SEARCH · PubMed Health

Results for “Stifle”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

PubMedDate not supplied

The effect of intercondylar notchplasty on the normal canine stifle.

This study evaluated the effect of notchplasty (enlargement of the intercondylar fossa) in stable and unstable canine stifles. Bilateral notchplasty and unilateral cranial cruciate ligament (CrCL) transection were performed in 6 dogs. Exercise, consisting of walking 1.5 miles three times a week, began 1 month after surgery and continued until euthanasia 6 months after surgery. Evaluation methods included orthopedic examination, serial radiographs, thin section radiography, histopathology, and gross pathology. Notchplasty in the stable stifle did not cause lameness beyond 3 weeks, joint instability, or degenerative joint disease. In the stable stifle, smooth resurfacing of the notchplasty site with fibrous and osseous tissue occurred. Stifles with notchplasty and CrCL transection exhibited persistent lameness, instability, and degenerative joint disease. In CrCL deficient stifles osteophytes formed within the notchplasty site, resulting in a rough surface. Our observations indicated significant refilling in notchplasties of both stable and unstable stifles (P < .05). However, the intercondylar fossa (ICF) width 6 months after notchplasty was significantly smaller in unstable stifles compared with stable stifles (P < .05) indicating that greater refilling of the notchplasties occurred in the unstable stifles. In clinical cases, notchplasty should be larger than the desired final result to accomodate the partial refilling that occurs even in stable stifles.

Animals↗

PubMed1991

Anatomical and functional communications between the synovial sacs of the equine stifle joint.

The anatomical and functional communications of the synovial sacs of the equine stifle joint were evaluated in 50 stifle joints of 25 horses. Femoropatellar joint (FPJ) sacs were injected with 50 ml of gelatin-based dye and horses were then walked for 50 m. Horses were subsequently killed, the stifle joints dissected and the location of the dye recorded. Twenty-three horses (46 joints) had clinically normal stifle joints and in this group, anatomical communications of the stifle joints were bilaterally symmetrical in each horse. In 15 of these 23 horses (65 per cent), direct anatomical communication between the FPJ sac and the medial sac of the femorotibial joint (FTJ) was demonstrated. The FPJ sac communicated with both the medial and lateral sacs of the FTJ in four of these 23 horses (17.5 per cent). There were no anatomical communications between the FPJ sac and either sac of the FTJ in the remaining four horses (17.5 per cent). Functional communication, which was established by finding dye in the FTJ sacs were anatomical communication with the FPJ sac existed, was demonstrated in 14 of 19 horses (74 per cent). Two horses were affected with degenerative joint disease of one stifle joint. In both of these joints the FPJ sac communicated with both the medial and lateral FTJ sacs. This distribution was different from that of the contralateral joint. When performing intra-articular anaesthesia of equine stifle joints, each synovial sac needs to be injected separately to ensure that anaesthesia of the appropriate synovial sac is obtained.

Animals↗

PubMed1991

Evaluation of the instantaneous centers of rotation of the stifle before and after repair of torn cruciate ligament by use of the over-the-top technique in dogs.

Seven dogs with torn cruciate ligament were used to evaluate the "over-the-top" repair procedure, using instantaneous center of rotation (ICR). Normal and cruciate-torn stifles of dogs were radiographed before surgery, using an image intensifier videotape system. The injured stifle was reradiographed 6 weeks after surgery. Images of the stifles were photographed from video monitor. Photographs were analyzed by a digitizer hooked to a computer to find the ICR at various angles. Data were analyzed, using multivariate analysis of variance. Relative to those of normal stifles, ICR of the damaged stifles were located significantly (P less than 0.05) proximal and caudal. After surgery, the ICR were still proximal and caudal, but not significantly so. We conclude that the cruciate-torn stifle deviates significantly from normal and that such deviation is restored to normal limits by use of the over-the-top procedure.

Animals↗

PubMed1994

Three-dimensional kinematics of the intact and cranial cruciate ligament-deficient stifle of dogs.

Joint motion was measured for the intact and cranial cruciate ligament (CCL)-deficient stifle in five large dogs using an instrumental spatial linkage and radiophotogrammetry. The linkage was directly attached to the bones using modified bone plates. Motion data were presented in terms of a clinical coordinate system. Stifle kinematics were highly reproducible for a given dog. For intact stifle kinematics, the swing phase included flexion-extension, internal-external rotation and abduction-adduction, while stance-phase kinematics included only flexion-extension. Loss of the CCL altered joint kinematics over the entire gait cycle. At the swing-stance transition, the CCL-deficient stifle demonstrated an abrupt cranial subluxation of the tibia which was sustained throughout stance. At the beginning of the swing phase the CCL-deficient joint returned to the cranial-caudal alignment seen in the intact joint. The dog's stifle was shown to be CCL-dependent during stance. The dog compensated for CCL loss by reducing the external limb load and by carrying the limb in greater flexion throughout the gait cycle, but was unable to prevent joint subluxation during stance. Stifle kinematics are greatly altered following CCL loss. It is the repetitive, mechanical, dynamic subluxation in a CCL-deficient joint which may be the cause of joint degeneration.

