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PubMed1975

Ossicles of knee menisci. Report of seven cases.

Seven cases of ossicles in the posterior horn of the medial meniscus revealed that: trauma is not necessarily an antecedent; some knees with ossicles are asymptomatic; some knees may be treated conservatively and without surgery; ossicles can be distinguished from loose bodies under fluoroscopic examination. Microscopically the ossicles are living bone. Although the etiology is not proven, perhaps merit should be given to the theory of a vestigial or sesamoid-like bone.

Adult↗
PubMed1983

Review of pulsing electromagnetic field therapy and its possible application to horses.

The relevant literature on electrostimulation in general, and pulsing electromagnetic fields in particular, is reviewed. DC current influences cell behaviour by affecting transmembrane ion transport, which is often under enzymatic control. Pulsing electromagnetic fields influence cell functions through adsorption of ions or dipole formation at the cell membrane. Invasive and non-invasive DC current stimulation is compared to pulsing electromagnetic fields. The mode of application of pulsing electromagnetic fields to the equine limb and suggested treatment times are briefly discussed. Two case reports are used to illustrate the effect of pulsing electromagnetic fields in equine fracture treatment.

Animals↗
PubMed1992

First and second metatarsophalangeal joint dislocation. A case report.

A case of dislocated first and second metatarsophalangeal joints was reported along with the mechanics and mechanism of injury. The practitioner must be familiar with the mechanism of injury and radiographic classification to determine the proper indications for closed versus open reduction. The authors' review of the literature did not reveal a similar case involving a dislocation of the first and second metatarsophalangeal joints.

Bandages↗
PubMedDate not supplied

Spontaneous rupture of the peroneus longus tendon with fracture of the os peroneum.

Injuries of the peroneus longus and os peroneum are rarely reported. Two cases are presented, each occurring with an inversion stress and resultant audible snap. One patient sustained a complete spontaneous disruption of the peroneus longus with fracture of the os peroneum. This 64-year-old male was treated by excision of the proximal fracture fragment of the os peroneum and primary tendon repair. A 2-week prodrome of pain in the lateral aspect of the foot, preceded the rupture. Case 2, a 39-year-old female, was treated nonoperatively, and represents the clinical dilemma that may occur when the os peroneum is traumatized. It is emphasized that diagnosis of fracture of this ossicle can only be confirmed with operative excision and microscopic study. The authors recommend primary surgical treatment in those cases where continuity of the peroneus longus is disrupted. Where continuity is maintained, surgical exploration should be reserved for those cases that fail to respond to prolonged and intensive rehabilitation. Both patients regained full function and remain symptom free 11 and 10 months after treatment.

Adult↗
PubMed2003

Great toe pain.

Explore the source record for details and available documents.

Accidental Falls↗
PubMed1996

Ultrastructure of fibrocartilages at the insertion of the rat Achilles tendon.

The ultrastructure of 3 fibrocartilages is described at the insertion of the adult rat Achilles tendon. Enthesial fibrocartilage lies at the tendon-bone junction, sesamoid fibrocartilage in the deep surface of the tendon where it presses on the calcaneus, and periosteal fibrocartilage covers the opposing surface of the bone. All had some features that could be interpreted as typical of fibrous tissues and other features that were more characteristic of cartilage. The general extracellular matrix was largely fibrous and had relatively little visible proteoglycan. In contrast, the cells had features more common in cartilage--dilated rough endoplasmic reticulum, glycogen and lipid, and pericellular matrix rich in proteoglycans and fine collagen fibrils. The periosteal fibrocartilage was the most 'cartilaginous' in character, probably because it develops rapidly after birth as a secondary cartilage from the calcaneal periosteum whereas enthesial and sesamoid fibrocartilages develop by metaplasia of tendon fibroblasts. A major difference between the 3 fibrocartilages was the arrangement of their collagen fibrils. There were parallel bundles in enthesial fibrocartilage but interweaving networks in the sesamoid and periosteal fibrocartilages. This probably reflects different functional demands of the tissues. The sesamoid and periosteal fibrocartilages directly formed the boundaries of the retrocalcaneal bursa and were not covered by synovium. Both were lined by an electron dense, articular surface lamina that prevented cell contact with the bursa. It significance is unclear, but it could protect against wear and tear, represent material being shed into the bursal cavity or control nutrient exchange with the synovial fluid.

Achilles Tendon↗
PubMed1993

A study of 118 cases of navicular disease: radiological features.

Dorsoproximal-palmarodistal oblique, lateromedial and palmaroproximal-palmarodistal oblique radiographic projections were used with standard techniques to examine 118 horses with clinical signs of navicular disease. All radiological features which have previously been reported as significant changes in the navicular bones of horses with navicular disease were recorded. Comparisons were made between these features in lame limbs and sound limbs in unilaterally lame horses and most lame limbs and least lame limbs in bilateral but asymmetrically lame animals. Their relationship to the degree of lameness was also analysed. No relationships were identified between the characteristics of distal border synovial invaginations, flattening and/or thinning of the flexor cortex and limb distribution or severity of lameness. Defects in the flexor cortex, proximal border remodelling, medullary trabecular disruption and medullary sclerosis appeared to be related to limb affliction and severity of lameness while proximal border enthesophytes, and poor flexor corticomedullary demarcation presented evidence of a relationship to the grade of lameness. Poor flexor corticomedullary demarcation and fragmentation of the distal border were related to the severity of lameness in bilateral but asymmetrically affected horses. The presence of peri-articular osteophytes and mineralisation of the flexor digitorum profundus were too infrequently recognised to permit meaningful data evaluation.

Animals↗
PubMed1980

[Effect of systematic participation in boxing on the maturation of hand bones in young boxers].

