed level groups or protein level groups. This may for the feed level groups be partly due to the low feed level pigs having a longer period of time during which they were highly susceptible to the development of lesions. The low feed level animals had longer long bones at 100 kg live weight than the high feed level animals. The length of the vertebral column was, however, approximately similar in the 2 feed level groups. The angles of the condyles and head of the femur according to the length axis were influenced by feed level or growth rate, most probably by an effect on the endochondral ossification.     

Hind limb skeletal lesions in 12-month-old bulls of beef breeds

In the present study, right hind limb bones from 46 12-month-old bulls with no clinical signs were examined to identify and describe lesions that could predispose the stifle and tarsal joints to osteoarthritis. The bulls came from a performance testing station and were slaughtered due to a low index at the end of the testing period 1996-97. Differences in frequency of lesions among breeds as well as the relationship between lesions and growth rate were evaluated. Forty-five (97.8%) of the 46 bulls had lesions in the joints and/or growth plates. Prevalence of lesions was 100% in the Charolais (22/22), the Hereford (8/8), and the Limousin (4/4) breeds, and 85.7% (6/7) in the Simmental breed. The stifle was affected in 37, the tarsus in 33, and the growth plates in 34, of the 46 bulls. Lesions found in the stifle joint were: osteochondrosis of the articular-epiphysical cartilage complex (AECC) (25), subchondral bone cyst of the distal femur (1), fragmentation of the medial intercondylar eminence of the tibia (20), cleft in the distal part of the patellar groove (28), and an avulsion fracture of the lateral condyle together with a partial tear of the cranial cruciate ligament (1). Lesions found in the tarsal joint were: osteochondrosis of the AECC (23), ulcerative lesions of the articular cartilage of the talus (25), and fracture of the medial malleolus (4). Twenty-eight bulls had lesions of osteochondrosis at the AECC and 37 at the growth plates. When osteochondrosis at the AECC and thickening of the growth plates were combined, 44 of the 46 bulls had at least one lesion at the AECC and/or the growth plate. Prevalence of bulls with at least one lesion was similar between breeds, but the number of lesions per bull was significantly higher in Charolais followed by Simmental, Hereford, and Limousin. Number of lesions per bull was significantly correlated with daily weight gain, carcase weight, and the width of the proximal tibial epiphysis. Lesions were statistically independent, indicating that local biomechanical factors within the joints are important in the pathogenesis. In conclusion, we suggest that the high incidence of hind limb osteoarthritis reported in the Swedish beef bull population can be explained by the high prevalence of skeletal lesions found in the present material. The lesions appeared to be related to high growth rate and to the breed.     

Osteochondrosis lesions of the lateral trochlear ridge of the distal femur in four ponies

Lesions of the lateral trochlear ridge (LTR) of the distal femur were investigated in four pony or pony cross horses. The animals were all geldings and were six to 15 months of age. Lesions were bilateral in three ponies and unilateral in one. Femoropatellar joint effusion and lameness were present in two ponies; clinical signs were absent in the others. The proximal LTR was affected in all four animals. The radiographic appearance of the lesions was a subchondral defect containing mineralised bodies. Arthroscopic and postmortem examination findings included an osteochondral flap, a fissured or irregular articular surface and a smooth surface overlying focally thickened cartilage that extended into subchondral bone. Thickened articular cartilage was a histological feature of all the lesions. Among the other histological features, the most common were chondronecrosis, chondrocyte clusters, phenotypically abnormal chondrocytes, horizontal fissures at the osteochondral junction and retained blood vessels. The signalment of the four ponies, their clinical signs and the pathological features of their lesions were consistent with osteochondrosis of the LTR in horses. The use of multiple criteria was considered to be important in making a specific diagnosis.     

Effects of lesion size and location on equine articular cartilage repair.

