Nivolumab for locally advanced and metastatic cutaneous squamous cell carcinoma (NIVOSQUACS study)-Phase II data covering impact of concomitant haematological malignancies.

BACKGROUND: Monoclonal antibodies, such as cemiplimab and pembrolizumab, against the programmed death receptor (PD)-1 have become the current standard of care and first-line treatment of advanced cutaneous squamous cell carcinoma (cSCC), proving remarkable clinical benefit and acceptable safety. OBJECTIVES: To assess efficacy and safety of the anti-PD-1 antibody nivolumab in patients with locally advanced and metastatic cSCC. METHODS: Patients received open-label nivolumab 240 mg intravenously every 2 weeks for up to 24 months. Patients with concomitant haematological malignancies (CHMs), either non-progressing or stable under active therapy, were eligible for inclusion. RESULTS: Of 31 patients with a median age of 80 years, 22.6% of patients achieved an investigator assessed complete response, resulting in an objective response rate (ORR) of 61.3% and a disease control rate (DCR) of 64.5%. Progression-free survival (PFS) was 11.1 months, and the median overall survival (OS) was not reached after 24 weeks of therapy. Median follow-up was 23.82 months. Subgroup analysis of the CHM cohort (n = 11; 35%) revealed an ORR of 45.5%, a DCR of 54.5%, a median PFS of 10.9 months, and median OS of 20.7 months. Treatment related adverse events were reported in 58.1% of all patients (19.4% grade 3, the remaining grade 1 or 2). PD-L1 expression and CD-8+ T-cell infiltration did not significantly correlate with clinical response, although a trend towards a shorter PFS of 5.6 months was observed with PD-L1 negativity and low CD8+ intratumoral infiltration. CONCLUSION: This study demonstrated robust clinical efficacy of nivolumab in patients with locally advanced and metastatic cSCCs and a tolerability comparable to data of other anti-PD-1 antibodies. Favourable outcomes were obtained despite involving the oldest hitherto reported study cohort for anti-PD-1 antibodies and a significant proportion of CHM patients prone to high risk tumours and an aggressive course otherwise typically excluded from clinical trials.

Short communication: Use of lameness scoring to genetically improve claw health in Austrian Fleckvieh, Brown Swiss, and Holstein cattle.

The specific objective of this study was to evaluate the use of lameness scoring to genetically improve claw health in Austrian Fleckvieh, Brown Swiss, and Holstein cows based on data from the "Efficient Cow" project. In 2014, a 1-yr data collection was carried out. Data from 6,519 cows kept on 161 farms were recorded. At each time of milk recording, lameness scores were assessed by trained staff of the milk recording organizations. Hoof trimming on these farms was documented and recorded as well. Veterinarian diagnoses and culling due to foot and leg problems from these farms were available from the routine recording system. As repeated lameness records per cow and lactation were available, an overall lactation lameness score was calculated. Estimated heritabilities for lameness were 0.11, 0.05, and 0.09 for Fleckvieh, Brown Swiss, and Holstein, respectively; however, only heritability estimates for Fleckvieh were significantly different from zero. Breeding values for lameness were obtained, reversed in sign, and cows were ranked according to their breeding value. A low breeding value for lameness resistance (the bottom 10% of the cows) was associated with a significantly higher frequency of trimmed cows, which indicates that the cows selected by the farmer to be trimmed are not completely random. Additionally, a high breeding value for lameness resistance (the top 10% of the cows) was associated with lower frequencies of claw diseases recorded at trimming, claw and leg diagnoses, and culling due to foot and leg problems, which highlights the usefulness of lameness scoring for genetic improvement of claw health. Overall, selecting for a better lameness score has the potential to reduce claw diseases, especially the frequency of severe claw diseases that lead to culling.

Invited review: Genetics and claw health: Opportunities to enhance claw health by genetic selection.

Routine recording of claw health status at claw trimming of dairy cattle has been established in several countries, providing valuable data for genetic evaluation. In this review, we examine issues related to genetic evaluation of claw health; discuss data sources, trait definitions, and data validation procedures; and present a review of genetic parameters, possible indicator traits, and status of genetic and genomic evaluations for claw disorders. Different sources of data and traits can be used to describe claw health. Severe cases of claw disorders can be identified by veterinary diagnoses. Data from lameness and locomotion scoring, activity information from sensors, and feet and leg conformation traits are used as auxiliary traits. The most reliable and comprehensive information is data from regular hoof trimming. In genetic evaluation, claw disorders are usually defined as binary traits, based on whether or not the claw disorder was present (recorded) at least once during a defined time period. The traits can be specific disorders, composite traits, or overall claw health. Data validation and editing criteria are needed to ensure reliable data at the trimmer, herd, animal, and record levels. Different strategies have been chosen, reflecting differences in herd sizes, data structures, management practices, and recording systems among countries. Heritabilities of the most commonly analyzed claw disorders based on data from routine claw trimming were generally low, with ranges of linear model estimates from 0.01 to 0.14, and threshold model estimates from 0.06 to 0.39. Estimated genetic correlations among claw disorders varied from -0.40 to 0.98. The strongest genetic correlations were found among sole hemorrhage (SH), sole ulcer (SU), and white line disease (WL), and between digital/interdigital dermatitis (DD/ID) and heel horn erosion (HHE). Genetic correlations between DD/ID and HHE on the one hand and SH, SU, or WL on the other hand were, in most cases, low. Although some of the studies were based on relatively few records and the estimated genetic parameters had large standard errors, there was, with some exceptions, consistency among studies. Various studies evaluate the potential of various data soureces for use in breeding. The use of hoof trimming data is recommended for maximization of genetic gain, although auxiliary traits, such as locomotion score and some conformation traits, may be valuable for increasing the reliability of genetic evaluations. Routine genetic evaluation of direct claw health has been implemented in the Netherlands (2010); Denmark, Finland, and Sweden (joint Nordic evaluation; 2011); and Norway (2014), and other countries plan to implement evaluations in the near future.

