Dorsal Arthroscopic Approach and Intra‐Articular Anatomy of the Bovine Antebrachiocarpal and Middle Carpal Joints

Lardé, Hélène; Nichols, Sylvain; Babkine, Marie; Desrochers, André

doi:10.1111/vsu.12488

Cited by 3 publications

(10 citation statements)

References 22 publications

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“…Latex models (n = 6) were created to delineate the arrangement of the palmar carpal pouches. Red-colored latex (Kiwoplast; Wolf & Co, Vienna, Austria) was injected through the dorsolateral 16 aspect of the antebrachiocarpal (40 mL) and middle carpal joints (50 mL) with a 14 gauge, 1.5-inch (3.8-cm) needle. The latex mixture consisted of 3 parts of white latex colored with red pigment (Biodur, Heidelberg, Germany), 1 part water, and 1 part acidified 10% formalin.…”

Section: Anatomical Study and Ctmentioning

confidence: 99%

“…After injection, the carpal joint was flexed and extended several times, and gentle massage was applied to the dorsal aspect of the joint to distribute the injected latex into the palmar pouches. Limbs were frozen (−18 ) for 1 week and then thawed at room temperature (25 ) for about 24 hours 16 and dissected to expose the latex-filled pouches. The palmar carpal pouches were identified and described, and their relations to the adjacent carpal bones, tendons, ligaments, and neurovascular structures were reported.…”

Section: Anatomical Study and Ctmentioning

confidence: 99%

“…Distension of the palmar carpal pouches was achieved by using Ringer's solution by inserting an 18 gauge needle into the corresponding dorsal joint pouch as previously described. 16 Arthroscopic portals were identified via anatomical landmarks and ultrasonography. A 5-mm incision was created through skin, flexor retinaculum, and joint capsule with a No.…”

Section: Arthroscopymentioning

confidence: 99%

“…20 Moreover, in a previous study in cattle, viewing the lateral aspect of the ulnar styloid process and the lateral synovial membrane was not possible from a dorsolateral approach. 16 Arthroscopic exploration of the palmar aspect of the middle carpal joint was not technically difficult and could be performed without synovectomy. Positioning was found to be an important factor in allowing complete inspection of the palmar aspects of the ulnar, intermediate, fourth, and fused second and third carpal bones and the distal branch of the short lateral collateral ligament and the fourth and fifth metacarpals.…”

Section: Middle Carpal Joint-pmpmentioning

confidence: 99%

“…12 Few reports describe the use of surgical arthroscopy for the treatment of carpal septic arthritis in cattle, 10,[13][14][15] and the normal arthroscopic anatomy of the dorsal carpal pouches has only recently been described. 16 Although the bovine palmar carpal pouches are large and can serve as pockets for accumulation of fibrin and debris, 17 description not only of the arthroscopic approaches but also of the normal anatomy of the palmar carpal pouches in cattle is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Palmar arthroscopic approach and intra‐articular anatomy of the bovine carpal joints

2019

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Objective: To describe the palmar arthroscopic approaches to the bovine carpus and document the visible intra-articular structures in each approach. Study design: Ex vivo study. Sample population: Thirty fresh cadaveric bovine forelimbs. Methods: Computed tomography (CT) and gross dissection were performed on 4 carpi. Latex models were produced from 6 carpi to define the gross anatomy and arthroscopic portals to the palmar carpal pouches. Ultrasonography and arthroscopy were performed on 20 carpi to document visualization of the local anatomy.Results: A single palmar pouch was present on both sides of each joint on gross dissection and evaluation of latex models. The relationship between pouches and palmar structures was observed by CT. Small anechoic areas identified on ultrasonography increased after joint distension. Palmar arthroscopy of the antebrachiocarpal joint enabled visualization of the palmar surfaces of radial, intermediate, and ulnar carpal bones; distal radius; ulnar styloid process; palmar radiocarpal ligament; and articulation of accessory and ulnar carpal bones. Palmar arthroscopy of the middle carpal joint enabled inspection of the palmar aspects of ulnar, intermediate, radial, fused second and third and fourth carpal bones, palmar carpometacarpal ligament, and the short lateral collateral ligament. Palmar aspects of the fourth and fifth metacarpal bones were explored through the palmarolateral approach to the middle carpal joint. Instrument portals for each pouch were created under arthroscopic guidance. Conclusion: Palmar arthroscopy of the adult bovine carpus enabled visualization of the clinically relevant palmar intra-articular structures. Clinical significance: Palmar carpal arthroscopy should be considered as an adjunct to dorsal approach for the diagnosis and treatment of bovine carpal diseases.