The mechanisms and completeness of equine articular cartilage repair were studied in ten horses over a nine month period. Large (15 mm square) and small (5 mm square) full-thickness lesions were made in weight bearing and nonweight bearing areas of the radiocarpal, middle carpal and femoropatellar joints. The horses were euthanized in groups of two 1, 2.5, 4, 5 and 9 months later. Gross pathology, microradiography, and histopathology were used to evaluate qualitative aspects of articular repair. Computer assisted microdensitometry of safranin-O stained cartilage sections was used to quantitate cartilage matrix proteoglycan levels. Structural repair had occurred in most small defects at the end of nine months by a combination of matrix flow and extrinsic repair mechanisms. Elaboration of matrix proteoglycans was not complete at this time. Statistically better healing occurred in small weight bearing lesions, compared to large or nonweight bearing lesions. Synovial and perichondrial pannus interfered with healing of osteochondral defects that were adjacent to the cranial rim of the third carpal bone. Clinical and experimental experience suggests that these lesions are unlikely to heal, whereas similar lesions in the radiocarpal and femoropatellar joints had satisfactory outcomes. Observations made in this study support the use of early postoperative ambulation, passive flexion of operated joints, and recuperative periods of up to a year for large cartilage defects.     

Osteochondrosis and arthrosis in pigs. II. Incidence in breeding animals

Joint and bone lesions in Norwegian breeding pigs are described on the background of an investigation involving 174 sows and 155 boars from 7 months to 4½ years old. Lesions, which consisted predominantly of arthrosis, degeneration of intervertebral discs, spondylosis and epiphyseal separations, were demonstrated frequently in both sexes. Osteochondrosis, a condition previously demonstrated frequently in slaughter pigs, had either completely healed, undergone repair or developed into an arthrosis by the time the animal reached an age of about 1½ years.Whereas a higher incidence of arthrosis of the intervertebral joints was found in boars than in sows, the reverse was true as regards degeneration of the intervertebral discs and anchylosing spondylosis. Possible reasons for this are discussed. Norwegian pigs show a higher incidence of lesions in the lumbar region of the vertebral column than has been described up to the present time in other countries.     

Arthroscopic findings in horses with subtle radiographic evidence of osteochondral lesions of the medial femoral condyle: 15 cases (1995-2002)

OBJECTIVE: To determine arthroscopic findings in lame horses with subtle radiographic lesions of the medial femoral condyle. DESIGN: Retrospective study. ANIMALS: 15 horses examined because of lameness that had subtle radiographic evidence of osteochondral lesions involving the medial femoral condyle in at least 1 joint. PROCEDURE: Medical records were reviewed, and results of physical examination, radiography, and arthroscopy were recorded. Follow-up information was obtained through reexamination of the horses or telephone conversations with the referring veterinarians, owners, or trainers. RESULTS: Lameness severity ranged from grade 1 to 3 on a scale from 0 to 5. Radiography and arthroscopy were performed on 28 stifle joints. The 4 unaffected joints in 4 horses with unilateral hind limb lameness that underwent bilateral arthroscopy had no radiographic lesions, but 2 of the 4 had arthroscopic lesions. Of the remaining 24 joints, 20 had radiographic evidence of flattening of the apex of the medial femoral condyle and 4 had minimal subchondral lucency. Lesions were identified arthroscopically in 18 of the 20 joints with flattening of the condyle and in all 4 joints with subchondral lucency. Treatment consisted of abrasion arthroplasty or microfracture. Seven of the 9 horses with focal cartilage lesions and 2 of the 6 horses with generalized cartilage lesions were reportedly sound without any evidence of joint effusion at the time of final follow-up. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that horses with hind limb lameness and subtle radiographic lesions of the medial femoral condyle are likely to have arthroscopically apparent cartilage lesions and subchondral bone defects.     

Involvement of trauma in the pathogenesis of osteochondritis dissecans in swine.

Limb joint soundness was examined in 40 pigs loaded into a wooden box cart and 40 control pigs not subjected to loading. On postmortem examination, eight loaded pigs showed osteochondritis dissecans in their medial humeral condyles, suggesting that porcine joints are vulnerable to osteochondral lesions when mechanically overloaded. Prevention of trauma by careful handling of pigs during penning and transportation should help to control joint lesions and lameness.     

