How anatomy influences measurements of snakes.

Anatomy compromises the precision and accuracy of measurements made of the body length and head size of live snakes. Body measures (snout-vent length, SVL) incorporate many synovial intervertebral joints, each allowing flexion and limited extension and compression. Radiographs of the trunk in 14 phylogenetically diverse species in resting and stretched conditions combined with dissections and histological analysis of intervertebral joints show that the synovial nature of these joints underlies the variance in SVL measures. Similarly, the ubiquity and variety of viscoelastic tissues connecting mobile snout and jaw elements of alethinophidian snakes underlie variances in length and width measures of the head. For the overall size of the head and jaw apparatus, the part that can be most easily and relatively precisely measured for many snakes is the mandible because it has only one mobile joint. As to accuracy, the anatomy of intervertebral and cranial joints supports the hypothesis that in living snakes, the head and trunk have no exact size.

ArborSim: Articulated, branching, OpenSim routing for constructing models of multi-jointed appendages with complex muscle-tendon architecture.

Computational models of musculoskeletal systems are essential tools for understanding how muscles, tendons, bones, and actuation signals generate motion. In particular, the OpenSim family of models has facilitated a wide range of studies on diverse human motions, clinical studies of gait, and even non-human locomotion. However, biological structures with many joints, such as fingers, necks, tails, and spines, have been a longstanding challenge to the OpenSim modeling community, especially because these structures comprise numerous bones and are frequently actuated by extrinsic muscles that span multiple joints-often more than three-and act through a complex network of branching tendons. Existing model building software, typically optimized for limb structures, makes it difficult to build OpenSim models that accurately reflect these intricacies. Here, we introduce ArborSim, customized software that efficiently creates musculoskeletal models of highly jointed structures and can build branched muscle-tendon architectures. We used ArborSim to construct toy models of articulated structures to determine which morphological features make a structure most sensitive to branching. By comparing the joint kinematics of models constructed with branched and parallel muscle-tendon units, we found that among various parameters-the number of tendon branches, the number of joints between branches, and the ratio of muscle fiber length to muscle tendon unit length-the number of tendon branches and the number of joints between branches are most sensitive to branching modeling method. Notably, the differences between these models showed no predictable pattern with increased complexity. As the proportion of muscle increased, the kinematic differences between branched and parallel models units also increased. Our findings suggest that stress and strain interactions between distal tendon branches and proximal tendon and muscle greatly affect the overall kinematics of a musculoskeletal system. By incorporating complex muscle-tendon branching into OpenSim models using ArborSim, we can gain deeper insight into the interactions between the axial and appendicular skeleton, model the evolution and function of diverse animal tails, and understand the mechanics of more complex motions and tasks.

Occipital-synarcual joint mobility in ratfishes (Chimaeridae) and its possible adaptive role.

The neurocranial elevation generated by axial muscles is widespread among aquatic gnathostomes. The mechanism has two functions: first, it contributes to the orientation of the mouth gape, and second, it is involved in suction feeding. To provide such mobility, anatomical specialization of the anterior part of the vertebral column has evolved in many fish species. In modern chimaeras, the anterior part of the vertebral column develops into the synarcual. Possible biological roles of the occipital-synarcual joint have not been discussed before. Dissections of the head of two species of ratfishes (Chimaera monstrosa and Chimaera phantasma) confirmed the heterocoely of the articulation surface between the synarcual and the neurocranium, indicating the possibility of movements in the sagittal and frontal planes. Muscles capable of controlling the movements of the neurocranium were described. The m. epaxialis is capable of elevating the head, the m. coracomandibularis is capable of lowering it if the mandible is anchored by the adductor. Lateral flexion is performed by the m. lateroventralis, for which this function was proposed for the first time. The first description of the m. epaxialis profundus is given, its function is to be elucidated in the future. Manipulations with joint preparations revealed a pronounced amplitude of movement in the sagittal and frontal planes. Since chimaeras generate weak decrease in pressure in the oropharyngeal cavity when sucking in prey, we hypothesised the primary effect of neurocranial elevation, in addition to the evident lateral head mobility, is accurate prey targeting.

Validity of ChatGPT-generated musculoskeletal images.