Animals↗

PubMedDate not supplied

A retrospective evaluation of stifle osteoarthritis in dogs with bilateral medial patellar luxation and unilateral surgical repair.

The effects of surgical and nonsurgical therapy on the development of osteoarthritis were compared in 12 dogs with bilateral medial patellar luxation and unilateral surgical repair. Evaluations included severity of lameness and patellar luxation, ligamentous stability, range of motion, and radiographic evidence of osteoarthritis before surgery and at a mean of 33 months after surgery. Stifles without surgical treatment served as controls for the contralateral stifles with surgery. All stifles treated surgically had reduced patellofemoral joints, normal range of motion, and improved limb use. Osteoarthritis progressed significantly and comparably in both groups of stifles. Progression of osteoarthritis was not correlated with luxation grade, body weight, or interval from surgery to follow-up. Age at surgery was correlated positively with severity of osteoarthritis in the stifles treated surgically.

Animals↗

PubMed1993

Feline stifle disease.

The feline patient has an excellent prognosis for return to normal stifle function with all but the most severe knee injuries. Thorough physical and radiographic evaluation of the stifle predicts successful management of stifle injury. By understanding the mechanics of injured structures, the surgeon can integrate repair methods that maximize the chances of the stifle returning to normal function.

Animals↗

PubMed1982

Subchondral cystic and related lesions affecting the equine pedal bone and stifle.

Twenty-nine horses were examined over a period of 8 years and found to have cystic lesions in the stifle (14 cases) or pedal bone (15 cases). The lesions are described and illustrated with radiographs. In the stifle 12 lesions were found on the femoral condyles (11 medially and one laterally) and 10 were typical subchondral cysts. One lesion was observed in the tibia and 3 in the patella. Bone cysts wee found unilaterally in the pedal bone (14 in the forelimbs and one in the hindlimb). All but 2 of the horses with lesions in the stifle or pedal bone were lame. The only treatment was rest. For the stifle lesions, the prognosis was reasonable for young horses but poor for those over 4 years of age; for the pedal bone lesions the prognosis was guarded. Trauma is advanced as the most likely major aetiological factor.

Animals↗

PubMed1995

Methods and errors in measurements of synovial fluid volume in stifles with low volume and high viscosity synovial fluid. An experimental study in goats.

Synovial fluid (SF) volume was calculated using various methods in the stifles of goats, in which the cranial cruciate ligament had been transected on one side. Measurements were performed prior to surgery and again 4, 8, and 18 weeks following surgery, by measuring the dilution of an injected radioactive tracer diluted by the SF. Later, 7 months following surgery, SF volume measurements using simple arthrocentesis were performed on stifles in 9 of the goats, and the SF that could not be aspirated, was calculated using 2 indirect methods simultaneously on identical fluids in 3 of these goats. SF was also collected directly during staged arthrotomy of the stifles in 4 goats. There were conflicting results between methods, but the resulting calculated SF volumes seemed to be larger in the operated stifles compared to the controls for all the methods at about the same degree. The 2 indirect methods used to calculate the fluid remaining in the joints following arthrocentesis gave disparate volume calculations. The experiments revealed sources of error in all methods. Direct methods failed to acquire the total fluid volume, and indirect methods were subject to improper mixing and escape of the injected fluid or synovial fluid or both. It was concluded that none of the methods could be used to measure the "true" volume of SF, if such a concept exists and can be defined. None of the methods were considered reliable to compare volumes in different type of joints containing this type of fluid. It was, however, concluded that all the methods gave indication of increased SF volume present on a relative basis when paired joints were compared.

Animals↗

PubMedDate not supplied

Effects of immobilization on cartilage formation after periosteal grafting in the rabbit stifle.