Use of histochemical techniques in the characterisation of osteochondroses affecting pigs

Growth cartilages with dyschondroplastic foci (osteochondrosis) or areas of chondrolysis were selected from the ribs and bones of the appendicular skeleton of 132 commercial pigs euthanased between one and 169 days old or at a liveweight of 100 kg. Histochemical staining techniques that identified proteoglycans, collagen and deposits of calcium enhanced the visualisation of the lesions, were valuable for recognising the distribution of lesions, and helped to elucidate the development of the lesions. On the basis of the histochemical and morphological differences, it was considered that the lesions associated with growth plates and the lesions associated with articular-epiphyseal cartilage complexes should be considered as different entities. Lesions were identified in the articular-epiphyseal cartilage complexes of pigs at 15 days old, earlier than has been reported previously. Toluidine blue and safranin O were more useful than alcian blue and, in terms of staining intensity, toluidine blue gave more consistent results than safranin O.     

Arthroscopic Surgery for the Treatment of Osteochondritis Dissecans in the Equine Femoropatellar Joint

Forty limbs with femoropatellar osteochondritis dissecans in 24 horses were treated with arthroscopic surgery. Lesions were bilateral in 16 horses and unilateral in eight horses. Diagnostic examination and surgical treatment were performed through a single arthroscopic portal; five different instrument portal locations and six instrument approaches were used. Lesions were localized to the lateral trochlear ridge of the femur in 31 affected joints, medial trochlear ridge in two joints, lateral and medial trochlear ridges together in two joints, lateral trochlear ridge plus patella in four joints, and patella alone in one joint. The lesions consisted of subchondral defects containing chondral or osteochondral flaps or fragments, or were seen as dimpling, cracking, fibrillation, or erosion of articular cartilage, or intact cartilage over a subchondral defect. Loose bodies were found in three joints. There was a poor correlation between radiologic and arthroscopic findings. Surgical manipulations included removal of flaps, fragments, and undermined articular cartilage, and debridement of the subchondral defect. Three horses were euthanized: one electively to assess the joint grossly, one because of complications following surgery and salmonellosis, and one because of unrelated forelimb abnormalities. Immediate clinical improvement after surgery was seen in the 22 horses permitted to survive. Long-term follow-up on seven of 10 racehorses revealed that two have raced successfully, two are "ready to race," three are training sound, two are sound at pasture (still in convalescence), and one has been reoperated. Of six horses used for show or pleasure, three are being shown sound, one is sound for pleasure, and two are training sound. The remaining horses are convalescing.     

Investigation of osteochondrosis in grazing beef cattle

Severe lameness attributed to osteochondrosis is described in an extensively managed Brahman herd grazing on improved native pasture. Clinical signs were observed in five animals, three of which were necropsied. The most prominent lesions were in the elbow and stifle joints. There was multiple fissuring and ulceration of thickened articular cartilage with numerous osteochondral bodies present in the joint spaces. All affected animals were entire males sharing a common ancestral sire. Inheritance and gender were suspected to be contributing factors in the development of the disease.     

Mapping of Split-Line Pattern and Cartilage Thickness of Selected Donor and Recipient Sites for Autologous Osteochondral Transplantation in the Canine Stifle Joint

Objective— To characterize donor and recipient sites for autologous osteochondral transplantation in the canine stifle joint with respect to split-line pattern and cartilage thickness.
Study Design— In vitro study.
Sample Population— Stifle joints (n=30) of dogs >20 kg.
Methods— Collagen network orientation of the hyaline cartilage coverage of the distal femur was assessed using split-line technique (n=10). Cartilage thickness was measured radiographically on osteochondral plugs harvested at the abaxial and axial surfaces of the femoropatellar joint (n=15), the most proximal abaxial aspect of the medial condyle (CO; n=5) and at both femoral condyles (n=15).
Results— Cartilage within the femoropatellar joint and both femoral condyles had mostly transversely orientated pattern of split-lines. Abaxial to the femoropatellar joint split-lines were absent. All donor sites had significantly thinner cartilage than the medial condyle (CM). Only the distal trochlea had cartilage thickness comparable to the lateral condyle (CL). The thinnest cartilage was found abaxial to the femoropatellar joint followed by CO, which was ∼2–3 times thinner than the cartilage at both condyles.
Conclusions— None of the investigated donor sites provided transplants of comparable cartilage thickness to CM. Transplants from within the femoropatellar joint should be harvested in priority as they reach cartilage morphology comparable to CL.
Clinical Relevance— Adjusting for cartilage thickness and split-line pattern may improve long-term outcome after autologous osteochondral transplantation. But surface curvature and donor-site morbidity have to be considered as well when choosing the most suitable donor site.     