OBJECTIVE: In the evolving landscape of medical research and radiology, effective communication of intricate ideas is imperative, with visualizations playing a crucial role. This study explores the transformative potential of ChatGPT4, a powerful Large Language Model (LLM), in automating the creation of schematics and figures for radiology research papers, specifically focusing on its implications for musculoskeletal studies. MATERIALS AND METHODS: Deploying ChatGPT4, the study aimed to assess the model's ability to generate anatomical images of six large joints-shoulder, elbow, wrist, hip, knee, and ankle. Four variations of a text prompt were utilized, to generate a coronal illustration with annotations for each joint. Evaluation parameters included anatomical correctness, correctness of annotations, aesthetic nature of illustrations, usability of figures in research papers, and cost-effectiveness. Four panellists performed the assessment using a 5-point Likert Scale. RESULTS: Overall analysis of the 24 illustrations encompassing the six joints of interest (4 of each) revealed significant limitations in ChatGPT4's performance. The anatomical design ranged from poor to good, all of the illustrations received a below-average rating for annotation, with the majority assessed as poor. All of them ranked below average for usability in research papers. There was good agreement between raters across all domains (ICC = 0.61). CONCLUSION: While LLMs like ChatGPT4 present promising prospects for rapid figure generation, their current capabilities fall short of meeting the rigorous standards demanded by musculoskeletal radiology research. Future developments should focus on iterative refinement processes to enhance the realism of LLM-generated musculoskeletal schematics.

Position of the Proximal Manica Flexoria under different grades of fetlock joint extension - A biomechanical observational study in the equine fore- and hindlimb.

OBJECTIVE: The aim of this study was to examine the position of the proximal manica flexoria and the proximal scutum under different grades of fetlock joint extension and to describe measurements and compare findings between equine fore- and hindlimbs. STUDY DESIGN: It was an observational study. RESULTS: During fetlock joint extension, the proximal manica flexoria and the proximal scutum displace distally relative to the palmar/plantar extent of the sagittal ridge of the cannon bone. The proximal manica flexoria is further displaced distal to the proximal scutum within the fetlock canal. No significant differences were identified between fore- and hindlimbs at different levels of fetlock joint extension. The proximal scutum was observed to be longer and thicker and the tendinous part of the manica flexoria was longer in forelimbs compared with hindlimbs. CONCLUSION AND CLINICAL RELEVANCE: The described findings contribute to the understanding of the pathogenesis of manica flexoria tearing. The fact that the proximal scutum and the tendinous part of the manica flexoria are shorter in the hindlimb might explain why the manica flexoria is more likely to get caught on the proximal aspect of the scutum and develop a tear in the equine hindlimb.

Distraction index measurement on the dog's hip joint using a dedicated software / [Medição do índice de distração da anca do cão usando um software especial]

The aim of this study was to test the accuracy of a new automated computer software tool for the assessment of passive hip laxity. The hip laxity was estimated using the dedicated computer software by two blinded evaluators, one previously trained and one without specific training for distraction index measurement, in two independent sessions using 230 hip joints from 115 dogs that underwent screening for passive hip laxity using the distraction view. Previously, all of these radiographs were sent to PennHIP Analysis Center for an official distraction index record. The measurement repeatability of the two sessions was adequate for both evaluators. The reproducibility of the official distraction index measurement, mean distraction index±standard deviation 0.44±0.15, was adequate (P>0.05) for the trained evaluator, 0.44±0.15, and non-adequate (P<0.05), for the non-trained evaluator 0.47±0.17. The distraction index measurement tool proposed can be used with confidence for hip laxity evaluation by trained evaluators, as it provided good repeatability and reproducibility of official reports. The simplicity of the process described leads to a less time-consuming and more affordable procedure.(AU)

O objetivo deste estudo foi testar a viabilidade de uma nova ferramenta de software informático para avaliação da lassitude articular passiva da articulação coxofemoral. A lassitude articular da articulação coxofemoral foi estimada usando-se um programa informático especial, desenvolvido para o efeito, por dois avaliadores, um com treino prévio e outro não treinado, na medição do índice de distração, em duas sessões independentes, utilizando-se 230 articulações coxofemorais de 115 cães, as quais efetuaram o rastreio de displasia coxofemoral realizando a projeção de distração da articulação coxofemoral. Previamente, todas as radiografias foram enviadas para o PennHIP Analysis Center, para se obter uma medida oficial do índice de distração. A repetibilidade das medições das duas sessões foi adequada para ambos os avaliadores. A reprodutibilidade do índice de distração oficial, média±desvio-padrão 0,44±0,15, foi adequada (P>0,05) para o avaliador treinado, 0,44±0,15, e não adequada (P>0,05) para o avaliador não treinado, 0,47±0,17. A ferramenta de medição do índice de distração proposta pode ser usada com segurança na medição do índice de distração por avaliadores treinados, uma vez que mostra uma adequada repetibilidade e reprodutibilidade das medições oficiais do índice de distração. A simplicidade do processo apresentado torna-o menos demorado e mais econômico.(AU)

Gross anatomy of the intrinsic muscles of the scapular and humeral joint regions in crab-eating fox (Cerdocyon thous, Linnaeus 1776) / Anatomia macroscópica dos músculos intrínsecos das regiões escapular e da articulação do úmero de cachorro-do-mato (Cerdocyon thous, Linnaeus 1776)