Autogenous periosteal grafts were harvested and placed in the trochlear grooves of the stifles of 32 rabbits. Postoperative immobilization periods of 0, 7, and 14 days were compared. Grafted areas were evaluated for gross appearance, histologic morphology, attachment of cartilage to subchondral bone, cartilage depth, chondrocyte density, proteoglycan presence, collagen fiber orientation, and mitotic activity. Nonimmobilized stifles had increased gross coverage of subchondral bone, better histologic quality, increased safranin O stain uptake, and more normal collagen fiber orientation at 60 days than stifles immobilized for 7 ir 14 days. Postoperative immobilization did not affect attachment of the graft to the subchondral bone.

Animals↗

PubMedDate not supplied

The effect of trans-stifle external skeletal fixation and hyaluronic acid therapy on articular cartilage in the dog.

Transarticular external skeletal (TES) fixators were applied unilaterally to the stifle joints of 10 young adult dogs. After 4 weeks, the fixators were removed from all dogs. Two dogs were not allowed a remobilization period, whereas 8 dogs were provided with 4 additional weeks of weight-bearing activity in a kennel run. Four dogs were given high-molecular weight hyaluronic acid by intra-articular injection weekly during the remobilization period. Clinical gait evaluations and range of motion were determined during the remobilization period. Articular cartilage samples from both stifle joints of all dogs were evaluated histologically and histochemically. No significant differences in gait scores or range of motion were noted between treated and untreated dogs. Articular cartilage proteoglycan content was reduced after 4 weeks of trans-stifle external skeletal fixation as determined by loss of alcian blue (AB) histochemical staining. Improved homogeneity of histochemical staining was observed after remobilization. However, remobilization was associated with histological damage to the surface and tangential layers of articular cartilage. Remobilization combined with hyaluronic acid (HA) therapy improved histochemical staining and reduced structural damage to articular cartilage when compared with remobilization alone.

Animals↗

PubMed1982

Radiographic examination of the equine stifle.

A radiographic technique is described for the equine stifle joint with the horse in the standing position or under general anaesthesia. The method with the animal anaesthetised in the dorsal recumbency and the leg extended was preferred because it gave greater flexibility with a better range of views and greatly reduced the safety hazards. In the standing position a useful practical tip for the lateral view was to raise and extent the limb caudally. This provides some flexion and ventral movement of the stifle allowing improved access for the cassette, a more accurate lateral view of the joint and a reduction in exposure. Some of the features of radiographic anatomy, from birth to adulthood, of this rather complex joint are described to form a basis for radiological interpretation in cases of suspected stifle lameness.

Anesthesia↗

PubMed1982

Stifle lameness in the horse: a survey of 86 referred cases.

The clinical and radiological characteristics of stifle lameness in 86 horses are described. The majority of these cases had been lame for some weeks before referral. The most frequent diagnoses made were osteochondrosis dissecans (13 per cent) and subchondral bone cyst (38 per cent). Both of these conditions were seen principally in Thoroughbreds at or before the onset of training. The other bone lesions encountered were osteoarthritis (3 per cent), fractures (4 per cent) and "epiphysitis" (1 per cent). The commonest soft tissue condition was an atypical or partial upward fixation of the patella (15 per cent), ligamentous/meniscal damage comprised 12 per cent of the cases and the remaining 13 per cent were attributed to non-specific strain of the stifle joint. Treatment in most of these chronic stifle injuries consisted of a period of rest followed by a gradual return to exercise; in some cases this was combined with a short course of a non-steroidal anti-inflammatory drug. The prognosis in most cases of osteochondrosis dissecans was grave to hopeless, while the majority of the horses with a subchondral bone cyst improved clinically after an extended period of rest (ie, 6 months). Ligamentous/meniscal damage usually responded satisfactorily to rest, provided there was no gross tearing or rupture of the structures involved. The outcome in cases of chronic osteoarthritis was always poor and these cases did not respond satisfactorily to analgesic and anti-inflammatory medication.

Animals↗

PubMed1975

Arthritis of the canine stifle joint.

A survey of cadaver material was undertaken in order to determine the prevalence of arthritis of the canine stifle joint. One hundred and fifty unselected cadavers were obtained from veterinary practices for this purpose, and their stifle joints were radiographed and dissected to discover abnormalities. Thirty-one dogs (20 per cent) had stifle arthritis and in all except one the lesions were characteristic of osteoarthritis. In the exceptional case infection was the cause. A mechanical derangement was present in 20 of the 54 affected joints, in the form of rupture of the anterior cruciate ligament (10), meniscal tears (9) and patellar dislocation (1). The cause of the arthritis in the other 33 joints is unknown.

Animals↗

PubMed1990

Partial rupture of the cranial cruciate ligament of the stifle in dogs: 25 cases (1982-1988).