Diagnostic findings and prognosis following arthroscopic treatment of subtle osteochondral lesions in the shoulder joint of horses: 15 cases (1996-1999)

OBJECTIVE: To determine clinical, scintigraphic, radiographic, and arthroscopic findings and results of treatment in horses with lameness attributable to subtle osteochondral lesions of the shoulder joint. DESIGN: Retrospective study. ANIMALS: 15 horses. PROCEDURE: Medical records were reviewed, and results of physical examination, scintigraphy, radiography, arthroscopy, and treatment were recorded. RESULTS: Severity of lameness ranged from grade 1 to 4. Response to shoulder flexion or extension was variable. Twelve horses had a narrow upright foot. Intra-articular anesthesia of the shoulder joint localized the cause of the lameness to the shoulder joint in 9 of 10 horses. Scintigraphic abnormalities were detected in 4 of 6 horses. Radiographic lesions were subtle and included glenoid sclerosis, focal glenoid lysis, small glenoid cysts, and alterations in the humeral head contour. Arthroscopic evaluation confirmed clefts in the glenoid cartilage, glenoid cysts, a humeral head cyst, fibrillation of the humeral head cartilage, cartilage fragmentation, or a nondisplaced fracture of the humeral head. After treatment, 12 horses returned to their previous level of performance, 1 was sound for light riding, 1 remained lame, and 1 was euthanatized because of chronic lameness. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that a combination of physical examination, scintigraphy, and radiography is necessary to diagnose subtle osteochondral lesions of the shoulder joint in horses. Arthroscopy can be used to confirm the diagnosis and treat cartilage and subchondral bone lesions. Young and middle-aged horses with subtle osteochondral lesions of the shoulder joints have a good prognosis for return to performance following arthroscopic treatment.     

Osteochondrosis and arthrosis in pigs. 3. A comparison of the incidence in young animals of the Norwegian Landrace and Yorkshire breeds

An investigation concerning the occurrence of osteochondrosis and arthrosis in 2 materials totalling 63 pigs of the Landrace breed and 63 of the Yorkshire breed is described. The animals were bred under the same conditions of feeding and housing. The differences should therefore mainly be of genetic origin. Both breeds were highly improved, Landrace the most. In general, Yorkshire pigs showed a lower incidence and a less marked degree of osteochondrosis and arthrosis than Landrace pigs. Statistically significant differences (P < 0.01) were demonstrated in the distal epiphyseal plate of the ulna, in the intervertebral joints of the lumbar region and in the medial condyle of the femur in 1 of the materials. The Landrace pigs had longer bodies, broader hindquarters, shorter femurs, and the stifle had a different shape as compared with Yorkshire pigs. There thus seemed to be a connection between exterior features, joint and bone shape and the occurrence of joint lesions. Differences among litters within breed were also demonstrated.     

Effect of unilateral weight-bearing on pelvic limb development in broiler fowls: vascular studies

Fifteen broiler fowls which habitually adopted a unilateral weight bearing stance were studied. In the majority of fowls the left pelvic limb was weight bearing and the right limb showed severe angular deformity. Dyschondroplasia occurred most frequently in the load-bearing limb. In the load-bearing limb the majority of lesions were in the femur and proximal tibiotarsus. In the non-load-bearing limb lesions most frequently occurred in the bone extremities of the distal tibiotarsus and proximal tarsometatarsus. Occluded epiphyseal vascular canals occurred in conjunction with physeal thickening at some dyschondroplastic sites. The majority of dyschondroplastic lesions contained elongated penetrating epiphyseal vessels and vessels derived from the perichondrial ring. These vessels were associated with chondrocyte hypertrophy and matrix calcification, which was considered to lead to the repair of the lesions. There was minimal calcification of cartilage at the base of the dyschondroplastic lesions and the underlying metaphyseal vessels were blunt ending. This suggested that a band of abnormal physeal cartilage was acting as a barrier to penetration by the metaphyseal vessels and so preventing subsequent endochondral ossification.     