The crab-eating fox (Cerdocyon thous) is a wild canid with a wide distribution in South America that is susceptible to traumas due to road kills - an event in which some specimens can survive. Therefore, anatomical studies in their thoracic limbs may be a base for rehabilitation. Six dead specimens were donated by Wildlife Rescue Centre of CORPOCALDAS (Environmental Authority of the Department of Caldas in Colombia), which were then filled with silicone rubber via the common carotid artery, and later fixed with formaldehyde through the external jugular vein. One male was dissected in fresh, and after a week, the others were dissected on the scapular and humeral joint regions. The intrinsic muscles of these regions in the crab-eating fox were homologous to domestic dog, with similar characteristics in terms of shape, origin, insertion, innervation and arterial blood supply. However, the crab-eating fox did have some differences, such as its supraspinatus muscle being conformed by two bellies and attached into the articular capsule of the humeral joint in same manner as the subscapularis muscle, thus conferring greater stability to the humeral. However, the clinical and surgical approaches that must be performed in this region may be homologous to the domestic dog.

Cachorro-do-mato (Cerdocyon thous) é um canideo selvagem amplamente distribuído na América do Sul, susceptível a traumatismos por atropelamentos em rodovias, eventos nos quais alguns animais podem sobreviver. Portanto, estudos anatômicos em seus membros torácicos podem servir como base para sua reabilitação. Seis espécimes mortos foram doados pelo Centro de Resgate de Vida Selvagem da Corporación Autónoma Regional para el Desarrollo de Caldas - CORPOCALDAS, os quais foram preenchidos com borracha de silicone pela artéria carótida comum, e depois fixados com formaldeído através da veia jugular externa. Um macho foi dissecado a fresco e após uma semana, os outros foram dissecados nas regiões da articulação escapular e umeral. Os músculos intrínsecos dessa região no cachorro-do-mato eram homólogos às dos cães domésticos, com características semelhantes na forma, origem, inserção, inervação e suprimento de sangue arterial. No entanto, o cachorro-do-mato apresenta algumas diferenças, como músculo supraespinhal conformado por duas cabeças e unidos na cápsula articular da articulação umeral, da mesma forma que o músculo subescapular, características essas que devem conferir maior estabilidade à articulação do úmero. Apesar disso, as abordagens clínicas e cirúrgicas realizadas nesta região podem ser homólogas ao cão doméstico.

Two unreported cartilagines sesamoidea in the elbow of the dog / Dos cartílagos sesamoideos no reportados en el codo del perro

Two unreported sesamoid cartilages were found inside tendon of insertion of both muscle biceps brachii and muscle brachialis in the dog. This find adds remarkable facts envolving Anatomy, Comparative Anatomy and Clinic and Biomechanics of the elbow joint in the dog. Statistics also emphasize the importance of traumatological incidences on elbow joint in veterinary.

Dos cartílagos sesamoideos no reportados se encontraron en el interior del tendón de inserción de los músculos bíceps braquial (M. Biceps brachii) y Braquial (M. Brachialis) en el perro. Este hallazgo se suma a importantes hechos que comprometen la Anatomía, Anatomía Comparada, Clínica y Biomecánica de la articulación del codo en el perro. Además, la casuística veterinaria también hace hincapié en importantes incidencias traumatológicas en dicha articulación.

Análisis comparativo de la repetibilidad y reproductibilidad de dos métodos de medición de la dimensión vertical en rehabilitación oral: una revisión sistemática / Comparative analysis of the repeatability and reproducibility of two methods for measuring the vertical dimension in oral rehabilitation: a systematic review

El objetivo de este estudio establecer si el método de evaluación de la dimensión vertical mediante cefalometría y el convencional con rodillos de articulación, consiguen resultados sin diferencias estadísticamente significativas. Realización de una revisión sistemática conforme a la metodología PICO del Centro de Medicina Basada en la Evidencia de Oxford. Se formula una pregunta dirigida al objetivo fijado y se elabora una estrategia de búsqueda empleando MeSH key words específicos derivados de la pregunta en la base de datos PubMed hasta 2015 y libros de rehabilitación oral. Se consultan un total de 833 artículos por título, siendo 26 revisados a texto completo. Se analizan trabajos sobre distintos métodos de determinación de la dimensión vertical, haciendo especial hincapié en los basados en métodos cefalométricos. Finalmente 9 artículos cumplen los criterios de inclusión y se realiza una evaluación crítica del nivel de evidencia. No se ha encontrado suficiente evidencia científica que demuestre la repetibilidad de ambos métodos. Es necesario realizar estudios controlados y aleatorizados que comparen ambos métodos para determinar si son repetibles y reproducibles y obtienen resultados sin diferencias estadísticamente significativas.

