Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low‐field MRI

Lipreri, G.; Bladon, B. M.; Giorio, Maria Elisabetta; Singer, E. R.

doi:10.1111/vsu.12936

Cited by 19 publications

(22 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is in agreement with the recent literature in the human field [3]. Others have proposed to use ‘high fluid signal’ to describe the feature associated with replacement of fat by water [8]. In the present study the term BMO-‘type’ (BMO-t) is chosen in reference to a study of Thoroughbred fetlock using standing magnetic resonance imaging (sMRI) by Powell [12].…”

supporting

confidence: 74%

“…It is expected that placement of screw may enhance healing through compression along the damaged bone, and minimize the risk of further microcrack propagation. Recently, Lipreri et al reported that there were no statistically significant differences between the conservative and surgical treatment groups by comparing the outcome of 21 sports horses diagnosed as having osseous trauma within the proximal aspect of P1 [8]. In the current study, majority of the horses returned to racing without surgery.…”

mentioning

confidence: 48%

“…Therefore, it was possible that these cases underwent sMRI before advancing to a serious line, which would be clinically significant from the aspect of injury prevention. At the same time, it was also possible that these cases did not have a short incomplete fracture but osseous trauma, as reported by Gold et al and Lipreri et al [7, 8]. Previous studies of the distal MC3/MT3 showed that once the damage to the bone was accumulated as a result of intense load, reactively sclerotic change would follow [20].…”

mentioning

confidence: 88%

See 2 more Smart Citations

Bone marrow oedema-type signal in the proximal phalanx of Thoroughbred racehorses

Mizobe

Nomura

Ueno

et al. 2019

The Journal of Veterinary Medical Science

View full text Add to dashboard Cite

This study focused on 8 Thoroughbred racehorses showing bone marrow oedema-type signal in the proximal sagittal groove of the proximal phalanx, with the aim of understanding its clinical significance. Standing magnetic resonance imaging played an important role in assessing osseous abnormalities that were not radiographically identifiable. Further, a histopathological result from one of the cases showed there was oedema surrounding adipose tissues with increase in density of trabecular scaffolding. This may indicate presence of osseous injury within the area of decreased elasticity due to subchondral bone modeling. This study suggests that detection of osseous abnormality based on bone marrow oedema-type signal, and application of appropriate care following injury would contribute to prevent deterioration of stress-related fractures of the proximal phalanx.

show abstract

supporting

confidence: 74%

mentioning

confidence: 48%

mentioning

confidence: 88%

See 1 more Smart Citation

Bone marrow oedema-type signal in the proximal phalanx of Thoroughbred racehorses

Mizobe

Nomura

Ueno

et al. 2019

The Journal of Veterinary Medical Science

View full text Add to dashboard Cite

show abstract

“…A significant change in mineral density is required to detect OCLL in the femoral condyles (Bonilla et al ). However, undetected OCLLs may have a significant impact on treatment and prognosis (Bonilla et al ; Gold et al ; Lipreri et al ). In general, bone pathology was less frequently observed as compared to soft‐tissue pathology which may be related to advanced age of patients and chronicity of the lameness.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging of equine stifles: Technique and observations in 76 clinical cases

Waselau¹,

McKnight

Kasparek³

2020

Equine Veterinary Education

View full text Add to dashboard Cite

Magnetic resonance imaging (MRI) of equine stifle disorders is challenging. We describe a routine technique for low-field stifle MRI under general anaesthesia in clinical cases and report the main findings. We hypothesised that MRI can be safely and routinely performed and portray bone and softtissue pathology. In this retrospective study, medical records of 76 stifles with positive response to intra-articular anaesthesia without abnormalities on conventional diagnostic imaging were reviewed for breed, age, gender, MRI anaesthesia time and findings. Under anaesthesia, limbs were extended in a rotating MR gantry. Different sequences in several planes were acquired in an average time of 62 min. In all horses, the stifle examinations were successful and complete. Typical MRI lesions included bone marrow lesions, osseous cyst-like lesions, cruciate desmopathy, meniscal tearing or a combination thereof. Retrospective reviewing confirmed that initial radiographic and ultrasonographic images failed to identify these lesions. Surgically accessible lesions were confirmed in arthroscopy if exploration was indicated. However, MRI was useful to estimate extent of cruciate and meniscal pathology as well as bone marrow lesions and bone cystic-like lesions more thoroughly. Our protocol allows for routine stifle MRI, independent of breed, age and gender. Based on our preliminary results, low-field stifle MRI is safe and can delineate bone and soft-tissue pathology. Low-field MRI appears to be a promising approach for better understanding stifle pathology and thus treatment and prognosis.

show abstract

“…This retrospective study by Giulia Lipreri and colleagues in the UK compared outcomes following conservative vs. surgical management of sports horses with subchondral bone trauma of the proximal aspect of the proximal phalanx (PP) diagnosed by low‐field magnetic resonance imaging (MRI) .…”

Section: Subchondral Bone Traumamentioning

confidence: 99%

Highlights of recent clinically relevant papers

Wright¹

2019

Equine Veterinary Education

View full text Add to dashboard Cite

Conservative versus surgical treatment of 21 sports horses with osseous trauma in the proximal phalangeal sagittal groove diagnosed by low‐field MRI

Abstract: The prognosis for return to athletic functions in horses with osseous trauma within the proximal aspect of the PP is guarded.

Cited by 19 publications

References 23 publications

Bone marrow oedema-type signal in the proximal phalanx of Thoroughbred racehorses

Bone marrow oedema-type signal in the proximal phalanx of Thoroughbred racehorses

Magnetic resonance imaging of equine stifles: Technique and observations in 76 clinical cases

Highlights of recent clinically relevant papers

Contact Info

Product

Resources

About