Comparison of ultrasound‐guided vs. ‘blind’ techniques for intra‐synovial injections of the shoulder area in horses: Scapulohumeral joint,bicipital and infraspinatus bursae

Reasons for performing study: Diagnosis and treatment of pathologies involving synovial structures in the shoulder region are technically difficult. Ultrasound‐guided (UG) injection techniques have been shown to be highly accurate, safe and reliable for various structures in human and equine patients. Objectives: To develop easy‐to‐use and reliable UG injection techniques for the infraspinatus bursa (IB), bicipital bursa (BB) and scapulohumeral joint (SHJ) and to compare them with conventional ‘blind’ methods. Methods: Eight pairs of equine shoulders were positioned on a computed‐tomography (CT) table with left and right shoulders randomly assigned to Operator A (UG) and Operator B (‘blind’). Contrast medium mixed with methylene blue was injected into the target structures. Time and number of attempts for correct needle placement and ease of injection were recorded. A CT scan of each shoulder was performed after every injection to evaluate the location of contrast material. Once injections and CT scans were completed, anatomic dissections were conducted. Statistical analysis was used to compare UG and ‘blind’ techniques with significance set at P<0.05. Results: Intra‐synovial injections using UG techniques were successful in all 24 synovial structures compared with 14/24 with conventional methods. The median number and range of needle repositioning to obtain accurate needle placement was 1 (1–2) for UG and 2 (1–4) for the ‘blind’ techniques. The median time and range required for accurate needle placement was 75.5 s (32–210 s) for UG and 43.5 s (11–140) for ‘blind’ technique. In 31% of all attempts, ease of injection was not indicative of successful intra‐synovial administration. Conclusions: Ultrasound‐guided injections of IB, BB and SHJ proved to be highly reliable and more accurate than conventional ‘blind’ techniques. Potential relevance: Ultrasound‐guided injection techniques may be of great help for equine practitioners in the diagnosis and treatment of pathologies involving synovial structures in the shoulder region. Further work is needed to confirm these results in clinical cases.     

Sensitivity and specificity of cytologic evaluation in the diagnosis of neoplasia in body fluids from dogs and cats

Sensitivity and specificity were determined for the cytologic detection of malignant tumors in canine and feline body cavity effusions. In a prospective study, 424 body cavity effusions from dogs and cats were collected and evaluated, including 70 pleural and 163 peritoneal effusions from dogs, and 77 pleural and 114 peritoneal effusions from cats. Final diagnoses were confirmed in 339 of the 424 cases by clinical follow-up, necropsy, and in the case of malignant tumors, Histopathology. Malignant tumors were found in 18% of canine and 25% of feline body cavity effusions. Approximately one-half of tumors in both dogs and cats were carcinomas. Discrete cell tumors accounted for 56% of feline neoplastic effusions. The sensitivity of cytologic evaluation for the detection of malignant tumors in body cavity effusions was 64% for dogs and 61% for cats. Specificity was 99% for canine and 100% for feline effusions. Sensitivity and specificity were comparable to those obtained with cytologic evaluation of human samples.     

AORTO-CARDIAC FISTULAS IN SEVEN HORSES

This report describes the history, clinical, electrocardiographic and echocardiographic findings, treatment, outcome, and post-mortem findings in seven horses with aorto-cardiac fistula. Affected horses included 5 stallions, one gelding and one mare; 2 each of the Thoroughbred, Arabian and Standardbred breeds and one Thoroughbred-cross with a mean ± s.d. age of 12 ± 4 years, range 6–18 years. The presenting sings were acute distress (four horses), exercise intolerance (two horses) and the lesion was detected during a routine examination in one horse. Five horses had monomorphic ventricular tachycardia on admission and one other had a history of this arrhythmia. Five horses had a characteristic continuous murmur loudes in the right fourth intercostal space. Echocardiography (six horuses) and/or post-mortem examination (four horses) revealed the horses had aorto-cardiac fistulas arising from the right aortic sinus in all five horses in which the site was recorded. Two horses had ruptured aneurysmall dilatations of the aortic wall at this site. Fistulas extended into the right ventricle in four horses; the right atrium in two horses, the left ventricle in one horse, and five horses had dissecting tracts in the septal myocardium. Horses survived for periods ranging from 24th to 4 years. Aorto-cardiac fistula should be considered in the differential diagnosis for horses presenting with acute distress, bounding arterial pulse, a right-sided continuous murmur and/or monomorphic ventricular tachycardia, particularly in middle-aged or older stallions. Echocardiography is the technique of choice for confirming the diagnosis and demonstrating accompanying cardiac changes.     