Ultrasonographic imaging of the temporomandibular joint in healthy cattle and pathological findings in one clinical case.

AIMS: To describe the normal ultrasonographic appearance of the temporomandibular joint (TMJ) in cattle, and to describe the ultrasonographic pathology of the TMJ as assessed in one cow with TMJ disease. METHODS: The TMJ of 12 healthy Holstein-Friesian cows were examined using a portable ultrasonographic unit with a 7.5 MHz linear probe and a 6.0 MHz convex probe. Each TMJ was scanned in a rostrolateral, lateral and caudolateral plane. In addition, the TMJ of one 2-year-old cow with clinical signs of food retention in the mouth, head tilt, swelling and pain in the right TMJ region and an infected horn fracture was examined ultrasonographically. RESULTS: The bone surfaces of the temporal process, the zygomatic process and the temporal bone, the larger muscles of the TMJ region, the superficial temporal vein, and the parotid salivary gland could be imaged in all normal healthy cattle. Using the linear probe, the joint capsule was visible in 17/24 (71%) cases in the caudolateral plane, but the articular disc could not be visualised. With the convex probe, the joint capsule could be imaged in all cases in the caudolateral plane, and the articular disc in 13/24 (54%) cases in the caudolateral plane. It was never possible to see the synovial pouch in healthy cattle using either probe. By contrast, in the cow diagnosed with septic arthritis of the right TMJ, a marked anechoic and heterogeneous hypoechoic effusion of the TMJ with distension of the joint capsule was visualised. CONCLUSIONS: The results of this descriptive study serve to provide a reference for ultrasonography of pathological conditions of the TMJ region in cattle. CLINICAL RELEVANCE: As many veterinarians are equipped with ultrasound machines with 5-8 MHz linear rectal probes, the authors recommend using these probes for further investigation of clinical cases with swelling of the TMJ region and/or masticatory problems of unclear origin to exclude or diagnose TMJ disorders.

Scapulohumeral subluxation and luxation in five alpacas.

INTRODUCTION: The patient histories, findings from clinical examinations, diagnostic imaging techniques, the surgical procedures, complications, necropsy findings and the outcomes from five male or castrated male alpacas with scapulohumeral sub-/luxation are presented. These alpacas each had a history of severe forelimb lameness for one week (n: 1), four weeks (n: 2) and for two-to-three months (n: 2). Two of the five alpacas were euthanized due to severe osteoarthritic changes that developed during the two-to-three months of scapulohumeral luxation. Three alpacas were treated with open reduction and internal stabilisation by placing tension band sutures between one 4,5 mm cortical screw anchored in the scapular neck and two 4,5 mm cortical screws anchored in the greater humeral tubercle, all of them provided with washers. Post-surgery a carpal flexion sling was applied to avoid postoperative weight-bearing. An exercise programme was started after removal of the carpal sling and continued for 12 weeks. In one of the three alpacas an additional non-displaced fracture of the acromion occurred two weeks after surgery. In conclusion, all three treated alpacas had good-to-excellent long-term outcomes and are still alive 123, 15 and 12 months after surgical repair of the scapulohumeral sub-/luxation. As four weeks, or even up to three months elapsed in four of these five alpacas until a definitive diagnosis was made, more education should be provided to alpaca owners that severely lame animals should be presented to a veterinarian with adequate diagnostic possibilities and expertise as soon as possible in order not to compromise treatment success.

INTRODUCTION: Dans cette étude rétrospective, on présente les antécédents des patients, les résultats des examens cliniques, les techniques d'imagerie diagnostique, les procédures chirurgicales, les complications, les résultats de l'autopsie et les résultats finaux de cinq alpagas mâles ou mâles castrés souffrant d'une subluxation ou luxation scapulo-humérale. Ces alpagas présentaient chacun des antécédents de boiterie sévère des membres antérieurs depuis une semaine (n: 1), quatre semaines (n: 2) et deux à trois mois (n: 2). Deux des cinq alpagas ont été euthanasiés en raison des changements arthrosiques graves qui s'étaient développés au cours des deux à trois mois de luxation scapulo-humérale. Trois alpagas ont été traités par réduction ouverte et stabilisation interne en plaçant des sutures à bande de tension entre une vis corticale de 4,5 mm ancrée dans le col de l'omoplate et deux vis corticales de 4,5 mm ancrées dans le tubercule huméral supérieur, toutes munies de rondelles. Après l'opération, une écharpe de flexion du carpe a été mise en place pour éviter la mise en charge postopératoire. Un programme d'exercices a été mis en place après le retrait de l'écharpe carpienne et a été poursuivi pendant 12 semaines. Chez l'un des trois alpagas, une fracture non déplacée de l'acromion s'est produite deux semaines après l'opération. En conclusion, les trois alpagas traités ont eu des résultats à long terme bons à excellents et sont toujours en vie 123, 15 et 12 mois après la réparation chirurgicale de la subluxation scapulo-humérale. Dans la mesure où il s'est écoulé quatre semaines voire jusqu'à trois mois chez quatre de ces cinq alpagas avant qu'un diagnostic définitif ne soit posé, il convient d'informer davantage les propriétaires d'alpagas que les animaux gravement boiteux doivent être présentés à un vétérinaire disposant des possibilités de diagnostic et de l'expertise adéquates le plus rapidement possible afin de ne pas compromettre le succès du traitement.

