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Biomedical subjects

L R Bramlage

Publications and source records attributed to L R Bramlage.

At least 55 records · Page 3Linked to original sources
PubMed1989

A preliminary investigation of the effect of selected electromagnetic field devices on healing of cannon bone osteotomies in horses.

The effect of electrical stimulation by means of selected electromagnetic field devices on healing of cannon bone osteotomies in horses was examined. The defects were created as 3 cm x 1 mm longitudinal osteotomies through the dorsal cortices of the mid-metacarpi/metatarsi of adult horses. This type of defect would asses bone healing in a situation similar to an acute, stable fracture of the cortex. Three electromagnetic devices of different design were tested in three different groups of horses. Healing was evaluated radiographically and histologically. Results showed that osteotomies treated with the electromagnetic devices healed similarly to untreated controls. Our conclusion is that the electromagnetic devices studied did not have a local effect on the repair process of an acute, stable, osseous defect.

Animals↗
PubMed1989

Sequential clinical and synovial fluid changes associated with acute infectious arthritis in the horse.

Infectious arthritis was induced experimentally in one tarsocrural joint of six horses by intra-articular injection of 1 ml Staphylococcus-saline suspension containing 9 x 10(4) to 3 x 10(6) organisms. The corresponding contralateral joint was injected with 1 ml of saline and served as a control. The progression of the induced infectious arthritis was assessed over a nine-day period by clinical examination and sequential synovial fluid analysis with pH and lactate measurements. Changes in synovial fluid were present before clinical signs of infectious arthritis were manifested. The diagnostic value of different synovial fluid parameters at various stages of infection was determined. Cellular changes initially preceded the biochemical changes. Total leucocyte counts showed a significant increase within 24 h (up to 100 x 10(9)/litre) with great variability in subsequent measurements. Neutrophilia over 90 per cent and pH under 6.9 were the most consistent findings in the infected synovia. Increased total protein was also significant and was progressive throughout the experiment. Serum and synovial glucose difference and synovial lactate had more diagnostic value in the acute stages than in the chronic stages. The control joints elicited an inflammatory response manifested by increased leucocyte count, moderate neutrophilia, slightly increased total protein concentration, and slightly decreased pH, but all reactions were minor in comparison to those in the infected joints.

Acute Disease↗
PubMed1989

The influence of corticosteroids on sequential clinical and synovial fluid parameters in joints with acute infectious arthritis in the horse.

Infectious arthritis was induced experimentally in one tarsocrural joint of six horses by intra-articular injection of 1 ml Staphylococcus aureus-saline suspension with the addition of 200 mg methylprednisolone acetate. The corresponding contralateral joint was injected with 1 ml of saline with the addition of 200 mg methylprednisolone acetate, and served as a control. The purpose of the experiment was to examine the effect of corticosteroids on the acute clinical signs of infectious arthritis, and the associated changes in synovial fluid, to separate the effects of a steroid injection from those of infection alone. This should aid early diagnosis of infection. The progression of the infectious arthritis was assessed over nine days by clinical examination and sequential synovial fluid analysis. The corticosteroids masked the clinical signs in some horses for up to the third day although changes in the synovial fluid were present earlier. Cellular changes preceded biochemical changes initially. Leucocyte counts showed a significant increase in cell numbers after infection was established. Persistent neutrophilia, over 90 per cent, together with a pH under 6.9 were the most consistent findings in the infected synovia. Total protein values were lower in infected joints with, than those without, corticosteroids; although there was a progressive rise in total protein concentration throughout the experiment in both groups. Serum and synovial glucose difference and synovial lactate had very little diagnostic value because significant increases due to the corticosteroids were documented in the control joints.

Acute Disease↗
PubMed1989

Effect of subchondral drilling on repair of partial-thickness cartilage defects of third carpal bones in horses.

Arthrotomies of middle carpal joints were done on 13 horses, and a 1-cm partial thickness, round defect was made on the radial facet of both third carpal bones. In one joint, 1-mm diameter 1-cm deep holes were drilled within the defect, and one joint was used as a control. horses were assigned to 2 groups--group 1 (n = 6 horses), 5 drill holes; group 2 (n = 7 horses), 11 drill holes. At 1 and 3 weeks after surgery, differences between joints in synovial fluid total protein values, WBC counts, or results of mucin precipitate tests were not significant (P = 0.005). Physically and radiographically, horses were the same during the 12 initial weeks they were housed in stalls and the 9 weeks they were kept in paddocks. Twenty-one weeks after surgery, horses were euthanatized. Joints with drill holes had a significantly greater area (P less than 0.05) of healthy fibrocartilage new tissue: group 1-33 to 68% new tissue, compared with 0 to 23% new tissue in controls; and group 2-22 to 64% new tissue, compared with 0 to 37% new tissue in controls. Differences between healing of defects with drill holes in groups 1 and 2 were not significant. Thickness of new tissue over drill holes was 33 to 61% of thickness of cartilage adjacent to the defect, and thickness of tissue between drill holes was 11 to 43% (group 1) and 8 to 79% (group 2) of the thickness of cartilage adjacent to the defect.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1988

A clinical perspective on lameness originating in the carpus.