The aim of the work was to state the time of ossification of hand bones in young boxers, residents of Far East, and to clarify how systematic box training affects maturation of the bones in question. Roentgenograms of boxers' hand bones training at sporting schools in Khabarovsk were used as the material of the investigation, and those of schoolchildren and students nonsportsmen from Khabarovsk were used as the control. Percentage ratio of rates and arrows served for comparative estimation of the results. The investigation demonstrated the time of the hand bones ossification, as well as the effect of systematic sport training on maturation of the hand bones towards its deceleration.

Adolescent↗
PubMedDate not supplied

A modified Cloward's technique for arthrodesis of the normal metacarpophalangeal joint in the horse.

A modified Cloward's technique was performed for arthrodesis of one metacarpophalangeal (MCP) joint in eight horses. Dorsal arthrotomies were performed medial and lateral to the common digital extensor tendon and two 16 mm holes were drilled through the joint. A perforated cylindrical stainless steel basket filled with cancellous bone was impacted into each hole. The limbs were supported in casts for 8 weeks. The joints were examined and radiographed at 4 weeks, 8 weeks, 6 months, and 10 months. One horse was euthanatized at week 14 to assess the progress of the arthrodesis. In the other seven horses, there was clinical fusion at month 6. Dynamographic evaluations were performed 11 months after surgery at the walk and trot. The maximum vertical forces exerted during weight bearing by treated and control limbs were compared. No difference was detected at the walk; however, a significant difference was present at the trot (p less than 0.05). It was calculated that at the trot the horses placed 90% as much force on the treated limb as on the control limb. Eleven months after surgery, the baskets contained compact and cancellous bone. Ingrowth of bone occurred through all openings, completely filling the baskets and fusing the joints.

Animals↗
PubMed2005

Radiography and US of os peroneum fractures and associated peroneal tendon injuries: initial experience.

PURPOSE: To retrospectively evaluate the imaging features of os peroneum fractures and associated peroneus longus tendon injuries at radiography and ultrasonography (US) and to retrospectively compare these imaging features with those of multipartite os peroneum. MATERIALS AND METHODS: Institutional review board approval was obtained and informed consent was waived for this HIPAA-compliant study. Retrospective review of findings in nine patients (five men, four women; age range, 35-59 years) with os peroneum fracture at radiography and lateral foot pain after injury who had undergone US of the foot was performed. Three patients underwent magnetic resonance (MR) imaging, and two underwent surgery. Os peroneum fragment separation and displacement relative to the calcaneocuboid joint were measured on radiographs. Os peroneum fracture and peroneus longus tendon injuries were characterized with US and MR imaging. Review of 43 foot radiographs obtained in 36 control subjects (eight men, 28 women; age range, 18-84 years) who were found to have an os peroneum at radiography but were asymptomatic in that area was completed to measure os peroneum distance from the calcaneocuboid joint and bipartite os peroneum fragment distraction. RESULTS: Os peroneum fragment separation of 6 mm or more or displacement of the proximal fragment by 10 mm or more on a lateral radiograph or 20 mm or more on an oblique radiograph was associated with full-thickness peroneus longus tendon tear in seven of seven patients (100%). Os peroneum fragment separation of 2 mm or less or proximal displacement of 8 mm or less was associated with normal tendons, partial-thickness tears, or tendinosis. In the control subjects, os peroneum location ranged from 7 mm proximal to 8 mm distal to the calcaneocuboid joint on lateral radiographs and from 9 mm proximal to 8 mm distal to the joint on oblique radiographs. Bipartite os peroneum fragment separation was 2 mm or less. CONCLUSION: Os peroneum fragment separation of 6 mm or more suggests os peroneum fracture and associated full-thickness peroneus longus tendon tear. Separation of 2 mm or less may be seen with nondisplaced os peroneum fractures and bipartite os peroneum.

Adolescent↗
PubMed1995

Role of navicular bone shape in the pathogenesis of navicular disease: a radiological study.

From progeny lists of 30 Dutch Warmblood sires, 586 3-year-old females by these stallions were randomly selected, each progeny group aimed at 20 animals for statistical reasons. The front feet of the sires and female progeny were examined radiographically using lateromedial and dorsopalmar upright pedal projections. The radiological features associated with navicular disease were classified 0-4 using a standardised classification, grades 3 and 4 representing the more severe changes. The shape of the proximal articular border of the navicular bone outline on the dorsopalmar view was classified 1-4; 1=concave; 2=undulating; 3=straight; 4=convex. A significant shape-grade association was found, the highest grades 3 and 4 incidence demonstrated by shape 4. In shapes 1 and 2, navicular bones grades 3 and 4 features were mainly characterised by inverted flask-shaped channels. In shape 3, navicular bones grades 3 and 4 were dominated by enthesiophytes. These findings indicate an apparent shape predisposition to radiological changes associated with navicular disease. The shape of the navicular bone in the offspring was on average the same as the sire, indicating an hereditary element in navicular bone shape.

Animals↗
PubMed1992

Excision of the pisiform in piso-triquetral osteoarthritis.

12 patients with pain in the piso-triquetral region are described. 11 had radiological evidence of osteoarthritis of the piso-triquetral joint, which was confirmed in the nine cases treated by excision of the pisiform. Seven of these had complete relief of symptoms. The clinical findings are constant and relief of pain by conservative treatment is usually only temporary. Ulnar nerve symptoms were present in four patients and these were also relieved by surgery. Excision of the pisiform is a useful operation for this condition, which often remains undiagnosed due to incomplete clinical and radiological evaluation. Full return to normal function is the rule if the problem is not associated with other wrist pathology.

Adolescent↗