Benchmarking claw health across three dairy cow breeds in 508 dairy farms using numerical claw health indicators.

Currently, prevalence and incidence of claw lesions are used as parameters for benchmarking claw health. The aims of this study were to create a benchmarking system for claw health utilizing the claw health indicators Farm-Claw-Score (FCS) for the herd and Cow-Claw-Score (CCS) for the individual animal, and to benchmark claw health of the three predominant dairy cattle breeds in Austria. Claw health data from 17,642 cows from 508 Austrian dairy farms were analyzed. The CCS and FCS were calculated based on recorded claw lesions and their three severity levels using geometrically weighted scoring. The FCS of each of the dairy farms was classified into five percentile thresholds (P10, P25, P50, P75, P90), with the FCS calculated using the median value of CCS in each herd. Furthermore, claw health was benchmarked for three breeds (Fleckvieh, Holstein, Brown Swiss cows), using claw lesion prevalences and CCS values. When the median FCS was calculated, dairy farms in P50 and below had an FCS of 20.0, indicating very good claw health. However, P90 farms showed an FCS-MEDIAN of 67.5. Evaluation of the prevalences of the 14 claw lesions considered and the CCS values revealed that Fleckvieh cows (CCS-MEDIAN: 24.0), followed closely by Holstein cows (CCS-MEDIAN: 22.7) had significantly poorer claw health (P < 0.0001) compared to Brown Swiss cows (CCS-MEDIAN: 12.0). The use of CCS and FCS as primary claw health indicators allowed for a quick assessment of the current state of an individual cow and a dairy herd in a benchmarking system. Detailed information on the claw health of each animal and the dairy herd can be easily reviewed by examining diagnosis lists that display prevalences, particularly those related to lameness, in the respective electronic documentation systems.

Hind feet position score: A novel trait to genetically reduce lameness incidence.

Lameness is an important health and welfare issue that causes considerable economic losses in dairy herds. The objective of this study was to investigate whether the hind feet position score (HFPS) can be used as an auxiliary trait for genetic evaluation of lameness. The HFPS is evaluated by visual scoring of the position of both the hind-digits to the mid-line of the cow's body. The higher the heel height of the lateral claw, the higher is the HFPS, and the higher is the risk for development of lameness. In total, 3,478 records from 1,064 Fleckvieh cows from 35 farms were obtained between September 1, 2021, and March 5, 2022. Data collection was carried out by the regional milk recording organizations. Hind feet position was scored visually by trained personnel during routine milk performance testing in the milking parlor using a 3-class scoring system: score 1 = 0° to <17° indicating a balanced heel height of both the medial and the lateral claw; score 2 = angle of 17° to 24°; score 3 = angle of >24°. After all cows had been milked, locomotion scoring was performed for each animal using a 5-class scoring system with locomotion scores ranging between 1 (normal) and 5 (severely lame). Using HFPS, sensitivity and specificity were 69.5% and 66.8%, respectively, for detecting lameness defined by locomotion score ≥2. For genetic analyses, a bivariate linear animal model was fitted with fixed effects of herd, parity, lactation stage, and classifier, and random effects of animal and permanent environment. Heritabilities for HFPS and locomotion score were 0.07 and 0.10, respectively, and the genetic correlation between the 2 traits studied was 0.80. These results suggest that the HFPS could be used for genetic evaluations to reduce lameness incidence in dairy cattle.

Phenotypic variability in three families with valosin-containing protein mutation.

BACKGROUND AND PURPOSE: The phenotype of IBMPFD [inclusion body myopathy with Paget's disease of the bone and frontotemporal dementia (FTD)] associated with valosin-containing protein (VCP) mutation is described in three families. METHODS: Probands were identified based on a pathological diagnosis of frontotemporal lobar degeneration with TDP-43-positive inclusions type IV. VCP sequencing was carried out. Clinical data on affected family members were reviewed. RESULTS: Ohio family: four subjects presented muscle weakness and wasting. (One subject had both neuropathic and myopathic findings and another subject showed only evidence of myopathy. The etiology of weakness could not be ascertained in the remaining two subjects.) Two individuals also showed Parkinsonism (with associated FTD in one of the two). The proband's brain displayed FTLD-TDP type IV and Braak stage five Parkinson's disease (PD). A VCP R191Q mutation was found. Pennsylvania family: 11 subjects developed IBMPFD. Parkinsonism was noted in two mutation carriers, whilst another subject presented with primary progressive aphasia (PPA). A novel VCP T262A mutation was found. Indiana family: three subjects developed IBMPFD. FTD was diagnosed in two individuals and suspected in the third one who also displayed muscle weakness. A VCP R159C mutation was found. CONCLUSIONS: We identified three families with IBMPFD associated with VCP mutations. Clinical and pathological PD was documented for the first time in members of two families. A novel T262A mutation was found. One individual had PPA: an uncommon presentation of IBMPFD.

Targeting the post-synaptic proteome has therapeutic potential for psychosis in Alzheimer Disease.