Partial rupture of the cranial cruciate ligament was diagnosed in 25 dogs. In all dogs, the primary problem at the time of physical examination was hind limb lameness. The mean time from initial onset of lameness to diagnosis at exploratory surgery was 17 weeks. A cranial drawer sign was detected in 13 of the 25 dogs; in 9, the cranial drawer sign was evident only when the stifle was positioned in flexion. Of the 25 dogs, 12 had no detectable cranial drawer sign in response to manipulation of the involved stifle. In all dogs, lateral stifle arthrotomy was performed in routine manner, and the cranial cruciate ligament was found to be incompletely torn. Lesions identified during arthrotomy were rupture of the craniomedial band (n = 20 dogs), interstitial tear (n = 4 dogs), and rupture of the caudolateral band (n = 1 dog).

Animals↗

PubMed1986

Location of the instantaneous center of joint rotation in the normal canine stifle.

Locations of 3 instantaneous centers of joint rotation (ICR) were found in the stifles of 6 healthy dogs. A novel algorithm, verified by computer simulation, was used to determine ICR from radiographs. Comparisons of ICR locations were made between flexion and extension, between left and right limbs, and between living and dead dogs, using analysis of variance. All stifles were examined for evidence of lesions, but all were normal. The normal location of the ICR in the stifle is near the joint surface, indicating that there is a predominantly rolling type of motion. As the limb flexes, the ICR moves caudally; as the limb extends, the ICR moves cranially. Significant differences in ICR position were not found between left and right limbs or between living and dead dogs. The average ICR position was significantly more caudal during extension than it was during flexion. Knowing the normal ICR position is a preliminary to diagnosing joint abnormalities, using the ICR.

Animals↗

PubMed1985

Fibular head transposition for repair of cruciate-deficient stifle in the dog.

Fibular head transposition (FHT) was introduced as a surgical technique to reconstruct the cruciate-deficient stifle in the dog. Surgically moving the fibular head into a cranial position alters the orientation of the lateral collateral ligament, thereby preventing cranial drawer motion and minimizing internal rotation of the tibia. The technique was found to be safe, mechanically sound, and clinically effective. Comparison of clinical results for this technique with those for the fascial strip technique (using a uniform grading system) demonstrated an overall superior performance of FHT. Factors found to adversely influence clinical results were heavy body weight and meniscal damage. The interval between stifle injury and reconstructive surgery or the presence of associated osteoarthritic disease bore no relationship to clinical outcome. It was concluded that the clinical performance after FHT was equal or superior to other surgical methods for reconstructing the cruciate-deficient stifle in the dog.

Animals↗

PubMed1982

Radiographic and arthroscopic findings in the equine stifle.

The radiographic and arthroscopic findings in the equine stifle were compared. Survey radiography, contrast arthrography, and arthroscopy were performed on both stifles of 10 horses. Nine of the horses were euthanatized to evaluate the effects of the techniques on the joints. Techniques for double-contrast arthrography and arthroscopy were developed, and the findings were compared. Survey radiography identified only osseous structures. Double-contrast arthrography of the femoropatellar joint demonstrated articular surfaces of the trochlea, patella, and joint capsule. Those of the femorotibial joint defined the medial meniscus but not the lateral meniscus. On arthroscopy of the femoropatellar joint, intra-articular structures could be readily visualized. In the femorotibial sacs, structures were more difficult to identify. Gross examination of the stifle joint at necropsy revealed no overt effects of arthroscopy.

Animals↗

PubMed1993

Effects of intra-articular chlorhexidine diacetate lavage on the stifle in healthy dogs.

Eight dogs were determined to be orthopedically normal on the basis of prelavage physical examination, stifle radiography, synovial fluid analysis, and force plate analysis (peak vertical force normalized for body weight, and time on the force plate). Each dog had 1 stifle randomly assigned to be lavaged with 100 ml of a commercially available 0.05% (w/v) chlorhexidine diacetate solution, and the contralateral stifle was lavaged with lactated Ringer's solution. Difference was not detected between the chlorhexidine diacetate and lactated Ringer's solution-treated joints, with regard to results of synovial fluid analysis and clinical lameness evaluations on days 4 and 8 after lavage. Chlorhexidine diacetate caused a more intense synovitis than did lactated Ringer's solution, as determined by histologic evaluation of synovial membrane specimens after necropsy on day 8; however, a difference in the intensity of toluidine blue staining of articular cartilage was not found between treatments. Chlorhexidine diacetate, as a 0.05% (w/v) solution, cannot be recommended as a joint lavage fluid until the duration of inflammatory changes in the synovial membrane are determined or until the chemical constituents of chlorhexidine diacetate causing the synovitis can be identified and removed.

Animals↗