The objective of this work was to establish if the method of evaluation of the vertical dimension by cephalometry and the common one with joint rollers, obtains results without statistically significant differences. We carried out a systematic review based on the PICO methodology of the Center for Evidence-Based Medicine for Oxford. A question aimed at the objective was made, and a search strategy was developed using specific MeSH key words derived from the question in the Pubmed database up to 2015 and oral rehabilitation books. A total of 833 items were consulted by tittle, and for 26 of these full text was reviewed. Works on different methods for determining the vertical dimension were studied, with special emphasis on those based on cephalometric methods. Finally 9 articles fulfilled the criteria for inclusion and a critical assessment of the evidence level was performed. We did not find sufficient scientific evidence to demonstrate the repeatability of these methods. It is necessary to realize randomized controlled trials comparing both methods to determine if they were statistically repeatable and reproducible.

Types of facets on the superior articular surface of Isan-Thai dried calcanei / Tipos de facetas de la superficie articular superior de calcáneos secos de tailandeses del nordeste

The patterns of talar articulating facets must be concerned in surgical procedure or the internal and external fixation in various diseases of the foot. The variant types of calcaneal facets on the superior articular surface have been reported in many races except in Thais. This study therefore was aimed to investigate the patterns of superior articulating facet of dried calcanei in Isan-Thais. The identified 396 Isan- Thai dried calcanei (202 males and 194 females) were carried out for variant superior facet observations. The results showed that types of facets observed could be classified into three major types (Type 1 [60.86%], Type 2 [38.64%], and Type 4 [0.51%], respectively). In sub-type classifications, there were Type 1A (24.75%), Type 1B (36.11%), Type 2A (12.88%), Type 2B (14.14%), Type 2C (2.78%), Type 2D (8.84%), and Type 4 (0.51%), respectively. Additionally, it was found that the percentage of Type 2A of male (15.84%) was much greater than that of female (9.79%) compared to those of other types. This incidence of facet types is valuable information for Thai orthologists to concern about treating in talocalcaneal joint area.

Los patrones de las facetas articulares del talus deben considerarse en los procedimientos quirúrgicos o en la fijación interna y externa en varias enfermedades del pie. Variaciones en las facetas articulares del calcáneo, correspondientes a la superficie articular superior, se han reportado en muchas razas y grupos étnicos, excepto en los tailandeses. Por tanto, este estudio tuvo como objetivo investigar los patrones de presentación de las carillas articulares de calcáneos secos en Tailandases-Isan. Se estudiaron 396 huesos calcáneos secos (202 de hombres y 194 de mujeres). Los resultados mostraron que los tipos de carillas observadas se pueden clasificar en tres tipos principales (tipo 1 [60,86%], tipo 2 [38,64%] y Tipo 4 0,51%, respectivamente). Las subclasificaciones se distribuyeron en los subtipos 1A (24,75%), 1B (36,11%), 2A (12,88%), 2B (14,14%), 2C (2,78%), 2D (8,84%), y 4 (0,51%), respectivamente. Adicionalmente, se encontró que el porcentaje del Tipo 2A de hombres (15,84%) fue mayor que en las mujeres (9,79%) en comparación con los otros tipos. Consideramos que la incidencia de aparición de los distintos tipos de facetas constituyen una información valiosa para ortopedistas tailandeses en relación a los tratamientos a desarrollar en el área de la articulación talocalcanea.

Descrição anatômica da articulação metacarpo-falângica em ovinos / Anatomical description of the metacarpal phalangeal joint in sheep

A descrição anatômica articular evidencia os fatores padrões para as condições biomecânicas que devem ser consideradas na seleção do animal de uma determinada espécie. Dessa forma, objetivou-se descrever a articulação metacarpo-falângica na espécie ovina, em relação a sua arquitetura, considerando o volume, recessos, comunicações e relações no aspecto anatômico macroscópico. Para tanto, foram utilizados dez animais adultos da espécie ovina, raça Santa Inês, machos e fêmeas, escolhidos aleatoriamente. A cápsula articular teve uma dimensão média de 3,05 cm e uma capacidade volumétri-ca média de 3,99 ml; as comunicações ocorreram em um grau médio de expansão do Látex nas faces dorsal (56,7%) e palmar (53,3%); as comunicações proximais nas faces dorsal, palmar e dorso-palmar apareceram em 100,0% dos casos; os recessos estiveram presentes nas extremidades distais. Nesse contexto, conclui-se, que a articulação metacarpo-falângica de ovinos apresenta-se com relações topográficas semelhantes à descrita para os demais ruminantes, possuindo comunicações em sua porção proximal e recessos distalmente.

The joints anatomical description highlights the standards for biomechanical conditions that must be considered in the selection of a particular animal species. Thus, the objective was to describe the metacarpal phalangeal joint in sheep, for its architecture and adjacent structures. For this purpose, we used ten adult sheep, Santa Ines breed, males and females, randomly chosen. The anatomical specimens for the study were collected by the disarticulation of the distal row of carpal and metacarpal bone of an sheep's forelimb. To observe the joint capsule, adjacent structures were overruled and their topographical relationships with such joint analyzed. The longitudinal measures of the joint capsule and the III-IV metacarpal bones, proximal phalanges III and IV proximal phalanx were taken. Through the results, it is concluded that the metacarpal phalangeal joint in sheep presents similar topographical relationships described for other ruminants, with connections at the proximal and recesses at the distal areas.