Individuals with Alzheimer Disease who develop psychotic symptoms (AD + P) experience more rapid cognitive decline and have reduced indices of synaptic integrity relative to those without psychosis (AD-P). We sought to determine whether the postsynaptic density (PSD) proteome is altered in AD + P relative to AD-P, analyzing PSDs from dorsolateral prefrontal cortex of AD + P, AD-P, and a reference group of cognitively normal elderly subjects. The PSD proteome of AD + P showed a global shift towards lower levels of all proteins relative to AD-P, enriched for kinases, proteins regulating Rho GTPases, and other regulators of the actin cytoskeleton. We computationally identified potential novel therapies predicted to reverse the PSD protein signature of AD + P. Five days of administration of one of these drugs, the C-C Motif Chemokine Receptor 5 inhibitor, maraviroc, led to a net reversal of the PSD protein signature in adult mice, nominating it as a novel potential treatment for AD + P.

[Ultrasonographic examination of the musculoskeletal system in cattle]. / Sonographische Untersuchung des Bewegungsapparats beim Rind.

Ultrasound machines with 7.5 to 5.0MHz linear transducers are well suited for rapid and straightforward differentiation of soft tissue swelling in the musculoskeletal system of cattle; in proximal limb regions 3.5MHz convex scanners allow better imaging. The main indications for ultrasonography of the musculoskeletal system in cattle are suspected arthritis, tenosynovitis, bursitis, abscesses, haematomas, diagnosis of muscle and tendon lesions, and generally the evaluation of soft tissue swellings everywhere that cannot be diagnosed based on clinical examination. The examiner starts by obtaining a general overview of the affected region for orientation purposes. This is achieved by locating and identifying anatomical landmarks, thereafter one can search for pathological changes by examination of the region of interest in longitudinal and transverse planes from all sides. The ultrasonographic investigation should follow a standardised systematic protocol. Normal synovial cavities in cattle are difficult or impossible to visualize via ultrasonography because of the very small physiological amount of synovial fluid. Thus, effusion that is easily visualized usually indicates a pathological process like arthritis, tenosynovitis or bursitis. Ultrasonography provides accurate information about the location and size of lesions or fluid-filled cavities, the nature of the content and an exact measurement of the distance from pathologically altered structures to the skin surface. Targeted centesis of synovial or other cavities can be carried out after a preliminary ultrasonographic inspection. Characterization of the lesions and a thorough preoperative inspection of affected regions are of enormous benefit for planning surgery and treatment.

[Impact of lameness on fertility traits in Austrian Fleckvieh cows - results from the Efficient-Cow-project]. / Auswirkung von Lahmheit auf Fruchtbarkeits­merkmale bei Fleck­vieh-Kühen in Österreich ­ Ergebnisse aus dem Efficient-Cow-Projekt.

INTRODUCTION: The impact of lameness on fertility in dairy cows has already been investigated, however predominantely in Holstein cows. The aim of this study was to evaluate the impact of lameness during the dry period, between calving and first service and between calving and conception (days open) on selected fertility traits in Austrian Fleckvieh cows. Locomotion scoring of dairy cows was performed during the course of routine performance testing in 2014 and 2015. Using the observed maximum locomotion score (MLSC) during pre- and postcalving periods, the cows were classified into three groups: cows never lame (MLSC 1), cows that showed MLSC 2, and cows with MLSC ≥3 during these defined periods. Data sets of 3,998 lactations of 3,058 Austrian Fleckvieh cows from 97 dairy herds could be evaluated. In several statistical models the fixed effects of MLSC (1, 2, ≥ 3), farm, year and season of calving, parity*age class at calving, and early fertility disorders were considered for analysis of the traits days from calving to first insemination, interval from first to last insemination, days from calving to conception and calving interval (CI), as well as the non-return-rate90 (NRR90). Mean lameness prevalence during the dry period was 19,43 %, and reached 27,70 % in the period between calving and conception. Lameness (MLSC ≥ 3) during the dry period significantly (P = 0,030) prolonged the period between calving and conception, and lameness (MLSC ≥ 3) during the period from calving to first service had a significantly detrimental effect on the periods calving to first insemination, days open and CI (P < 0,001). Further, highly significant associations (P < 0,001) in cows showing MLSC ≥ 2 during the period between calving and conception on all fertility traits were determined. Apart from lameness, farm, year and season of calving, parity*-age class at calving, early fertility disorders and, partly, the interaction of the latter two effects significantly (P.