Systemic cartilage defect in a calf

A 6-month-old Ayrshire calf had a systemic growth defect of cartilage. The most severe changes occurred in articular cartilage and epiphyseal plates of long bones where disturbance of ossification, necrosis, erosion, vascular invasion, proliferation of cartilaginous and fibrous tissue were seen. The lesions probably were the result of a failure in the initial phases of ossification and mechanical pressure was responsible for their severity in the cartilage of the limbs.     

An evaluation of nonsuppurative joint disease in slaughter pigs

Fifty-two joints from pigs with nonsuppurative joint disease from a local abattoir were examined grossly, histologically, and microbiologically in order to establish macroscopic differences between degenerative arthropathy and arthritis due to an infectious organism. The joints were grouped grossly according to the type and severity of lesions of the synovial membrane and cartilage, and microscopically according to the severity of synovial membrane lesions. Osteochondrosis and Erysipelothrix rhusiopathiae were the most common causes of nonsuppurative joint disease in the joints examined. The major macroscopic differences between these two arthropathies were in the nature and severity of the synovial and cartilaginous lesions and involvement of the lymph node draining the diseased joint. Typically, in osteochondrosis, the changes are feathery hypertrophy of villi, focal full-thickness cartilage buckles, ulcers or flaps, and no change in the draining lymph node, whereas in Erysipelothrix- caused arthritis, the villous hypertrophy is severe and polypoid in nature, there is diffuse erosion of articular cartilage, and the draining lymph node is consistently hypertrophic and often cystic.     

Leg weakness in pigs. II. Litter differences in leg weakness, skeletal lesions, joint shape and exterior conformation

Investigations were carried out concerning possible litter differences in locomotory ability and exterior conformation, and possible litter and sire group differences in the occurrence of skeletal lesions and in joint shape. The animals were from a breed experiment involving 6 litters, 8 feeding experiments involving 64 litters, and a selection experiment totalling 70 litters and 25 sire groups distributed in 3 lines. One hundred and twenty-one out of 285 P values for litter or sire group differences were statistically significant (P < 0.05). This shows, with reservations concerning the possibility that different environmental conditions up to 20 kg live weight may have produced a litter effect on pigs from the breed and feeding experiments, that heredity plays a significant part in the leg weakness complex. It seems justified to conclude that it partly is the inheritance of certain joint shapes and exterior conformational features, which influence the degree of joint lesions and locomotory ability and give rise to litter differences. This gives the theoretical possibility of selecting for more lasting joints and better locomotory ability using criteria based on joint shape and exterior conformation.     

GROSS AND HISTOPATHOLOGIC CORRELATION OF LOW‐FIELD MAGNETIC RESONANCE IMAGING FINDINGS IN THE STIFLE OF ASYMPTOMATIC HORSES

With the recent introduction of a 0.25T rotating MRI system, clinical evaluation of the equine stifle joint is now possible in the average equine athlete. A recent publication described common abnormalities of horses with stifle lameness detected with a low‐field MRI system; however, postmortem corroboration of the lesions detected was not possible. Therefore, our objective was to compare postmortem findings with low‐field MRI findings in equine cadaver stifle joints. Ten fresh cadaver stifle joints from horses without clinical signs of stifle disease were evaluated using low‐field MRI, gross dissection, and histopathology. In eight stifles, either the lateral or medial cranial meniscotibial ligament had an irregular shape, fiber separation, or moderate abnormal signal intensity (SI) on all sequences. In five stifles, the medial femoral condyle had articular cartilage fibrillation with or without an osteochondral defect over the weight bearing surface of the medial femoral condyle. All stifles had abnormal SI on all sequences within the patellar ligaments that corresponded with adipose tissue infiltrating between the collagen bundles. Other abnormalities identified included articular cartilage fibrillation of the tibial condyles in three stifles, and articular cartilage fibrillation with chondral defects in the patella in three stifles. All abnormalities detected with low‐field MRI were corroborated by gross dissection. Findings from the current study supported the use of low‐field MRI for detection of stifle joint lesions in horses and demonstrated that some stifle joint pathologies may be subclinical in horses.