Fração total de células mononucleares intra-articular em cães submetidos à reconstrução do ligamento cruzado / Total fraction of mononuclear intra-articular cells in dogs undergoing cruciate ligament reconstruction

Avaliou-sea ação da fração total de células mononucleares autógenas da medula óssea (FCMO) por aplicação intra-articular, após a correção cirúrgica do ligamento cruzado rompido. Foram utilizados 20 cães, os quais sofreram desmotomia do ligamento cruzado cranial e caudal unilaterais, 21 dias antes do reparo cirúrgico. Dez animais receberam as células autógenas no momento da correção. As avaliações se deram por estudo radiográfico, exames clínicos e biópsias aos 50 e 90 dias pós-operatórios. O grupo que recebeu a FCMO apresentou crescimento ósseo intra-articular ao estudo radiográfico, contudo os 20 animais apresentaram célulasCD34 positivas em suas amostras biopsiadas, indicando haver presença de células-tronco em ambos os grupos. Conclui-se que,para o modelo experimental proposto, não se recomenda o uso da fração total de células mononucleares e que trabalhos experimentais com o uso de células-tronco nas articulações devem evitar modelos cujo foco de lesão mantenha contato direto com a medula óssea.

This study was performed to evaluate the action of the fraction of total mononuclear cells from the bone marrow (FCMO) applied intra-articularly after the surgical repair of an experimentally ruptured cruciate ligament. Twenty dogs which suffered one-sided cruciate desmotomy of the cranial and caudal cruciate ligament 21 days before the correction were used. Ten animals received the FCMO at the time of correction. The assessments were done through X-ray and clinical examinations, and biopsies at 50 and 90 days postoperatively. It was concluded that there was no clinical difference between the two groups until 90 days of evaluation. The group that received FCMO grew intra-articular bone shown on the X-ray study. All twenty animals, however, presented cells marked with CD34 antibodies on their biopsy samples, indicating the presence of stem cells in both groups. It is concluded thatfor theexperimental model, it is not recommended to use the mononuclear cell fraction,andin experimental studies with the use of stem cells in the joints models whose focus of injury keep direct contact with the bone marrow should be avoided.

Relação entre exame clínico e radiográfico no diagnóstico a osteoartrite equina / Relationship between clinical and radiography examination for equine osteoarthritis iagnosis

os equinos atletas. Apesar dos avanços tecnológicos nas últimas décadas, os exames clínico e radiográfico ainda são os meios mais comumente utilizados para o diagnóstico da osteoartrite equina. Neste estudo foram compilados e confrontados dados clínicos de 2872 equinos. Foram avaliados 146 casos de osteoartrite e analisadas radiograficamente 259 articulações com osteoartrite, para verificar quanto o exame radiográfico é condizente com o exame físico, e relacionar alterações clínicas com a modalidade de atividade física executada pelos cavalos. Pode-se constatar que a osteoartrite interfalangeana e metacarpo/metatarso falangeana (dígito) quando exibe alterações radiográficas faz com que os cavalos sejam mais propensos a claudicar, comparativamente a outros que também apresentam osteoartrite evidenciada radiograficamente, porém na articulação do tarso. Contudo, os escores radiográficos não correlacionaram a imagem radiográfica com a presença ou não de claudicação. A modalidade de atividade física não interferiu na frequência dos sinais clínicos de osteoartrite. Os equinos que mais apresentaram osteoartrite possuíam idade média de 8,4 ± 3,9 anos e eram utilizados para romaria, provas de quarto de milha e trabalho com o gado. Dentre as raças estudadas, as que mais frequentemente apresentaram equinos com osteoartrite foram Mangalarga Marchador, Crioulo e Quarto de Milha.

Joint disease, specifically osteoarthritis, is one of the most prevalent and debilitating diseases affecting athletic horses. Despite technological advances in recent decades, clinical and radiographic examinations are still the most commonly used methods for diagnosis of equine osteoarthritis. Clinical data of 2872 horses were compiled and compared for thisstudy, it were evaluated 146 cases of osteoarthritis and radiographies of 259 affected joints were reviewed in order to verify how far radiographic examination is consistent with the clinical examination, and to correlate the clinical changes with physical activity performed by horses. Records showed that osteoarthritis in the fetlock and pastern joints (digit) when displaying radiographic changes makes horses more prone to show lameness, compared to others who also have osteoarthritis with radiographic evidence, but in the tarsocrural joint. However, radiographic scores do not correlate the radiographic image with the presence or absence of lameness. The type of physical activity performed by the horses had no influence on the frequency of clinical signs of osteoarthritis. The horses with osteoarthritis had an average of 8.4 ± 3.9 years old and were used for ride, western and work with cattle. Among the breeds studied, those that most frequently had horses with osteoarthritis were Mangalarga Marchador, Crioulo and Quarter Horse.