Clinical experience continues to expand our understanding of the pathophysiology of pain and injury within the carpal joints. The anatomical and physiological capacity of the equine carpus to neutralise loading stress plays a significant role in the prevention of carpal injury. The ability of joint surfaces to dissipate axial force by transfer to the interosseous ligaments is the principal means by which carpal injury is avoided. In the medial aspect of the intercarpal joint and the dorsal aspect of the radial carpal joint, however, the effects of chronic maximal stress and isolated acute supraphysiological loads cannot be neutralised. Progressive osseous remodelling and stress induced changes within the bone, which outstrip its ability to accommodate increasing loads, lead to the loss of structural integrity and fracture in horses in training.

Animals↗
PubMed1988

Incidence, location and classification of 371 third carpal bone fractures in 313 horses.

The medical records and radiographs of all horses with a third carpal bone fracture admitted to The Ohio State University Veterinary Hospital from 1979 to 1987 were reviewed. Three hundred and seventy-one fractures were found in 313 horses; 57 percent were Standardbreds, 41 per cent were Thoroughbreds, and only 1.6 per cent were Quarterhorses. All were young racehorses (average age = 3.1 years). Third carpal fractures occurred more frequently in the right limb (60 percent) than the left limb (40 percent); Thoroughbreds had a greater right-left disparity (67.5 percent R, 27.1 per cent L). Fractures were classified according to their size and anatomical location within the third carpal bone: incomplete fractures of the radial facet (type 1, N = 39), large proximal chip fractures of the radial facet (type 2, N = 140), small proximal chip fractures of the radial facet (type 3, N = 18), medial corner fractures (type 4, N = 13), frontal plane slab fractures of the radial facet (type 5, N = 93), large frontal plane slab fractures involving both the radial and intermediate facets (type 6, N = 35), fractures of the intermediate facet (type 7 N = 13), and sagittal slab fractures (type 8, N = 20). The incidence of each fracture type was significantly different between Standardbreds and Thoroughbreds. Type 1 and 2 fracture were more common in Standardbreds; type 5 and 6 fractures were more common in Thoroughbreds. Differences between these two breeds are related to the different gaits at which they race. The classification more accurately describes the extent of injury and the variation in fractures observed in this study than the traditional division as chips or slabs. A high quality skyline projection is important in correctly identifying these fractures; over 10 percent of the fractures were detected only on this view.

Animals↗
PubMed1986

Radius fractures in the horse: a retrospective study of 47 cases.

The case records, radiographs and treatment results of 47 consecutive equine radius fractures presented to The Ohio State University Veterinary Hospital from 1975 to 1985 were examined retrospectively. Chip fractures and incomplete fractures were not considered. Both diaphyseal fractures and fractures involving the physes were included. Diaphyseal fractures were placed into three major categories: comminuted, oblique and transverse; and subclassified as proximal, mid-diaphyseal, or distal. Fractures involving a physis were classified using the Salter-Harris classification system. The horses ranged in age from one day to 19 years old. Nineteen of the patients were destroyed humanely on presentation, and 28 were treated. Twenty-four of the 28 fractures treated were repaired by open reduction and internal fixation. Success rate was related to the age of the horse and the type of fracture. Adult radius fractures have a poor prognosis. Most fractures in foals are either physeal fractures or transverse or oblique diaphyseal fractures and have an excellent to good prognosis when repaired adequately.

Animals↗
PubMed1986

Evaluation of the repair process of cartilage defects of the equine third carpal bone with and without subchondral bone perforation.