Effects of humus content,farmyard manuring,and mineral‐N fertilization on yields and soil properties in a long‐term trial

Investigations carried out at Field F3 of the Halle long‐term fertilization trials using data from 1974 to 1983 showed that with adequate supply of mineral N‐fertilizer soil organic matter (SOM) had no significant effects of yield. Similarly enhanced SOM did not justify a reduction of mineral N (Stumpe et al., 2000). The studies presented here examine the effects of the SOM differences existing after the termination of those trials in 1986 up until 1997 (then mainly differences of hardly decomposable SOM) in comparison to farmyard manuring with enhanced mineral N application (3‐factor‐experiment). As with total SOM, hardly decomposable SOM did not directly affect yields. The effects of FYM treatment observed at lower mineral‐N levels were compensated for by enhanced mineral‐N supply. The direct effect of FYM (40 t ha^—1) corresponded to a mineral‐N supply of about 60 kg ha^—1 and the residual effect to about 20 kg ha^—1. The differences of the C‐content in the soil at the beginning of the present studies continued throughout the experimental period of 12 years. In addition, significant differentiation has been caused by FYM and N fertilization in comparison to unfertilized treatments. The major finding is that differences in SOM content do not lead to yield differences on physically good soils (chernozem‐like soils) if appropriate compensation by mineral‐N fertilization takes place.     

Changes in the subsoil of long‐term trials in Halle (Saale), Germany,caused by mineral fertilization

Four long‐term mineral fertilization trials (50 years) on a Haplic Phaeozem derived from sandy loess were conducted. Fertilization caused changes to the plough layer (0—25 cm) and to the undisturbed subsoil. Without lime, most remarkable acidification occurred in the plough layer, but only slight effects were evident in the subsoil. Where lime was applied, a considerable amount of Ca‐sulphate was formed. This leached out of the plough layer and accumulated throughout the profile, especially in dry years. Where fertilization was not adequate, there was a substantial contribution of K and P from the subsoil (mainly of its upper parts). Where the supply of these two elements continously exceeded their removal, a distinct increase of available K and P at depths of about 50 cm indicated transfer of both elements to the subsoil. Due to the high fixing capacity of both P and K in layers beneath 50 cm, leaching out of the rooting zone can be ignored. Mg and especially Na, applied with some of the fertilizers, were more mobile than K.     

Verbleib des 15N nach einmaliger Verabreichung von markiertem Düngerstickstoff im Dauerversuch Ewiger Roggenbau Halle

Fate of ¹⁵N after one single application of labelled N fertilizer in the long-term experiment Eternal Rye Cropping Halle To elucidate the fate of N in the long-term field experiment with continuous rye cropping in Halle, Germany (Haplic Phaeozem derived from sandy loess; mean annual precipitation: 466 mm) micro plots (9 m²) were established within the NPK main plot in 1993 and 1994 and the routine N dose (60 kg N ha^—1 a^—1) was once applied as ¹⁵N labelled fertilizer. In the subsequent four years each micro plot was analyzed for the ¹⁵N withdrawn with grain and straw and that remaining in the soil after harvest. Parallel to this, micro plots on the unfertilized main plot received a single dose of 5 kg ha^—1 of high-label ¹⁵N in order to achieve labelling of the annual N input from the air (˜40 kg ha^—1 a^—1) and to follow its fate. — In the NPK treatment about one third of the labelled fertilizer N applied (= *N) was taken up by the rye in the first year, while nearly half of it remained in the soil (0—100 cm), and 10—15% was not recovered (most likely lost via leaching). During the following three years the amount of *N remaining in the soil decreased from 32.7 kg ha^—1 to 21.5 kg ha^—1. However, less than half of the remobilized *N had been taken up by the crop. On the unfertilized plot the uptake of *N was lower at the end of the experiment compared to the NPK plot, while the loss exceeded the comparative figure correspondingly.     

