Collateral desmitis of the distal interphalangeal joint in conjunction with concurrent ossification of the cartilages of the foot in nine horses

The purpose of this study was to describe the frequency of occurrence of severe ossification of the collateral cartilages (sidebone) coexistent with collateral desmitis of the distal interphalangeal joint (DIPJ) in lame horses. Sidebone was diagnosed and graded on standard radiographs and soft tissue injuries of the foot were diagnosed using standing low‐field magnetic resonance imaging (MRI). Of 15 horses with forelimb lameness and severe sidebone, 9 had evidence of concurrent collateral desmitis of the DIPJ. All 15 horses had damage to other structures (including the deep digital flexor tendon, distal sesamoidean impar ligament, collateral sesamoidean ligament, navicular bone and distal phalanx) within the affected feet as identified on MRI. The clinical and pathophysiological significance of concurrent collateral desmitis of the DIPJ and sidebone is currently uncertain. However, this study shows that injuries to multiple structures within the foot are common and that collateral desmitis of the distal interphalangeal joint is frequently seen in lame horses in conjunction with severe ossification of the collateral cartilages.     

Partial or total replacement of fish meal in the diets of Florida pompano Trachinotus carolinus

Two trials were conducted to evaluate the efficacy of commercial enzyme‐treated soy (ESBM) to replace the use of fish meal (FM) in practical diets for Florida pompano Trachinotus carolinus. The reference diet which has been run in numerous trials for Florida pompano was formulated using 150, 466 and 80 g/kg of FM, soybean meal and corn protein concentrate respectively. In trial 1, test diets were produced by replacing FM with 30.8, 61.4 and 92.1 g/kg of ESBM. In trial 2, test diets were produced by replacing FM with 28.9, 89.8, 120.1 g/kg of ESBM. Triplicate group of fish in trial 1 (mean weight = 13.05 ± 0.34 g) and trial 2 (mean weight = 18.45 ± 0.49 g) was fed these diets to apparent satiety for 8 weeks. Growth performance was affected as the dietary FM was replaced with ESBM. In trial 1, final weight (FW), percentage weight gain and thermal growth coefficient were lower in 6 g/kg of FM compared to 15 g/kg, while feed conversion ratio significantly higher in fish fed the lowest inclusion level of FM (6 g/kg). In trial 2, FW was significantly lower when FM completely replaced by ESBM and no significant differences in other growth parameters. In all trials, no significant differences were observed in terms of crude protein, moisture, fat, crude fibre, dry matter and ash content of the fish. No significant differences in serum levels of total protein, albumin, alkaline phosphatase, alanine transaminase, aspartate transaminase, glucose and bile acids were observed in either trial. However, in trial 1, serum cholesterol level was higher in fish fed 150 g/kg FM compared to other dietary treatments. The histomorphological structure of liver and distal intestine was slightly affected by lower inclusion level of FM. Overall, there was a decreasing trend in pompano growth performance as the inclusion of FM decreased. All parameters indicated that ESBM could be used to reduce the inclusion of FM from 150 to 90 g/kg.     

ASYMMETRIC SIGNAL INTENSITY IN NORMAL COLLATERAL LIGAMENTS OF THE DISTAL INTERPHALANGEAL JOINT IN HORSES WITH A LOW-FIELD MRI SYSTEM DUE TO THE MAGIC ANGLE EFFECT

Increased signal intensity in one of the collateral ligaments of the distal interphalangeal (DIP) joint of sound horses in images acquired using a low-field magnet with vertical orientation of the magnetic field was investigated as a possible manifestation of the magic angle effect. Three isolated equine digits were imaged using the following pulse sequences: (1) spin echo T1, (2) turbo spin echo proton density and T2, and (3) 3D gradient echo T1, in different positions by mildly changing the orientation of the long axis of the digit, in the dorsal plane, relative to the magnetic field. The signal intensity in a ligament was significantly increased when the ligament orientation relative to the magnetic field was 55±10°. The signal intensity was markedly increased in pulse sequences with short echo time (TE) 5.0, 4.9, and 3.9 times increased, respectively, for 3D gradient echo T1, spin echo T1, and turbo spin echo proton density) and to a lesser extent with pulse sequences with a longer TE (1.8 times increased for turbo spin echo T2). These changes are characteristic of the magic angle effect. Because of the anatomic orientation of the collateral ligaments of the DIP joint, a slight deviation of the long axis of the digit in the dorsal plane, from the ideal horizontal position, will induce an increased signal intensity that can be confused with desmitis. Careful positioning of the foot in magnetic resonance imaging systems where B ₀ is perpendicular to the long axis of the digit is critical to prevent the occurrence of the magic angle effect.     