INTRODUCTION: L'impact de la boiterie sur la fertilité chez les vaches laitières a déjà été étudié, mais principalement chez les vaches Holstein. Le but de cette étude était d'évaluer l'impact de la boiterie pendant la période de tarissement, entre le vêlage et la première saillie et entre le vêlage et la conception (« days open ¼) sur certains indices de fertilité chez les vaches autrichiennes Fleckvieh. La notation de la locomotion des vaches laitières a été effectuée au cours des tests de performance de routine en 2014 et 2015. À l'aide de la note de locomotion maximale observée (MLSC) pendant les périodes de pré-vêlage et de post-vêlage, les vaches ont été classées en trois groupes : vaches jamais boiteuses (MLSC 1), vaches ayant montré un MLSC 2 et les vaches avec MLSC ≥3 pendant ces périodes définies. Des ensembles de données de 3 998 lactations de 3 058 vaches autrichiennes Fleckvieh de 97 troupeaux laitiers ont pu être évalués. Dans plusieurs modèles statistiques, les effets fixes de la MLSC (1, 2, ≥ 3), de l'exploitation, de l'année et de la saison de vêlage, de la classe d'âge au vêlage et des troubles de la fertilité précoce ont été pris en compte pour l'analyse des caractéristiques de fertilité : jours du vêlage à la première insémination, intervalle de la première à la dernière insémination, jours du vêlage à la conception et intervalle de vêlage (IC), ainsi que taux de non-retour90 (NRR90). La prévalence moyenne de boiterie pendant la période sèche était de 19,43 % et atteignait 27,70 % entre le vêlage et la conception. La boiterie (MLSC 3) pendant la période tarie (P = 0,030) prolongeait significativement la période entre le vêlage et la conception et la boiterie (MLSC ≥ 3) pendant la période allant du vêlage à la première insémination avait un effet significativement néfaste sur les périodes vêlage-première insémination, « days open ¼ et IC (P < 0,001). De plus, des associations hautement significatives (P < 0,001) chez les vaches présentant une MLSC 2 pendant la période entre le vêlage et la conception sur tous les traits de fertilité ont été relevées. Hormis la boiterie, l'exploitation, l'année et la saison de vêlage, la classe d'âge au vêlage, les troubles de la fertilité précoce et, en partie, l'interaction de ces deux derniers effets a affecté de manière significative (P < 0,05) à très significative (P < 0,001) les caractères de fertilité étudiés. Des associations négatives significatives sur certains caractères de fertilité uniques et tous ceux étudiés ont été évaluées chez des vaches souffrant de MLSC ≥ 2, et en particulier de MLSC ≥ 3, pendant trois périodes définies avant et après le vêlage. La prévention ou la réduction de la boiterie chez les vaches présentant une MLSC2 pendant la période de tarissement et de « days open ¼ aurait probablement un effet bénéfique significatif sur la fertilité et le bien-être des vaches laitières.

Ultrasonographic diagnosis of closed pedal bone fractures in bovine claws: An ex-vivo study in slaughterhouse specimens.

Pedal bone fractures are one of the most common fracture locations in adult cattle and can be diagnosed by radiographs in two planes. Most bovine practitioners do not have access to such X-ray machines, but many use ultrasound units on a daily basis, primarily for reproductive medicine. For this reason, in this double-masked, randomized controlled study, we aimed to investigate the suitability of ultrasonographic examination using a 5 MHz linear transducer for diagnosing closed fractures of the pedal bone in cattle. A total of 54 hindlimb claws from slaughtered cattle were prepared and approximately 50% of the claws were artificially fractured. All claws were ultrasonographically examined twice by two examiners to determine the presence or absence of fractures and their locations. Ultrasound results were confirmed using radiographs of the claws as the reference standard method. All fracture locations as determined by ultrasonography were situated within ±2 mm of the radiographically-determined fracture zone. Ultrasound examination yielded a calculated sensitivity of 93%, a specificity of 91% and an inter-rater reliability of 0.77. The intra-rater reliability for the examiners were 0.96 and 0.88. Examiner experience with ultrasound examination and using ultrasound images for diagnosis could have influenced diagnostic accuracy. We conclude that artificially-created pedal bone fractures in ex-vivo bovine claws can be diagnosed using ultrasonography; similar results are expected in live animals. These results should encourage veterinarians to use ultrasonography for diagnosing pedal bone fractures in cattle.

[Impact of lameness on milk yield in dairy cows in Austria - results from the Efficient-Cow-project]. / Auswirkung von Lahmheit auf die Milchleistung bei Milchkühen in Österreich ­ Ergebnisse aus dem Efficient- Cow-Projekt.

INTRODUCTION: Introduction The impact of lameness on milk yield in dairy cows has been investigated already in many countries by several authors, taking into consideration almost exclusively locomotion scores ≥ 3. The aim of this study was to evaluate the impact of lameness and of the various lameness scores (2-5) on milk yield and milk solids in cows of the three most important dairy cattle breeds (Fleckvieh, Braunvieh, Holstein-Friesian) in Austria within one lactation period. Material and methods Locomotion scoring of dairy cows was performed by trained personnel every 30-40 days in 2014 during the course of routine performance testing. From the recorded locomotion scores (1-5) and the number of lameness episodes, the cows were classified into five lactation-locomotion-score-groups (LLS-G1-5). In total, data sets of 4005 cows from 144 dairy farms across Austria could be evaluated. Using two statistical models the fixed effects on LLS group, breed (evaluation across all breeds in model 1), farm, year and season of calving, parity and the «continuous effect¼ number of milking days were included in the analyses of milk, fat and protein yield. Results The mean, cumulative lameness prevalence during the observation period was 51.0%, and 8.1% were cows from the LLS-G5 group showing repeated and severe locomotion scores. During the first 100 days in milk 34.7% of all cows were lame. In model 1, all effects considered had a significant impact (P .