Untersuchungen zur Charakterisierung des pflanzenverfügbaren Phosphats in Thüringer Carbonatböden

Investigations on the characterization of plant available phosphate in Thuringian calcareous soils Phosphate availability in Thuringian calcareous soils and its characterization by CAL‒, NaHCO₃-, H₂O- and CaCl₂-soil tests was investigated in laboratory and pot experiments. Soil CaCO₃ contents > 10% increase the pH value of CAL solution and thus decrease phosphate extractability. The increase of pH also causes an inadequate assessment of plant available phosphate by H₂O- and CaCl₂-soil tests. The CAL soluble P content of the soil corrected by the pH value of the extraction solution was most suitable for the forecast of P uptake of corn in a pot trial. From both parameters P availability indices for calcareous soils can be calculated which are comparable with those in soils containing < 5% CaCO₃. The equation, which still has to be verified in field experiments, reads as CAL-P_corrected = CAL-P_measured · (1 + 0.83·〈pH-value_{CAL solution} — 4.1〉).     

TEMPOROMANDIBULAR JOINT MORPHOLOGY IN CAVALIER KING CHARLES SPANIELS

Temporomandibular joint dysplasia has been reported in several breeds of dog. Three Cavalier King Charles Spaniel (CKCS) skulls were examined and radiographed during the course of a separate study and all demonstrated changes consistent with bilateral temporomandibular joint dysplasia. Subsequently, skull radiographs from all CKCS dogs examined at the University of Glasgow Veterinary School between 1991 and 2001 were reviewed (n = 26). Only two of these dogs were radiographed specifically for investigation of the temporomandibular joint, although varying degrees of dysplasia were identified in all dogs where the joints were adequately visualized (n = 20). The head of four CKCS cadavers was also radiographed, and similar changes were found. This finding suggests that temporomandibular joint dysplasia is a widespread asymptomatic condition in the CKCS and should be regarded as a normal morphologic variation rather than a pathologic anomaly. Subtle changes are best seen on lateral oblique radiographs, although marked changes are also visible on dorsoventral views. The rotational angle or angle of articulation of each of the dysplastic mandibular condyles was measured and was related to the severity of the dysplastic changes. However, there was overlap between the values calculated for these abnormal joints and normal ones in other breeds, suggesting this measurement was of limited significance and the shape of the components of the temporomandibular joint are more relevant when assessing this joint for the presence of dysplastic changes.     

Subdural Hematoma in a Dog

A traumatic subacute subdural hematoma in a dog was diagnosed by computed tomography and treated successfully by craniectomy and surgical drainage.     

Use Of Traction During Magnetic Resonance Imaging Of Caudal Cervical Spondylomyelopathy ("Wobbler Syndrome") In The Dog

Cervical spondylomyelopathy or "wobbler syndrome" is a well-defined disorder of large-breed dogs, characterized by a compressive lesion affecting the cervical spinal cord that in many dogs may have a dynamic component. Determination of whether this dynamic component is present is important in the decision-making process as regards therapeutic intervention. Despite a significant risk of neurologic deterioration following myelography in some large dogs affected by wobbler syndrome, myelography is considered an essential part of the assessment, primarily as it allows assessment of whether a dynamic compression exists. This same neurologic deterioration is not apparent following magnetic resonance (MR) imaging; however, the use of MR imaging in the investigation of wobbler syndrome has thus far been limited by the inability to perform the traction studies required to ascertain whether a dynamic component to the spinal cord compression exists. This paper presents a technique of applying traction during MR imaging of the cervical spine to reduce a dynamic wobbler syndrome lesion.