Biomedical subjects

B Van Ryssen

Publications and source records attributed to B Van Ryssen.

10 recordsLinked to original sources

PubMed2006

Review of the literature: elbow incongruity in the dog.

Elbow incongruity is the term to describe bad alignment of the joint surfaces of the elbow. Two features illustrate incongruity of the elbow: an abnormal shape of the ulnar trochlear notch and a step between the radius and ulna, caused by either a short radius or a short ulna. It has been suggested that both an elliptical notch, and a step, can cause increased local pressure within the joint, resulting in loose fragments at different locations: ununited anconeal process (UAP), fragmented coronoid process (FCP), osteochondritis dissecans of the humeral condyle (OCD). These lesions are grouped under the term 'elbow dysplasia' and are the most frequent causes of front leg lameness in the dog. Although several radiographic features to diagnose incongruity have been described, the 'scoring' of incongruity is subjective because there is currently no objective method to measure the degree of incongruity. Because superimposition is avoided, CT is suggested as a standard technique to measure incongruity. Arthroscopy on the other hand, allows the direct visualisation of the intra-articular structures and their abnormalities. Information on both techniques are still relatively new. Several surgical techniques have been proposed to restore joint congruity; the one most frequently used is an ulnar osteotomy. But because of possible complications, other techniques are being developed. Reports evaluating the results of the different techniques are not yet available.

Animals↗

PubMed2002

Radiographic, computed tomographic and arthroscopic findings in 23 dogs with osteochondrosis of the tarsocrural joint.

Twenty-three dogs with osteochondrosis of the tarsocrural joint were evaluated by radiography, computed tomography (CT) and arthroscopy. The radiographic examination included an extended and flexed mediolateral, a plantarodorsal, a flexed dorsoplantar skyline view, and a plantaromedial-dorsolateral and a plantarolateral-dorsomedial view (two oblique views). The CT examination was carried out in ventral recumbency and 1 mm slices were taken with a bone window setting; 31 lesions were identified in the 46 joints examined. The arthroscopic exploration used either a plantar or a dorsal puncture, depending on the site of the lesion. In six cases the lateral, and in 17 cases the medial trochlear ridge was involved. Although the survey radiographs were sufficient to make a diagnosis, the CT examination helped to determine the exact site, and the number and size of the fragments of bone. A four-stage classification system comparable to the one used in man was established. Arthroscopy provided information about synovial inflammation and damage to the joint cartilage, and made it possible to remove fragments of bone from one-third of the cases.

Animals↗

PubMed2002

The effects of intrathoracic pressure during continuous two-lung ventilation for thoracoscopy on the cardiorespiratory parameters in sevoflurane anaesthetized dogs.

The cardiopulmonary effects of different levels of carbon dioxide insufflation (3, 5 and 2 mm Hg) under two-lung ventilation were studied in six sevoflurane (1.5 minimum alveolar concentration; MAC) anaesthetized dogs during left-sided thoracoscopy. An arterial catheter, Swan-Ganz catheter and multianaesthetic gas analyser were used to monitor the cardiopulmonary parameters during the experiment. Baseline data were obtained before intrathoracic pressure elevation and the measurements were repeated at intervals after left lung collapse induced by insufflation with carbon dioxide gas. The intrapleural pressure levels used were 3, 5 and 2 mm Hg. Arterial blood pressures, cardiac index, stroke index, left and right ventricular stroke work index, arterial haemoglobin saturation, arterial oxygen tension and systemic vascular resistance decreased significantly during hemithorax insufflation, whereas heart rate, right atrial pressure, mean, systolic and diastolic pulmonary arterial pressure, pulmonary capillary wedge pressure, pulmonary vascular resistance and arterial carbon dioxide tension significantly increased during intrapleural pressure elevation. Although carbon dioxide insufflation into the left hemithorax with an intrapleural pressure of 2-5 mm Hg compromises cardiac functioning in 1.5 MAC sevoflurane anaesthetized dogs, it can be an efficacious adjunct for thoracoscopic procedures. Intrathoracic view was satisfactory with an intrapleural pressure of 2 mm Hg. Therefore, the intrathoracic pressure rise during thoracoscopy with two-lung ventilation should be kept as low as possible. Additional insufflation periods should be avoided, since a more rapid and more severe cardiopulmonary depression can occur.

Anesthetics, Inhalation↗

PubMed1998

Diagnosis of cranial cruciate ligament injury in dogs by tibial compression radiography.

Stress radiographs were taken of 42 sound stifle joints, of five stifles with injuries other than cruciate disease, and of 72 stifles with surgically confirmed cranial cruciate damage. The stifles were also examined by the cranial drawer test. No false positive compression radiographs were obtained. In the 72 stifles with cranial cruciate damage, instability was diagnosed on the stressed view in all but two cases. The sensitivity of the radiographic tibial compression test was 97 per cent, compared with 86 per cent for the cranial drawer test; the specificities of the tests were 100 per cent and nearly 98 per cent, respectively.

Animals↗

PubMed1998

Diagnostic and surgical arthroscopy in osteochondrosis lesions.