Ruptura de menisco associada à ruptura de ligamento cruzado cranial em cães / Association of meniscal lesion and cranial cruciate ligament insufficiency in dogs

O trabalho descreve as lesões de menisco associadas com ruptura do ligamento cruzado cranial em 82 pacientes de diferentes raças, idades e pesos, com o objetivo de avaliar o tipo de ruptura de menisco associada a lesões do ligamento cruzado cranial. No período pré-operatório, os animais foram submetidos à avaliação clínica e radiológica. Todos os animais apresentaram ruptura total ou parcial do ligamento cruzado cranial; 21 (24,14%) animais não apresentaram nenhuma lesão de menisco, os restantes (75,86%) apresentaram apenas lesão no menisco medial. As lesões encontradas no menisco medial foram as seguintes: 33 joelhos (37,93%) apresentaram eversão do corno caudal (Tipo 1); 15 (17,24%) apresentaram lesão em alça de balde (Tipo 6); 3 (3,45%) lesão de fibrilação (Tipo 4); 3 (3,45%) ruptura longitudinal múltipla (Tipo 3); 3 (3,45%) lesão longitudinal (Tipo 2); 1 (1,15%) lesão tipo 7; e 10 (11,49) apresentaram lesões múltiplas. A meniscectomia parcial do menisco medial foi realizada em 63 (72,41%) joelhos e a meniscectomia total em 3 (13,04%). O procedimento cirúrgico para a resolução da ruptura do ligamento cruzado cranial incluiu: avanço da tuberosidade tibial (TTA) (49 joelhos), osteotomia niveladora do platô tibial (TPLO) (15 joelhos), osteotomia em cunha da tíbia (CWO) (14 joelhos), extracapsular (quatro joelhos) e meniscectomia (cinco joelhos). Todos os casos evoluíram com o retorno à função habitual do membro pélvico acometido na primeira semana do período pós-operatório, e com a ausência de complicações. A alta porcentagem (75,86%) de ruptura do menisco medial encontrada no presente trabalho demonstra a importância da avaliação prévia dos meniscos antes da realização da técnica de estabilização da articulação femorotibiopatelar.

The following study describes meniscus ruptures associated to cranial cruciate ruptures, in 34 dogs of different breeds, ages and weights. Before surgery the animals underwent clinical and radiographic examinations. All animals presented either total or partial cranial cruciate ruptures: 21 (24.14%) of the animals didn’t present any meniscus lesions, and the rest (75.86%) presented only a medial meniscus lesion. The lesions found in the medial meniscus were the following: 33 stifles (37.93%) presented with eversion of the caudal pole (Type 1), 15 (17.24%) showed a bucked handle lesion (Type 6), 3 (3.45%) presented with fibrillation lesion (Type 4), 3 (3.45%) multiple fibrillation lesion (Type 3), 3 (3.45%) longitudinal lesion (Type 2), 1 (1.15%) lesion type 7 and 10 (11.49%) presented multiple lesion. Surgical procedure for cranial cruciate rupture included: tibial tuberosity advancement (TTA) (49 stifle), tibial plateau leveling osteotomies (TPLO) (15 stifle), closing wedge osteotomy (CWO) (14 stifle), extracapsular (4 stifle) and meniscectomy alone (5 stifle), and all these techniques guaranteed weight baring and return to function in the first week after surgery, with no complications. Through this study we could demonstrate that meniscus tear is highly associated to cranial cruciate rupture and that the most common is type 1 (eversion of the caudal pole) and that cronicity of the lesion increases the probability of meniscus tear.

Descrição do movimento da articulação metacarpofalangiana de equinos pela metodologia baseada em videogrametria / Equine metacarpophalangeal joint movement using videogrammetry method

Caracterizou-se, mediante análise cinemática tridimensional baseada na videogrametria, o ângulo dorsal da articulação metacarpofalangiana de equinos em sete equinos da raça Puro Sangue Árabe. A análise tridimensional do movimento foi realizada em esteira rolante. O programa Dvideo foi utilizado para a obtenção das coordenadas tridimensionais do sistema de calibração e dos marcadores reflexivos posicionados na extremidade proximal do terceiro osso metacárpico, articulação metacarpofalangiana e extremidade distal da primeira falange. A articulação metacarpofalangiana apresentou extensão máxima durante o momento de apoio, no qual a face lateral do terceiro osso metacarpiano se apresentava de forma perpendicular ao solo. Foram observados dois picos de flexão durante a fase de elevação. Concluiu-se que a instrumentação utilizada para a análise cinemática tridimensional permitiu a investigação quantitativa da variação angular do movimento de extensão e flexão da articulação metacarpofalangiana de equinos por meio de imagens digitalizadas.

