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MAGNETIC RESONANCE, ULTRASOUND AND HISTOPATHOLOGIC CORRELATION OF ACUTE AND HEALING EQUINE TENDON INJURIES
Authors:Jeffrey R.  Crass  MD   Ronald L.  Genovese  VMD   James A.  Render  DVM   Errol M.  Bellon  MD
Affiliation:Department of Radiology, MetroHealth Medical Center, Case Western Reserve University, 3395 Scranton Road, Cleveland, OH 44109;Randall Park Veterinary Hospital;The Animal Health Diagnostic Laboratory, Michigan State University.
Abstract:Ultrasonography and MRI have become valuable tools for imaging of tendon injuries. The current study examines the histopathologic basis for the imaging abnormalities. Five injured equine forelimbs and two normal contralateral limbs were studied with high resolution real time ultrasound and MRI. Histologic sections were made and correlated with the diagnostic images. All lesions were readily seen by both modalities. Lesions characterized by hemorrhage, edma, and cellular infiltration were sonolucent on ultrasound and bright on MRI images. MRI returned to normal as fibrogenesis ensued. Ultrasound images remained abnormal until fibrillar reallgnment occured with completion of the healing process. High resolution real time ultrasound and MRI both accurately reflect the tissue abnormalities in acute tendon injuries. The injured horse does appear to be an effective model for correlative imaging studies of tendon injuries.
Keywords:ultrasound    MRI    equine    tendon
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