To determine the effect of subchondral bone drilling (forage) on the cartilage repair process after injury has occurred, a cartilage defect (1 cm in diameter) was created on the radial facet of the proximal surface of each third carpal bone in 6 adult horses. In one of the third carpal bones (right or left thoracic limb) of each horse, a 1-cm cartilage defect was created, and 5 holes (1 mm in diameter and 10 mm deep) were drilled through the subchondral bone into the cancellous bone. In the other thoracic limb, an identical defect was created, but not drilled. Analyses of cell numbers and types in the synovia and the mucin precipitate quality were done before, at 1 week after, and 3 weeks after surgical manipulation was done and showed no significant difference between the joint environment of drilled carpi and those of nondrilled carpi. At 21 weeks after surgical manipulation was done, each joint was examined radiographically, macroscopically, and microscopically to compare the condition of the joints and the state of repair of the cartilage in each defect. The amount of surface of the defect covered by the dense fibrous and fibrocartilagenous repair tissue and the thickness of the repair tissue were significantly greater (P less than 0.05 and P less than 0.01, respectively) in the drilled carpal bones. In addition, the attachment of the repair tissue to underlying chondro-osseous tissue was better in the drilled carpal bones. Fibrocartilage was resurfacing the drilled defects, whereas only fibrous tissue was present in the nondrilled defects.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1985

A surgical approach to treatment of suprascapular nerve injury in the horse.

Suprascapular nerve decompression has proven to be a useful treatment for refractory neuropraxia in horses. The surgical procedure used to effect that decompression is described. The surgery can be undertaken when conservative treatment has failed, but the sooner the surgery is done, the more likely the muscle mass is to be cosmetically satisfactory.

Animals↗
PubMed1985

Scapular notch resection for suprascapular nerve decompression in 12 horses.

Supraspinatus and infraspinatus muscle paralysis with atrophy was treated by partial osteotomy of the scapula, deep to the suprascapular nerve. The horses had various gait abnormalities, which were corrected by the surgery, but regeneration of the muscles varied from partial to complete, depending on the duration of the condition and the degree of atrophy before surgery.

Animals↗
PubMed1985

Semitendinosus tenotomy for treatment of fibrotic myopathy in the horse.

The medical records and follow-up data for 4 horses with fibrotic myopathy of the semitendinosus muscle treated by semitendinosus tenotomy were reviewed. The gait deficit for each of the 4 horses was typical of fibrotic myopathy. Two of the horses had the gait deficit since birth. The efficacy of semitendinosus tenotomy was compared with the traditional treatment of partial myotenectomy of the affected muscle. The functional results in the 4 horses appeared to be equal to partial myotenectomy in returning the horses to athletic function and, compared with what has been reported, was cosmetically superior.

Animals↗
PubMed1984

Retrospective analysis of 29 fractures of the olecranon process of the equine ulna.

Twenty-nine fractures of the olecranon process of the ulna in horses treated at The Ohio State University College of Veterinary Medicine from 1973 through 1983 were evaluated. The objectives of the study were to determine the prognosis for various configurations of fractures of the olecranon process of the ulna, to determine what preoperative factors influenced the prognosis, and to evaluate the efficacy of the treatment methods used. The fractures were placed in one of 4 categories on the basis of severity of the injury: type-1 fractures involved the physeal plate; type-2 fractures involved the olecranon at the level of the anconeal notch (narrowest cross-sectional area of the ulna); type-3 fractures involved the proximal portion of the olecranon without involving the elbow joint; and type-4 fractures were severely comminuted fractures. Three modes of treatment used were: (1) open reduction and internal fixation, using a tension band plate, (2) elbow to ground splinting, with stall rest, and (3) stall rest alone. Internal fixation with a tension band plate was 68% successful. Of those horses in which repair was considered successful, 84% returned to excellent function. Elbow to ground splinting with stall rest was used successfully for nonarticular and nondisplaced fractures in 2 horses. Stall rest alone resulted in 28% "pasture sound" horses, with none of the 7 horses so treated returning to athletic performance. On the basis of this study, the following conclusions were derived. (1) Nonarticular/nondisplaced fractures are candidates for nonsurgical treatment, using full-limb splinting, stall rest, and periodic reevaluation.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1983

Fractures of the central and third tarsal bones in horses.

The case histories and follow-up data for 11 horses with slab fractures of the central or 3rd tarsal bones were examined for information pertaining to the diagnosis, which was difficult to identify, treatment, which was proven ineffective, and the prognosis, which was shown to be poor for return to racing. The purpose of the study was to define the results that could be obtained by nonoperative methods, in an attempt to determine whether surgical treatment was advisable. Nine of the horses were Standardbreds and 2 were Thoroughbreds; all horses were 2 to 4 years old and were being exercised at race speed when the injury occurred. The diagnosis usually was made at the referral examination, some time after injury. Distention of the tibiotarsal joint usually developed following fracture of the central tarsal bone. In some fractures, local anesthetic injection or multiple radiographic views were required for diagnosis. Not all fracture planes were demonstrable radiographically. Prolonged rest was ineffective in restoring athletic soundness. Lag screw fixation was used in 1 horse, the only horse in the series that raced successfully after injury.

Animals↗