The kinematic pattern of the metacarpophalangeal joint of equine using videogrammetry was evaluated. The three dimensional kinematic analysis were performed in a treadmill using seven Arabian horses. The Dvideo program was used to obtain the three dimensional coordinates from a calibration system and three reflective markers placed on the third metacarpus, metacarpophalangeal joint and proximal phalanx of the left forelimb. After the landing of the hoof, the fetlock extends to maximal loading at mid stance. During the swing phase the joint shows two flexion peaks. This method allows the determination of the flexion and extension angle of the metacarpophalangeal joint during locomotion.

Sinovite proliferativa crônica da articulação metacarpofalangiana em equinos: relato de caso / Chronic proliferative synovitis of the fetlock joint in horses: case report

Uma potra da raça Mangalarga foi avaliada clinicamente por apresentar claudicação dos membros torácicos. À inspeção, observaram-se desvios angulares e sensibilidade em ambos os membros, especialmente o esquerdo, que se mostrava sensível à flexão da articulação metacarpofalangiana. Ao exame radiográfico, visualizaram-se imagens compatíveis com sinovite proliferativa crônica da articulação metacarpofalangiana esquerda. A artrografia contrastada positiva confirmou a presença de massa tecidual ocupando a superfície dorsoproximal da articulação. Pela severidade da lesão, realizou-se artrotomia metacarpofalangiana esquerda. Neste caso, optou-se pela remoção do processo proliferativo, que produzia reabsorção óssea de grande intensidade e redução da cortical da epífise distal do metacarpo III, com risco de fratura patológica.

A Mangalarga foal was examined presenting both front limb lameness. The clinical examination revealed angular limb deformity and increased pain sensation, notably on the front left limb, which showed a reduced range of motion on the metacarpophalangeal joint. X-ray images indicated chronic proliferative synovitis in the above mentioned joint. Positive contrast arthrography confirmed a space occupying mass on the dorsoproximal surface of the joint. Due to the severity of the lesion, arthrostomy was performed followed by the removal of the proliferative tissue, to reduce the risk of pathological fracture on the distal end of the metacarpus III.

Influência do laser de baixa potência (GaAlAs) na remodelação óssea, após a disjunção da sutura palatina mediana em ratos Wistar / Influence of low level laser (GaAlAs) on bone remodeling after midpalatal suture expansion in Wistar rate

O propósito deste estudo foi analisar o comportamento do osso alveolar na remodelação óssea sob carga fisiológica e ortopédica após a disjunção rápida da sutura palatina mediana durante 14 dias, com e sem aplicação de laser de baixa potência e comparar imagens obtidas por técnica radiográfica convencional com microtomografias computadorizadas. O aparelho de laser utilizado foi de diodo de arsenieto de gálio-alumínio (AlGaAs) (830m; 100mW, onda contínua, 126J/cm2, 29 segundos) aplicado à sutura palatina mediana de ratos Wistar, machos, de 6 semanas de vida. Foram utilizados 65 ratos divididos em um grupo controle (GC) contendo 5 ratos e dois experimentais I e II (GE I e GE II), com 30 ratos cada, ambos GE submetidos à disjunção imediata, sendo que o GE II foi irradiado imediatamente após a disjunção. Os GE I e II foram subdivididos em períodos de disjunção imediata, 6, 24, 48 horas, 7 e 14 dias. Dois amostras de cada período dos GC e GE foram radiografadas (convencional) e processadas para captura de imagens em scanner micro-CT (Scanco Medical, Zurik, Suíça), com 24KV de energia e 3,8μm de resolução espacial e o restante foram processadas para serem analisadas histologicamente coradas com hematoxilina e eosina e tricrômico de Masson. Os resultados foram avaliados histológica e radiograficamente. O trabeculado ósseo recém-formado a partir dos bordos ósseos da sutura foi observado nos períodos de 2, 7 e 14 dias do GE II, 7 e 14 dias do GE I. O presente experimento demonstrou que a atividade osteoblástica aumenta a atividade da osteosíntese de modo mais expressivo após aplicação do laser de baixa potência, porem é necessários mais estudos em biologia molecular para desvendar os seus efeitos ao nível celular. As microtomografias computadorizadas mostraram maior riqueza de detalhes para analisar o rompimento da sutura palatina mediana e seu reparo com o depósito de tecido ósseo do que as radiografias convencionais.

