Arthrographic description of the canine carpal joint cavities and its recesses.

Joint effusion is diagnostically important. The canine carpal joint effusion, which is sometimes difficult to detect clinically, has received less attention in diagnostic ultrasound (US) studies. The aim of the present study was to provide a description of the morphological appearance of the canine carpal joint cavities and recesses using US, radiography, helical computed tomography (CT) and three-dimensional volume rendering technique (3D-VRT) images and to prove the applicability of musculoskeletal US for the detection of artificial carpal joint effusion in dogs. The understanding of the characteristics of these structures in normal patients is essential in the diagnosis. Twenty-eight clinically and radiologically unremarkable canine carpal cadavers of different breeds were examined, representative images were selected and anatomical structures were labelled. The canine carpal joint cavities and in particular its recesses had a complex appearance with a basic structure found in all dogs: Antebrachiocarpal joint: dorsoproximal antebrachiocarpal recess, dorsodistal antebrachiocarpal recess, medial antebrachiocarpal recess, lateral antebrachiocarpal recess and five palmar antebrachiocarpal recesses. Middle carpal joint: two dorsal middle carpal recesses, medial common middle carpal and carpometacarpal recess, lateral common middle carpal and carpometacarpal recess, four palmar middle carpal recesses. The carpometacarpal joint had dorsal and palmar funnel-shaped and irregular, finely tubular extensions, the most prominent ran dorsal to metacarpal III, the maximum distal end represented the proximal metacarpal diaphysis. All recesses presented ultrasonographically as a generalized anechogenic to hypoechoic filled continuation of the articular capsule with an indistinct peripheral hypoechogenic to isoechogenic fine capsule, the synovial-connective tissue interface was difficult to identify. The novel results of this study provide the first morphological description of the ultrasonographic, radiographic and computed tomographic arthrographic appearance of the canine carpal joint cavities and recesses with different injection volumes. The canine carpal joint cavities and in particular its recesses had a complex appearance with a basic structure found in all dogs. The applicability of musculoskeletal US to visualize an artificial carpal effusion has been demonstrated. The results of this study, and in particular US, give the practitioner an advantage in visualizing joint effusion and assist in the decision to perform arthrocentesis.

The carpal joint of the donkey (Equus asinus): morphological investigation / Articulación del carpo del asno (Equus asinus): investigación morfológica

The current study has been achieved to be an essential resource for all veterinary practitioners that deal with the anatomy of the carpal joint of the donkey. Ten adult donkeys of both sexes were used in the current study. The topographical approach to the carpal joint was investigated in this study. Radiography and computed tomography (CT) of the carpus delineated the articulations of the carpal joint: radiocarpal, intercarpal, and carpometacarpal. The carpal ligaments were well delineated and the carpal canal was demonstrated with its content such as superficial digital flexor tendon (SDFT) and deep digital flexor tendon (DDFT). The contrast radiography visualized that the radiocarpal joint outpouched proximal to the accessory carpal bone by large palmarolateral pouch and small palmaromedial pouch, however the intercarpal joint outpouched distal to the accessory carpal bone by two small palmarolateral and palmaromedial pouches. The carpometacarpal joint showed medial and lateral palmarodistal outpouchings in distal direction between the corresponding 2nd and 4th metacarpal bones and the 3rd metacarpal bone. Scanning electron microscopy (SEM) displayed two types of synoviocytes macrophages type A cells and fibroblast like type B cells at the cellular lining of the synovial membrane of the joint capsule.

Este estudio constituye un recurso esencial para todos los veterinarios que se ocupan de la anatomía de la articulación del carpo del asno. Fueron utilizados diez asnos adultos, de ambos sexos. Se analizó la articulación del carpo desde un enfoque topográfico. Se realizaron estudios por radiografía y tomografía computarizada para identificar las articulaciones del carpo en su conjunto: radiocarpiana, intercarpiana y carpometacarpiana. Los ligamentos del carpo se encontraron bien delineados y en el canal carpiano se identificó su contenido, como el tendón del flexor digital superficial y el tendón del flexor digital profundo. La radiografía de contraste permitió visualizar que la articulación radiocarpiana se articula proximalmente con el hueso accesorio del carpo a través una larga evaginación palmarolateral y una pequeña evaginación palmaromedial; sin embargo, la articulación intercarpiana se relaciona distalmente con el hueso accesorio del carpo por medio de dos pequeñas evaginaciones, palmarolateral y palmaromedial. La articulación carpometacarpiana mostró evaginaciones palmarodistales, medial y lateral, en dirección distal entre los correspondiente 2 y 4 huesos metacarpianos y el 3 hueso metacarpiano. La microscopía electrónica de barrido muestra dos tipos de células: células A, correspondientes a sinoviocitos macrófagos y células B, correspondientes a fibroblastos, en el revestimiento celular de la membrana sinovial de la cápsula articular.

Elliptical morphology of the carpal tunnel cross section

Although the carpal tunnel is known for its anatomical constituents, its morphology is not well recognized. The aim of this study was to investigate the morphometric properties of the carpal tunnel and its surrounding structures. Magnetic resonance and cross-sectional images of the distal carpal tunnel were collected from eight cadaveric hands. Morphological analyses were performed for the cross sections of the carpal tunnel, interior carpus boundary, and exterior carpus boundary. The specimens had a carpal arch width and height of 23.9 ± 2.9 mm and 2.2 ± 0.9 mm, respectively. The carpal tunnel, interior carpus boundary, and exterior carpus boundary had perimeters of 54.8 ± 4.5 mm, 68.5 ± 7.0 mm, and 130.6 ± 11.8 mm, respectively, and areas of 183.5 ± 30.1 mm2, 240.7 ± 40.2 mm2, and 1002.3 ± 183.7 mm2, respectively. The cross sections were characterized by elliptical fitting with aspect ratios of 1.96 ± 0.15, 1.96 ± 0.19, and 1.76 ± 0.19 for the carpal tunnel, interior carpus boundary, and exterior carpus boundary, respectively. The major axis of the boundaries increased in pronation angle, relative to the hamate-trapezium axis, for the exterior carpus (6.0 ± 3.0º), interior carpus (8.2 ± 3.2º), and carpal tunnel (15.9 ± 2.2º). This study advances our understanding of the structural anatomy of the carpal tunnel, and the morphological information is valuable in the identification of structural abnormality, assistance of surgical planning, and evaluation of treatment of effects

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