INTRODUCTION: Introduction L'impact des boiteries sur le rendement laitier des vaches a déjà été étudié dans de nombreux pays par plusieurs auteurs, en prenant en compte presque exclusivement des scores de locomotion ≥ 3. Le but de cette étude était d'évaluer l'impact de la boiterie et des différents scores de boiterie (2­5) sur le rendement laitier et la matière sèche du lait chez les vaches des trois races bovines laitières les plus importantes (Fleckvieh, Braunvieh, Holstein-Friesian) en Autriche au cours d'une période de lactation. Matériel et méthode Le scoring de locomotion des vaches laitières a été effectué par du personnel formé tous les 30 à 40 jours en 2014 au cours des tests de performance de routine. À partir des scores de locomotion enregistrés (1­5) et du nombre d'épisodes de boiterie, les vaches ont été classées en cinq groupes de score de lactation-locomotion (LLS-G1­5). Au total les données de 4 005 vaches provenant de 144 exploitations laitières de toute l'Autriche ont pu être évaluées. À l'aide de deux modèles statistiques, les effets fixes sur le groupe LLS, la race (évaluation pour toutes les races dans le modèle 1), l'exploitation, l'année et la saison de vêlage, le nombre de lactations et le nombre de jours de traite par rapport aux analyses des quantités de lait, des matières grasses et des protéines ont été pris en compte. Résultats La prévalence moyenne cumulative de boiteries pendant la période d'observation était de 51,0% et 8,1% étaient des vaches du groupe LLS-G5 présentant des boiteries répétées et sévères. Au cours des 100 premiers jours de lactation, 34,7% de toutes les vaches étaient boiteuses. Dans le modèle 1, tous les effets considérés de manière significative (P .

Polyarthritis caused by Erysipelothrix rhusiopathiae in three Austrian sheep flocks - diagnosis, treatment and management measures.

INTRODUCTION: Polyarthritis caused by Erysipelothrix rhusiopathiae is a well-known disease in pigs, and ovine erysipelas infection also commonly affects two-to-six month-old lambs. This report describes case histories of three sheep flocks where lambs exhibited swollen joints and lameness. Special emphasis was given to clinical and diagnostic imaging findings, synovia sampling and the treatment regime. Lambs with only mild lameness, liquid serofibrinous joint effusion and lambs showing no bone involvement, as revealed by ultrasonography or radiography, were treated with systemically administered antibiotics selected from results of antimicrobial susceptibility testing of E. rhusiopathiae isolated from synovial samples, and non-steroidal anti-inflammatory drugs. Lambs with severe lameness and severely swollen joints were euthanized, and routine necropsy was undertaken with a focus on the joints. Further, a herd-specific autogenous vaccine was produced by a specialized laboratory. In conclusion, E. rhusiopathiae infection should be considered as a differential diagnosis in herds associated with lameness and polyarthritis in lambs aged between two up to 17 months.

INTRODUCTION: La polyarthrite causée par Erysipelothrix rhusiopathiae est une maladie bien connue chez le porc. Chez les ovins, l'infection touche le plus souvent les agneaux âgés de deux à six mois. Ce rapport de cas décrit trois troupeaux de moutons où des agneaux présentaient des articulations enflées et une boiterie. Un accent particulier a été mis sur la clinique, les résultats de l'imagerie diagnostique, les prélèvements de synovie et le mode de traitement. Les agneaux présentant uniquement une légère boiterie, des épanchements articulaires séro-fibrineux et ceux ne présentant pas d'atteinte osseuse, révélée par échographie ou radiographie, ont été traités avec des antibiotiques administrés par voie systémique, sélectionnés à partir des résultats de la sensibilité d'E. Rhusiopathiae isolé sur les échantillons synoviaux, ainsi qu'avec des anti-inflammatoires non stéroïdiens. Les agneaux présentant une boiterie sévère et des articulations gravement enflées ont été euthanasiés et une autopsie de routine a été réalisée avec un accent particulier mis sur les articulations. De plus, un vaccin autogène spécifique au troupeau a été produit par un laboratoire. En conclusion, l'infection à E. rhusiopathiae doit être considérée comme un diagnostic différentiel dans les troupeaux où l'on constate des boiteries et des polyarthrites chez les agneaux âgés de 2 à 17 mois.

Surgical management of septic metacarpal physitis and concurrent serofibrinous fetlock arthritis: 2 cases.

INTRODUCTION: The clinical, ultrasonographic, radiographic, cytologic and bacteriologic findings, diagnosis and surgical treatment of two heifers with septic metacarpal physitis (type-1 osteomyelitis) and concurrent serofibrinous arthritis of the metacarpophalangeal (MCP) joint are described. Osteomyelitis likely occurred by haematogenous spread following bronchopneumonia in one heifer and developed post-traumatically in the other. In both patients, ultrasonographic examination using the 7.5 MHz linear probe showed moderate effusion of the palmar and dorsal MCP joint pouches and highly irre-gular bone contours with depression and periosteal new bone formation at the metacarpal growth plate. Radiographs showed an extensive radiolucent area with poorly defined margins at the level of the metacarpal growth plate. Surgical treatment was carried out under sedation and regional intravenous anesthesia and involved meticulous debridement of the osteomyelitic lesion of the meta-carpal growth plate combined with arthrotomy of the MCP joint and repeated lavage of the bone cavity and joint. Successful outcomes were achieved by combined use of systemic and locoregional antibiotics, NSAIDs, temporary external coaptation and adequate housing.