The purpose of this study was to evaluate the behavior of the alveolar bone on bone remodeling under physiological load and on after rapid midpalatal suture expansion during a 14-day period, with and without low-level laser irradiation and to compare images obtained by conventional radiographic technique with microtomografias computed. The laser device was a gallium-aluminum-arsenide (GaAlAs) diode laser (830 m; 100 mW, continuous wave, 126 J/cm2, 29 seconds) applied to the midpalatal suture of 6-week-old male Wistar rats. Sixty-five rats were assigned in a control group (CG) containing 5 rats and two experimental I and II (EG I and EG II), with 30 rats each, both EG submitted to expansion immediately, while the EG II was irradiated pos expansion immediately. The EG I and II were divided into periods of immediate midpalatal suture expansion, 6 hours, 1, 2, 7 and 14 days). . Two samples of each period of CG and EG were radiographed (conventional) and processed to capture images in micro-CT scanner (Scancem Medical, Zurik, Switzerland) with 24kV of energy and 3.8 mm in spatial resolution and the rest were processed for are analyzed histologically stained with hematoxylin and eosin and Masson's trichrome.The results were evaluated histologically and radiographically. Bone trabeculae recently formed from the bone borders of the suture were observed in the periods of 2, 7 and 14 days of EG II, and 7 and 14 days of EG I. The present experiment demonstrated that the osteoblastic activity increases the osteosynthesis activity in a more manner after low-level laser irradiation. However, more studies in the field of molecular biology are necessary to determine its effects at cellular level. The computed microtomographs provided a more detailed analysis of midpalatal suture opening and its repair by bone tissue deposition than conventional radiographs.

Imobilização prolongada e remobilização da articulação fêmoro-tíbio-patelar de ratos: estudo clínico e microscópico / Experimental immobilization and remobilization rat knee joints: clinical and microscopic study

Trinta e quatro ratos foram alocados em quatro grupos experimentais: sem imobilização (G1), com imobilização do joelho direito por 45 dias (G2), com imobilização e remobilização com atividade livre por cinco semanas (G3), imobilização e remobilização com atividade livre e natação por cinco semanas (G4). A imobilização interferiu negativamente na marcha e amplitude articular e o G4 apresentou melhor evolução na marcha nos cinco primeiros dias, em relação ao G3. Após esse período, a evolução foi similar. Os componentes do G2 apresentaram rigidez articular, não observada em G3 e G4. Histologicamente, a imobilização promoveu aumento da espessura da cápsula articular, evidenciada pela presença do tecido conjuntivo fibroso que substituiu o tecido adiposo no G2, mas em menor proporção em G3 e G4. A imobilização determinou perda de proteoglicanos da matriz cartilaginosa, aumento do número de condrócitos, dispostos de forma irregular, aumento da espessura da cartilagem calcificada, irregularidade da superfície articular, proliferação de tecido conjuntivo no espaço intra-articular e aumento da espessura do osso subcondral. O G3 apresentou maior número de alterações na cartilagem e osso subcondral, quando comparado com G4. A imobilização degenerou as células sinoviais, indicando diminuição da produção de fluido sinovial e do suprimento nutricional à cartilagem. Tanto a atividade livre quanto sua associação com a natação favoreceram o retorno das condições biomecânicas e da cápsula articular, anteriores à imobilização.

Thirty-four rats were randomly allocated into one of four experimental groups: without immobilization (G1), immobilization of the right knee joint for 45 days (G2), immobilization and remobilization with free activity for 5 weeks (G3), and immobilization and remobilization with free activity and swimming program for 5 weeks (G4). The immobilization was prejudicial to march and flexibility articular. Animals from G4 showed a better march evolution on the first five days as compared to those from G3. After that periods, march evolution were similar in both G3 and G4. Animals from G2 showed rigid joint while in those from G3 and G4 the articular movement was close to normal. The histological analysis pointed out that immobilization led to increase in articular capsule thickness evidenced by the presence of fibrous connective tissue replacing adipose tissue in G2, but proportionally less in G3 and G4. It was observed that immobilization determined loss of proteoglycans from the cartilaginous matrix, increase in the number of regularly arranged condrocytes, increase in calcified cartilage thickness, irregularity in the articular surface, proliferation of connective tissue in the intra-articular space and increase in subchondral bone thickness. The animals from G3 showed a greater number of alterations in both articular cartilage and subchondral bone, as compared to those from G4. Immobilization degenerated synovial cells indicating decreased synovial fluid production and reduced nutritional supplying to the cartilage. The free cage activity and its association with swimming influenced positively the return of biomechanics and articular capsule morphologic conditions to those before immobilization.

Comparative evaluation of effectiveness of different motor muscles in modified lasso procedure for correction of finger clawing

A retrospective study was carried out to compare the effectiveness of different muscles as motors in modified lasso procedures for correction of finger clawing in leprosy. It was observed that palmaris longus and extensor carpi radialis longus were more suitable than the flexor digitorum superficialis. In some patients, removal of superficialis is associated with complications which could not be predicted before surgery. Extensor carpi radialis longus has advantages over palmaris longus in selected cases.