Evaluation of an Arthroscopic Approach for Transection of the Equine Collateral Sesamoidean Ligament
Objective: To evaluate: (1) an arthroscopic technique for transection of the collateral sesamoidean ligament (CSL); and (2) the healing response using magnetic resonance (MR) and microscopic examination. Study Design: Experimental study. Animals: Adult horses (n=6). Methods: Six sound horses with no...
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| Veröffentlicht in: | Veterinary surgery 2010-12, Vol.39 (8), p.1011-1020 |
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| creator | Sampson, Sarah N Schneider, Robert K Gavin, Patrick R Baszler, Timothy V Mealey, Robert H Zubrod, Chad J Marsh, Chad A |
| description | Objective: To evaluate: (1) an arthroscopic technique for transection of the collateral sesamoidean ligament (CSL); and (2) the healing response using magnetic resonance (MR) and microscopic examination. Study Design: Experimental study. Animals: Adult horses (n=6). Methods: Six sound horses with normal front foot radiographic and MR examinations were used. Lameness examination was performed before surgery and monthly for 12 months. Front foot radiography was performed at 180 and 360 days after surgery. Front foot MR was performed before, and at 7, 90, 180, and 360 days after surgery. Arthroscopic CSL desmotomy was performed on 1 forelimb. Gross and microscopic examination was performed on the CSL from both forelimbs at 360 days after surgery. Lameness scores were compared over time using the nonparametric Friedman's test for paired groups. CSL measurements were compared using paired t-tests with a 2-tailed significance level of P |
| doi_str_mv | 10.1111/j.1532-950X.2010.00745.x |
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Study Design: Experimental study. Animals: Adult horses (n=6). Methods: Six sound horses with normal front foot radiographic and MR examinations were used. Lameness examination was performed before surgery and monthly for 12 months. Front foot radiography was performed at 180 and 360 days after surgery. Front foot MR was performed before, and at 7, 90, 180, and 360 days after surgery. Arthroscopic CSL desmotomy was performed on 1 forelimb. Gross and microscopic examination was performed on the CSL from both forelimbs at 360 days after surgery. Lameness scores were compared over time using the nonparametric Friedman's test for paired groups. CSL measurements were compared using paired t-tests with a 2-tailed significance level of P<.05. Results: Radiographs remained normal throughout study period. Surgery resulted in lameness on the operated limb for up to 2 months, after which all horses returned to soundness. CSL transection was confirmed during arthroscopy and with MR examination 7 days after surgery. Gross and microscopic evaluation confirmed ligament healing. Conclusions: CSL desmotomy resulted in short-term lameness after surgery followed by healing of the CSL confirmed by gross and microscopic analysis.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/j.1532-950X.2010.00745.x</identifier><identifier>PMID: 21070264</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Animals ; Arthroscopy ; Arthroscopy - methods ; Arthroscopy - veterinary ; Collateral Ligaments - diagnostic imaging ; Collateral Ligaments - pathology ; Collateral Ligaments - surgery ; Feet ; Female ; Forelimb - diagnostic imaging ; Forelimb - pathology ; Forelimb - surgery ; Horse Diseases - diagnostic imaging ; Horse Diseases - pathology ; Horse Diseases - surgery ; Horses ; Horses - surgery ; Lameness, Animal - diagnostic imaging ; Lameness, Animal - pathology ; Lameness, Animal - surgery ; Ligaments ; Magnetic Resonance Imaging - veterinary ; Male ; Microscopy, Confocal - veterinary ; Postoperative Care - veterinary ; Radiography ; Sesamoid Bones ; Surgical outcomes ; Veterinary medicine</subject><ispartof>Veterinary surgery, 2010-12, Vol.39 (8), p.1011-1020</ispartof><rights>Copyright 2010 by The American College of Veterinary Surgeons</rights><rights>Copyright 2010 by The American College of Veterinary Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4095-e3eb01f8a1b4fab5c1a7f88adf5e7507f7aae0976e8e5ef1f20715a5b471d103</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-950X.2010.00745.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-950X.2010.00745.