In the dog, as in man and the horse, arthroscopy has an important role in treatment of joint disease. In the shoulder, elbow, and stifle joints, surgical arthroscopy can and should replace the classical surgical methods of treating osteochondrosis lesions. In elbow and tarsocrural joint disorders, the diagnostic potentials of arthroscopy are evident. With the established techniques, not only can the lesions be diagnosed with accuracy, but they can also be treated within the same procedure, making arthroscopy the treatment of choice to deal with osteochondrosis lesions. Without a doubt, arthroscopy will play an important role in the understanding of the etiopathology of different joint diseases, especially within the elbow joint, where so many questions remain unresolved. The advantages of arthroscopy in the diagnosis and treatment of osteochondrosis have also encouraged other veterinary surgeons to adopt the technique. In the developmental stage of arthroscopy in the dog, a frequently expressed comment was that arthrotomy was as valuable and as easy (or easier) to perform as arthroscopy. Now that the advantages of arthroscopy have been demonstrated, the skepticism has changed into enthusiasm. The same evolution is noted with arthroscopy in both man and the horse.

Animals↗

PubMed1997

Arthroscopic findings in 100 dogs with elbow lameness.

Elbow arthroscopy was performed in 100 dogs with foreleg lameness localised to the elbow joint, bilaterally in 48 of them, making a total of 148 joints examined. Lesions in the area of the medial coronoid process varied from cartilage fissures in 13 to fragmentation in 91, chondromalacia-like lesions in 27. This last lesion has not been reported previously in the veterinary literature. Kissing lesions on the medial side of the humeral condyle were present in 83 joints, whereas lesions of osteochondritis dissecans were found in only three. All these lesions were associated with varying signs of synovitis and arthrosis. Arthroscopic signs of arthrosis and/or synovitis without associated medical coronoid lesions were found in 14 elbow joints.

Animals↗

PubMed1995

Magnetic resonance arthrography of the scapulohumeral joint in dogs, using gadopentetate dimeglumine.

Six scapulohumeral joints (3 normal joints and 3 joints with radiographic evidence of osteochondrosis) underwent conventional magnetic resonance (MR) imaging and MR scapulohumeral arthrography to evaluate delineation of the articular cartilage. The MR arthrography was performed, using 5 ml of 500 microM gadopentetate dimeglumine (Gd-DTPA) as a contrast medium. Delineation of normal articular cartilage and cartilage defects was less accurate after intra-articular administration of Gd-DTPA. Therefore, it was concluded that MR arthrography with Gd-DTPA is unrewarding for evaluation of osteochondrosis lesions.

Animals↗

PubMed1993

Pathologic correlations with magnetic resonance images of osteochondrosis lesions in canine shoulders.

Twelve shoulders in 6 dogs with clinical and radiographic evidence of osteochondrosis were examined by magnetic resonance imaging performed on a 0.5-T superconductive system. Scans were obtained with 5-mm-thick slices and 0.75-mm pixel size. Unenhanced T1-weighted spin-echo and unenhanced T2*-weighted gradient-echo images were obtained, using a high-resolution surface coil. The T1-weighted sequences were repeated after IV injection of 0.1 mmol of gadopentetate dimeglumine/kg of body weight (0.2 ml/kg). In 6 joints, histologic examination of synovia and articular cartilage was carried out. The magnetic resonance images were correlated with arthrographic, arthroscopic, and histologic findings. Magnetic resonance imaging was useful in evaluating the extent of subchondral lesions and the severity of inflammatory changes within the subchondral bone. Areas of low signal (visible subchondrally on T1-weighted images that were enhanced by administration of contrast medium) indicated active inflammatory changes within the subchondral bone. Although articular cartilage discontinuity could be detected, loose cartilage flaps could not always be reliably demonstrated. Signal inhomogeneity within the articular cartilage was presumed to correspond with zones of cartilage degeneration.

Animals↗

PubMed1993

Elbow arthroscopy in clinically normal dogs.

After a detailed anatomic study to determine puncture sites, 10 cadaver elbows from 5 dogs were examined arthroscopically to study the normal intraarticular anatomy, as viewed from the medial side. Subsequent dissection revealed absence of neurovascular injury and only minor iatrogenic damage to the cartilage. The technique was clinically applied and evaluated in 13 dogs (26 joints). The dogs recovered without complications. The technique proved to be safe and reliable for direct examination of nearly the entire joint. More specifically, it allowed systematic inspection of the medial and lateral humeral condyles, the medial and lateral coronoid processes, the caudal and middle parts of the head of the radius, the olecranon (including the anconeal process), and the medial collateral ligament.

Animals↗

PubMedDate not supplied

Thoracoscopic anatomy of dogs positioned in lateral recumbency.

In four healthy, adult male German shepherd dogs, thoracoscopy was performed to provide a detailed description and illustration of the endoscopic anatomy of the normal intrathoracic structures of dogs. The dogs were anesthetized and placed in left or right lateral recumbency. The cannula and the endoscope were advanced into the thoracic cavity via entry of the free upper side in the dorsal third of the eighth intercostal space. Most intrathoracic structures of the left and right hemithorax were endoscopically visible. During the four thoracoscopic procedures, endoscopic photographs were taken and are illustrated in this paper. A sound knowledge of the anatomy of intrathoracic structures is a prerequisite for diagnostic and therapeutic thoracoscopy.

Animals↗