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Section: Anatomical Study and Ctmentioning

confidence: 99%

Section: Anatomical Study and Ctmentioning

confidence: 99%

Section: Arthroscopymentioning

confidence: 99%

Section: Middle Carpal Joint-pmpmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Palmar arthroscopic approach and intra‐articular anatomy of the bovine carpal joints

2019

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Arthroscopic approach and intra‐articular anatomy of the dorsal and plantar synovial compartments of the bovine tarsocrural joint

et al. 2017

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Objective: To determine arthroscopic approaches to the dorsal and plantar synovial compartments of the tarsocrural joint in adult cattle, and to describe the arthroscopic intra-articular anatomy from each approach.Study Design: Ex vivo study.Animals: Fresh adult bovine cadavers (n 5 7).Methods: Two tarsocrural joint were injected with latex to determine arthroscopic portal locations and arthroscopy of the tarsocrural joint of 12 tarsi was performed. The dorsolateral approach was made through the large pouch located between the long digital extensor and peroneus longus tendons. The dorsomedial approach was made just medial to the common synovial sheath of the tibialis cranialis, peroneus tertius, and long digital extensor tendons. The plantarolateral and plantaromedial approaches were made lateral and medial to the tarsal tendon sheath, respectively.Results: Each approach allowed visualization of the distal tibia articulating with the proximal trochlea of the talus. Consistently observed structures included the distal intermediate ridge of the tibia, and the medial and lateral trochlear ridges and trochlear groove of the talus. Lateral and medial malleoli were best assessed from dorsal approaches. From the lateral approaches evaluation of the abaxial surface of the lateral trochlear ridge allowed visualization of the fibulocalcaneal joint. From the plantar approaches additional observed structures included the coracoid process of the calcaneus, plantar trochlea of the talus, and plantar talotibial and talofibular ligaments. Conclusion:In cattle, the dorsolateral and plantarolateral approaches allowed for the best evaluation of the dorsal and plantar aspects of the tarsocrural joint, respectively.

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Arthroscopic approaches to and anatomy of the shoulder joint of cattle: a cadaver study

et al. 2020

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Background: Arthroscopic surgery is described as a minimally invasive technique for diagnosis, exploration and treatment of joint disorders. It allows intraarticular structures to be assessed accurately, thereby improving the diagnostic capabilities, and it broadens the spectrum of surgical techniques feasible for treatment of articular pathologies in cattle. This study aimed to assess for cattle the described arthroscopic approaches to the shoulder joint of horses, and to describe the appearance of the corresponding intraarticular structures of the shoulder joint. Additionally, to perform histological examination where tissues were identified and assessed arthroscopically, but the tissue type was uncertain using cadaveric limbs from cattle of different age categories without any signs of orthopedic diseases of the front limbs. Results: An anatomic and arthroscopic investigation with 34-cadaveric forelimbs from 20-cattle was performed. The arthroscope was inserted either immediately cranial or 1-cm caudal to the tendon of the infraspinatus muscle for the cranial and caudal approaches, respectively. The shoulder joints were examined with the limbs in either horizontal non-pulled position, abducted non-pulled position using a three-pod limb holder adjustable in height, or horizontal manually pulled position. Arthroscopy was performed using a rigid 30°arthroscope (18-cm length, 4-mm outer diameter) to view the synovial pouches with their synovial villi and the following structures: cranial rim of the glenoid, cranial portion of the humeral head, incisura-glenoidalis, caudal rim of the glenoid, caudal portion of the humeral head, and cranial and caudal cul-de-sac. Abduction of the limb allowed improved visualization of the lateral portion of the joint. Pulling the limb facilitated investigation of the medial portion of the joint. Generally, the distention range was higher in younger as compared to adult cattle, and visualization of the medial portion of the joint was, therefore, facilitated in younger animals. The main complications observed were subcutaneous fluid extravasations and partial-thickness articular cartilages wear-lines.

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Dorsal Arthroscopic Approach and Intra‐Articular Anatomy of the Bovine Antebrachiocarpal and Middle Carpal Joints

Abstract: Dorsal approaches to the antebrachiocarpal and middle carpal joints allowed visualization of most intra-articular dorsal structures in adult cattle.

Cited by 3 publications

References 22 publications

Palmar arthroscopic approach and intra‐articular anatomy of the bovine carpal joints

Palmar arthroscopic approach and intra‐articular anatomy of the bovine carpal joints

Arthroscopic approach and intra‐articular anatomy of the dorsal and plantar synovial compartments of the bovine tarsocrural joint

Arthroscopic approaches to and anatomy of the shoulder joint of cattle: a cadaver study

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