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21070264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sampson, Sarah N</creatorcontrib><creatorcontrib>Schneider, Robert K</creatorcontrib><creatorcontrib>Gavin, Patrick R</creatorcontrib><creatorcontrib>Baszler, Timothy V</creatorcontrib><creatorcontrib>Mealey, Robert H</creatorcontrib><creatorcontrib>Zubrod, Chad J</creatorcontrib><creatorcontrib>Marsh, Chad A</creatorcontrib><title>Evaluation of an Arthroscopic Approach for Transection of the Equine Collateral Sesamoidean Ligament</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective: To evaluate: (1) an arthroscopic technique for transection of the collateral sesamoidean ligament (CSL); and (2) the healing response using magnetic resonance (MR) and microscopic examination. Study Design: Experimental study. Animals: Adult horses (n=6). Methods: Six sound horses with normal front foot radiographic and MR examinations were used. Lameness examination was performed before surgery and monthly for 12 months. Front foot radiography was performed at 180 and 360 days after surgery. Front foot MR was performed before, and at 7, 90, 180, and 360 days after surgery. Arthroscopic CSL desmotomy was performed on 1 forelimb. Gross and microscopic examination was performed on the CSL from both forelimbs at 360 days after surgery. Lameness scores were compared over time using the nonparametric Friedman's test for paired groups. CSL measurements were compared using paired t-tests with a 2-tailed significance level of P<.05. Results: Radiographs remained normal throughout study period. Surgery resulted in lameness on the operated limb for up to 2 months, after which all horses returned to soundness. CSL transection was confirmed during arthroscopy and with MR examination 7 days after surgery. Gross and microscopic evaluation confirmed ligament healing. Conclusions: CSL desmotomy resulted in short-term lameness after surgery followed by healing of the CSL confirmed by gross and microscopic analysis.</description><subject>Animals</subject><subject>Arthroscopy</subject><subject>Arthroscopy - methods</subject><subject>Arthroscopy - veterinary</subject><subject>Collateral Ligaments - diagnostic imaging</subject><subject>Collateral Ligaments - pathology</subject><subject>Collateral Ligaments - surgery</subject><subject>Feet</subject><subject>Female</subject><subject>Forelimb - diagnostic imaging</subject><subject>Forelimb - pathology</subject><subject>Forelimb - surgery</subject><subject>Horse Diseases - diagnostic imaging</subject><subject>Horse Diseases - pathology</subject><subject>Horse Diseases - surgery</subject><subject>Horses</subject><subject>Horses - surgery</subject><subject>Lameness, Animal - diagnostic imaging</subject><subject>Lameness, Animal - pathology</subject><subject>Lameness, Animal - surgery</subject><subject>Ligaments</subject><subject>Magnetic Resonance Imaging - veterinary</subject><subject>Male</subject><subject>Microscopy, Confocal - veterinary</subject><subject>Postoperative Care - veterinary</subject><subject>Radiography</subject><subject>Sesamoid Bones</subject><subject>Surgical outcomes</subject><subject>Veterinary medicine</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkVFv0zAQxy0EYmXwFcDihacUO4nj5AWpVG2HVIFQO-DNuiTn1SWJOzth3befs259wC-2fD_97nR_QihnUx7O5_2UiySOCsH-TGMWfhmTqZgeX5DJufCSTBjPeJSkRXFB3ni_Z4wVaZq8JhcxZ5LFWToh9eIfNAP0xnbUagodnbl-56yv7MFUdHY4OAvVjmrr6NZB57F6Zvsd0sXtYDqkc9s00KODhm7QQ2tNjUG1NjfQYte_Ja80NB7fPd2XZLtcbOdX0frH6tt8to6qlBUiwgRLxnUOvEw1lKLiIHWeQ60FSsGklgDICplhjgI11zGTXIAoU8lrzpJL8umkDTPfDuh71RpfYRitQzt4lQe-4CzOA_nxP3JvB9eF2VTOs1jkIisC9P4JGsoWa3VwpgV3r56XF4AvJ-DONHh_rnOmxpDUXo1ZqDELNYakHkNSR_Vrc_34DILoJDC-x-NZAO6vymQihfr9faW-Ln-myyuxUmPDDydeg1Vw44xX15ugThgveJ6FFTwAEBieHw</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Sampson, Sarah N</creator><creator>Schneider, Robert K</creator><creator>Gavin, Patrick R</creator><creator>Baszler, Timothy V</creator><creator>Mealey, Robert H</creator><creator>Zubrod, Chad J</creator><creator>Marsh, Chad A</creator><general>Blackwell Publishing Inc</general><general>Blackwell Publishing Ltd</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201012</creationdate><title>Evaluation of an Arthroscopic Approach for Transection of the Equine Collateral Sesamoidean Ligament</title><author>Sampson, Sarah N ; Schneider, Robert K ; Gavin, Patrick R ; Baszler, Timothy V ; Mealey, Robert H ; Zubrod, Chad J ; Marsh, Chad A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4095-e3eb01f8a1b4fab5c1a7f88adf5e7507f7aae0976e8e5ef1f20715a5b471d103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Animals</topic><topic>Arthroscopy</topic><topic>Arthroscopy - methods</topic><topic>Arthroscopy - veterinary</topic><topic>Collateral Ligaments - diagnostic imaging</topic><topic>Collateral Ligaments - pathology</topic><topic>Collateral Ligaments - surgery</topic><topic>Feet</topic><topic>Female</topic><topic>Forelimb - diagnostic imaging</topic><topic>Forelimb - pathology</topic><topic>Forelimb - surgery</topic><topic>Horse Diseases - diagnostic imaging</topic><topic>Horse Diseases - pathology</topic><topic>Horse Diseases - surgery</topic><topic>Horses</topic><topic>Horses - surgery</topic><topic>Lameness, Animal - diagnostic imaging</topic><topic>Lameness, Animal - pathology</topic><topic>Lameness, Animal - surgery</topic><topic>Ligaments</topic><topic>Magnetic Resonance Imaging - veterinary</topic><topic>Male</topic><topic>Microscopy, Confocal - veterinary</topic><topic>Postoperative Care - veterinary</topic><topic>Radiography</topic><topic>Sesamoid Bones</topic><topic>Surgical outcomes</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sampson, Sarah N</creatorcontrib><creatorcontrib>Schneider, Robert K</creatorcontrib><creatorcontrib>Gavin, Patrick R</creatorcontrib><creatorcontrib>Baszler, Timothy V</creatorcontrib><creatorcontrib>Mealey, Robert H</creatorcontrib><creatorcontrib>Zubrod, Chad J</creatorcontrib><creatorcontrib>Marsh, Chad A</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sampson, Sarah N</au><au>Schneider, Robert K</au><au>Gavin, Patrick R</au><au>Baszler, Timothy V</au><au>Mealey, Robert H</au><au>Zubrod, Chad J</au><au>Marsh, Chad A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of an Arthroscopic Approach for Transection of the Equine Collateral Sesamoidean Ligament</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2010-12</date><risdate>2010</risdate><volume>39</volume><issue>8</issue><spage>1011</spage><epage>1020</epage><pages>1011-1020</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective: To evaluate: (1) an arthroscopic technique for transection of the collateral sesamoidean ligament (CSL); and (2) the healing response using magnetic resonance (MR) and microscopic examination. Study Design: Experimental study. Animals: Adult horses (n=6). Methods: Six sound horses with normal front foot radiographic and MR examinations were used. Lameness examination was performed before surgery and monthly for 12 months. Front foot radiography was performed at 180 and 360 days after surgery. Front foot MR was performed before, and at 7, 90, 180, and 360 days after surgery. Arthroscopic CSL desmotomy was performed on 1 forelimb. Gross and microscopic examination was performed on the CSL from both forelimbs at 360 days after surgery. Lameness scores were compared over time using the nonparametric Friedman's test for paired groups. CSL measurements were compared using paired t-tests with a 2-tailed significance level of P<.05. Results: Radiographs remained normal throughout study period. Surgery resulted in lameness on the operated limb for up to 2 months, after which all horses returned to soundness. CSL transection was confirmed during arthroscopy and with MR examination 7 days after surgery. Gross and microscopic evaluation confirmed ligament healing. Conclusions: CSL desmotomy resulted in short-term lameness after surgery followed by healing of the CSL confirmed by gross and microscopic analysis.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>21070264</pmid><doi>10.1111/j.1532-950X.2010.00745.x</doi><tpages>10</tpages></addata></record> |
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| subjects | Animals Arthroscopy Arthroscopy - methods Arthroscopy - veterinary Collateral Ligaments - diagnostic imaging Collateral Ligaments - pathology Collateral Ligaments - surgery Feet Female Forelimb - diagnostic imaging Forelimb - pathology Forelimb - surgery Horse Diseases - diagnostic imaging Horse Diseases - pathology Horse Diseases - surgery Horses Horses - surgery Lameness, Animal - diagnostic imaging Lameness, Animal - pathology Lameness, Animal - surgery Ligaments Magnetic Resonance Imaging - veterinary Male Microscopy, Confocal - veterinary Postoperative Care - veterinary Radiography Sesamoid Bones Surgical outcomes Veterinary medicine |
| title | Evaluation of an Arthroscopic Approach for Transection of the Equine Collateral Sesamoidean Ligament |
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