INTRODUCTION: Les résultats cliniques, ultrasonographiques, radiographiques, cytologiques et bactériologiques, le diagnostic et le traitement chirurgical de deux génisses atteintes d'épiphysite septique métacarpienne (ostéomyélite de type 1) et d'arthrite sérofibrineuse concomitante de l'articulation métacarpo-phalangienne (MCP) sont décrits. L'ostéomyélite était probablement due à une propagation hématogène après une bronchopneumonie chez une génisse et s>était développée post-traumatiquement chez l>autre. Chez les deux patients, l>examen échographique avec une sonde linéaire à 7,5 MHz a révélé un épanchement modéré dans les récessus palmaire et dorsal de la capsule articulaire métacarpo-phalangienne ainsi que des contours osseux très irréguliers avec dépression et formation de nouvel os périosté au niveau de la ligne d'épiphyse métacarpienne. Les radiographies ont révélé une zone radio-transparente étendue avec des marges mal définies au niveau de la ligne d'épiphyse métacarpienne. Le traitement chirurgical a été réalisé sous sédation et anesthésie régionale par voie intraveineuse. Il consistait en un débridement méticuleux de la lésion d'ostéomyélite au niveau de l'épiphyse métacarpienne associé à une arthrotomie de l'articulation métacarpo-phalangienne et à un lavage répété de la cavité articulaire. Des résultats positifs ont été obtenus par l'utilisation combinée d'antibiotiques systémiques et loco-régionaux, d'AINS, d'une coaptation externe temporaire et d'un logement adéquat.

Prevalence of thin soles in the hind limbs of dairy cows housed on fully-floored vs. partially-floored mastic asphalt areas in Austria.

Excessive sole horn wear in cattle due to abrasive floors, such as new concrete and mastic asphalt, and excessive sole trimming, are the leading causes of thin soles. This study compared prevalence of thin soles in Austrian dairy cows in six herds housed on fully-floored mastic asphalt (FMA) or partially-floored mastic asphalt (PMA). All cows had last received hoof trimming at least 5 months before the study commenced. Sole horn thickness of the hind claws was measured ultrasonographically in 97 cows at two points on each claw: (1) point 1 exactly at the tip of the pedal bone surface; and (2) point 2 approximately 3cm caudally. Locomotion was scored in all cows and claw lesions were categorised using a computerized claw trimming database program and evaluated at cow- and claw-level. An ANCOVA-model was applied to calculate the effects of different factors (breed, age, farm, days in milk) and covariates on sole horn thickness. The cut-off measurement for thin soles was defined as ≤4.5mm, in accordance with a recent study. Regarding claw health, FMA areas were inferior to PMA areas in barn installations. In cows on FMA, the prevalence of thin soles was significantly higher (P=0.01) and mean sole horn thickness at point 1 was significantly lower (P=0.01) than cows on PMA (59.7% vs. 12.5%; 5.35 mm vs. 6.63 mm, respectively). There were also significantly more lame cows on FMA than on PMA (P=0.01). The FMA group had higher prevalences of white-line disease (59.6% vs. 25%; P=0.01) and toe ulcers (12.3% vs. 0%; P=0.02) than the PMA group.

[Congenital flexural deformity in 93 calves - appearance, treatment techniques and results of pedigree analysis]. / Sehnenstelzfuß bei 93 Kälbern ­ Erscheinungsformen, Behandlungs­methoden und Ergebnis einer Pedigreeanalyse.

INTRODUCTION: Contracture of the flexor tendons (CFT) is very common in calves and it is usually diagnosed within the first few days after birth (congenital flexural deformity). However, CFT can appear even in older calves caused by chronic pain. The aetiology of CFT is still unknown. In this study, the distribution of sex, age, breed, the severity of flexural deformity, concurrent presence of other diseases, applied treatment methods for flexural deformity, and the outcome of calves with CFT, which were examined at the University Clinic for Ruminants in Vienna from 2001 to 2016, were evaluated retrospectively. 93 calves were admitted with CFT in the observation period. 70 (75.3%) calves were male and 78 (83.9%) of the affected animals were Simmental calves. The age of calves with CFT varied from one day to 41 days. Twenty-six calves suffered exclusively from CFT, and CFT was diagnosed as an additional finding in 67 calves. 91 animals (97.8%) showed CFT on the front limbs, 79 of them (84.9%) on both front limbs. The distribution of the severity scores was as follows: 69 calves (74.2%) had score 1, 17 calves (18.3%) had score 2, three calves (3.2%) had score 3. Three additional calves (3.2%) had a score 1 CFT on one front limb and a score 2 CFT on the other front limb, and one additional calf showed all three scores on both front limbs and one hind limb. 69 patients (74.2%) could be discharged with a significant improvement in CFT after treatment and 24 calves (25.8%) had to be euthanized due to other severe diseases. The results of the applied pedigree analysis do not show that a single gene mutation is the cause for the development of CFT, but rather a complex hereditary pattern has to be assumed. Depending on the severity of CFT and the presence of other concurrent diseases, an early and consistent therapy has to be carried out to achieve the highest possible success. Since animals with CFT are usually restricted in their movement, sufficient colostrum intake must be ensured within the first hours of life.