INTRAARTERIAL CONTRAST-ENHANCED COMPUTED TOMOGRAPHY OF THE EQUINE DISTAL EXTREMITY

A technique for regional delivery of contrast medium to the foot of the horse to increase the diagnostic utility of computed tomography (CT) for the characterization of soft tissue structures within the hoof capsule was developed. An intraarterial catheter was placed under ultrasound guidance into the medial palmar artery at the level of the carpus to facilitate a steady-state infusion of iodinated contrast medium. Two 5 mm collimated contiguous acquisition CT scans were performed in 10 horses without lameness or radiographic evidence of distal sesamoid bone degeneration. CT examination was performed before and during regional arterial infusion of iodinated contrast medium administered at a rate of 2 ml/s. Cross-sectional area and mean pre- and post-contrast attenuation of the deep digital flexor tendon and the collateral ligaments of the distal interphalangeal joint were quantified from CT images. Soft tissue anatomy of the foot was also qualitatively characterized from pre- and postcontrast images. Catheterization was successful and without complication in all horses. The evaluated tendons and ligaments were clearly visible and had a small (8-20 Hounsfield Unit) but significant (P < 0.05, paired t-test) increase in attenuation during the steady-state infusion of contrast medium. This study should enhance the diagnostic potential of CT by providing baseline quantitative data for comparison with horses affected with soft tissue injuries in the distal extremity causing lameness that is alleviated with a palmar digital nerve block.     

Surgical arthrodesis of distal tarsal joints in 17 horses clinically affected with osteoarthritis

Objective To evaluate the outcome of 17 horses that underwent surgical arthrodesis of the tarsometatarsal and distal intertarsal joints for treatment of lameness due to osteoarthritis.
Design Retrospective clinical study using client-owned animals.
Procedure Horses with hindlimb lameness were diagnosed with osteoarthritis of the distal tarsal joints following relief of lameness after intra-articular anaesthesia or intra-articular corticosteroid injection. Surgery to stimulate ankylosis was performed on 27 hocks by placing 3 diverging 3.2 mm drill holes approximately 3 cm through the tarsometatarsal and distal intertarsal joints from the medial aspect of the limb. The results of surgery were assessed by postoperative examinations, telephone communication with clients and analysis of race results.
Results In 71% of horses, surgery was considered to be successful as determined by clinical examination or telephone communication with clients: six of these horses had unilateral surgery and six had bilateral surgery. This represented 85% (6/7) of horses undergoing unilateral surgery and 60% (6/10) of horses having bilateral surgery. All (8/8) racing Standardbreds and 67% (4/6) of racing Thoroughbreds were considered a success. The average time between surgery and a return to racing was 9.5 months.
Conclusions The surgical technique used here can provide resolution of lameness from osteoarthritis of distal tarsal joints with a success rate similar to other reported surgical arthrodesis techniques that are more invasive and have a greater morbidity.     

Distraction osteogenesis to treat premature distal radial growth plate closure in a dog

A 4-month-old Labrador was presented for forelimb lameness and elbow pain. Radiography revealed asymmetric premature closure of the distal radial physis resulting in humeroradial and humero-ulnar subluxation. A four-ring circular external fixator applied to the antebrachium was used to perform distraction osteogenesis. After a 4 day latency period, varying rates of linear distraction were used to lengthen the radius by 50% of its original length, which is significantly longer than has been previously reported. By 69 days after performing the radial osteotomy, the distraction callus had achieved clinical union and the fixator was removed. One year postoperatively, mild lameness was present after exercise and minimal elbow osteo-arthritis was evident radiographically. Complications observed included pin tract drainage, transient carpal contracture and radio-ulnar synostosis.     

人体下肢有限元动力学分析模型的建立和验证

为了研究行人碰撞事故中人体下肢的生物力学响应和损伤机理，建立了一个人体下肢有限元模型．模型按人体解剖学结构建立，由髋骨、股骨、胫骨、腓骨、膑骨、足骨、韧带、腱、关节囊以及髋关节、膝关节和踝关节构成．采用了壳单元和线性弹簧-阻尼单元来模拟骨骼和软组织．模型的边界和载荷条件根据汽车行人侧碰撞实验条件确定．通过比较仿真和实验在横向碰撞载荷条件下的剪切、弯曲响应结果，验证了模型的生物逼真度．分析了在不同加载条件下有限元模型的生物力学响应和应力分布，以及与下肢损伤风险的关系．