INTRODUCTION: La contracture des tendons fléchisseurs (CTF) est très fréquente chez les veaux et elle est généralement diagnostiquée dans les premiers jours suivant la naissance (malformation congénitale en flexion). Cependant, la CTF peut apparaître même chez les veaux plus âgés en raison d'une douleur chronique. L'étiologie de la CTF est encore inconnue. Dans cette étude, la répartition du sexe, de l'âge, de la race, la sévérité de la déformation en flexion, la présence concomitante d'autres maladies, les méthodes de traitement appliquées pour la déformation en flexion et les résultats chez les veaux atteints de CTF, examinés à la Clinique universitaire des ruminants de Vienne de 2001 à 2016, ont été évalués rétrospectivement. 93 veaux ont été admis avec une CTF au cours de la période d'observation. 70 veaux (75,3%) étaient des mâles et 78 (83,9%) des animaux atteints étaient des veaux Simmental. L'âge des veaux atteints de CTF variait d'un jour à 41 jours. Vingt-six veaux ont souffert exclusivement de CTF et une CTF a été diagnostiquée comme une découverte supplémentaire chez 67 veaux. 91 animaux (97,8%) présentaient une CTF sur les membres antérieurs, dont 79 (84,9%) sur les deux membres antérieurs. La répartition des scores de gravité était la suivante: 69 veaux (74,2%) ont obtenu un score de 1, 17 veaux (18,3%) ont obtenu un score de 2, trois veaux (3,2%) ont obtenu un score de 3. Trois autres veaux (3,2%) ont obtenu un score 1 CTF sur un membre antérieur et un score de 2 CTF sur l'autre membre antérieur et un veau présentait les trois scores sur les deux membres antérieurs et un membre postérieur. 69 patients (74,2%) ont pu quitter l'hôpital avec une amélioration significative de la CTF après le traitement et 24 veaux (25,8%) ont dû être euthanasiés en raison d'autres maladies graves. Les résultats de l'analyse du pedigree ne montrent pas qu'une seule mutation du gène soit la cause du développement de la CTF, mais plutôt qu'un schéma héréditaire complexe doit être supposé. En fonction de la gravité de la CTF et de la présence d'autres maladies concomitantes, un traitement précoce et cohérent doit être mis en œuvre pour obtenir le meilleur succès possible. Comme les mouvements des animaux atteints de CTF sont généralement limités, un apport suffisant de colostrum doit être garanti dès les premières heures de la vie.

MRI and CT diagnosis of acute desmopathy of the lateral collateral sesmoidean (navicular) ligament and long-term outcome in a horse.

Clinical, magnetic resonance imaging (MRI) and computed tomography (CT) findings of acute desmopathy of the lateral collateral sesmoidean (navicular) ligament (CSL) in a 13-year-old Hanoverian mare are presented. On admission to the clinic the horse showed a grade 5/6 left front-limb lameness at the walk, pain on coffin joint manipulation, and coffin joint effusion. Despite a positive palmar digital nerve block, radiographs and ultrasonography did not indicate reasons for the severe clinical signs. However, MRI revealed damage to the CSL and bone marrow oedema of the navicular bone (NB), whereas a focal bone defect of the NB at the CSL insertion zone was demonstrated best by CT. The horse was managed with complete box rest and a fibreglass cast for four weeks followed by a controlled exercise program. Follow-up examination revealed no lameness at the trot three months later and the patient had fully recovered within six months.

Severe acute inflammatory reaction (SAIR) of the fetlock joint after intraarticular hyaluronate injection in a horse.

Hyaluronate (HA) was administered by intra-articular injection to a 13-year-old Haflinger mare for treatment of metacarpophalangeal osteoarthritis. Ten hours after the injection, a severe inflammatory reaction developed in the treated joint. While awaiting results of synovial fluid analysis, treatment for iatrogenic infectious arthritis was initiated, but the analysis did not confirm sepsis. Clinical signs improved significantly following systemic non-steroidal anti-inflammatory medication and the horse was discharged three days later. Following an intravenous hyaluronate injection, four days after discharge, the synovitis recurred. Synovial fluid analysis did not show any abnormalities, but the clinical signs were severe. The severe acute inflammatory reaction required systemic non-steroidal anti-inflammatory and intra-articular corticosteroid treatment in order to resolve the problem.

Surgical treatment of scapulohumeral subluxation in an alpaca (Vicugna pacos) using osteotomy of the acromion, open reduction and extracapsular tension sutures.

CASE HISTORY AND CLINICAL FINDINGS: A 3.3-year-old male alpaca, weighing 60 kg was referred for investigation of a severe left forelimb lameness of 4 weeks duration. A scapulohumeral subluxation had been diagnosed radiographically by the referring veterinarian. CLINICAL FINDINGS AND DIAGNOSIS: Based on clinical, ultrasonographic and radiographic findings the diagnosis of cranio-lateral subluxation of the left humeral head was confirmed. In addition, a full thickness lesion (approximately 1×1 cm) of the articular cartilage on the caudomedial aspect of the humeral head was diagnosed by arthroscopy. TREATMENT AND OUTCOME: Treatment included open reduction with internal fixation. Severe muscle contraction and local tissue fibrosis around the scapulohumeral joint (SHJ) required osteotomy of the acromion 3 cm proximal to the distal acromial edge, to allow adequate access. Internal stabilisation was achieved by placing tension band sutures between one cortical screw in the scapular neck and two cortical screws, with washers, craniolaterally on the greater tubercle of the humerus. Post-surgery, a carpal flexion sling was applied with the carpus maintained in 70° flexion for 4 weeks to avoid postoperative weight-bearing. An exercise programme was started 8 days after surgery and continued for 12 weeks. The alpaca had an uneventful postsurgical recovery and showed no lameness after 8 weeks. The long-term outcome was excellent; 21 months after surgery the alpaca was sound and the range of movement of the left SHJ was equal to the right SHJ. CLINICAL RELEVANCE: Even in this chronic case of subluxation of the SHJ of 4 weeks duration, surgical treatment using osteotomy of the acromion, open reduction and internal fixation with extracapsular scapulohumeral tension sutures resulted in an excellent long-term outcome in this alpaca, despite the presence of a cartilage lesion.