Magnetic Resonance Imaging of Equine Tarsal Disorders
|
|
|
- Mark Howard
- 5 years ago
- Views:
Transcription
1 Equine Diagnostic Center Munich Magnetic Resonance Imaging of Equine Tarsal Disorders 34 Clinical Cases Martin Waselau, Dr. med. vet., MS Diplomate ACVS, Diplomate ECVS, FTA für Pferdechirurgie Equine Hospital Aschheim, Equine Diagnostic Center Munich
2 Equine Diagnostic Center Munich Introduction Equine tarsal diseases are common Complex anatomy bone and soft tissue pathology Many ligamentous structures... Diagnostic modalities Intraarticular anesthesia Radiography 1, Sonography 1, Szintigraphy 1, CT 2 Explorative arthro-/teno-/bursoscopy/ 1
3 Equine Diagnostic Center Munich Introduction Clinical presentation
4 Equine Diagnostic Center Munich Introduction Diagnostic challanges Problem Frequently localized/confirmed by clinical examination +/- intra-articular anesthesia 1 But negative on traditional imaging techniques Current solution Arthroscopic exploration as Gold Standard 1 Auer JA. Tarsus. In Auer JA & Stick A Equine Surgery 4th ed. Saunders. 2 Raes E, Bergman HJ, Van Ryssen B, Vanderperren K, Stock E, Saunders JH. Computed tomographic features of lesisons detected in horses with tarsal lameness. Equine Vet J Mar;46(2):
5 Equine Diagnostic Center Munich Tarsus Diagnostic challanges Problem... A-Copy is fruitless... so what next? No diagnosis No treatment What prognosis? Solution Better imaging modality pre-op Human medicine = MRI routinely performed Equine surgery = mainly arthroscopy 1 Equine Hospital Aschheim = MRI routinely performed 1 Auer JA. Tarsus. In Auer JA & Stick A Equine Surgery 4th ed. Saunders.
6 Equine Diagnostic Center Munich Purpose Describe a routine MRI-scanning technique for equine tarsi Report typical findings of horses that underwent MRI-Scanning Compare MRI-Findings to traditional imaging techniques and clinical exams retrospectively
7 Equine Diagnostic Center Munich Hypotheses Tarsus MRI Can be routinely & savely performed on all horses independent on breed, age and gender Portrays all soft tissue & bone structures completely/simultaneously Can delineate abnormal/diseased structures toroughly Can assist in managing tarsal lameness & in pre-op planning
8 Equine Diagnostic Center Munich Materials and Methods Medical records inclusion criteria Lameness was localized to the tarsus Negative/inconclusive on rads, sono, szinti, CT and/or A-Copy Tarsus MRI performed Parameters Age, breed, gender Clinical findings > limb effected, degree/duration of lameness Total anaesthesia time and MRI-findings
9 Equine Diagnostic Center Munich Materials and Methods Custom-built table and rotating MRI-Scanner
10 Equine Diagnostic Center Munich Materials and Methods General anesthesia, lateral recumbency, flexible extremity coil
11 Equine Diagnostic Center Munich Materials and Methods MRI Sequences Equine Hospital Aschheim T1 (1mm) = Cartilage, subchondral bone T2 (4mm) = Ligaments, tendons PD (4mm) = Ligaments, tendons, cartilage SHARC (1,3mm) = Cartilage STIR (4mm) = Bone X-Bone (4mm) = Subchondral bone 3 planes Frontal, sagittal und axial; T1 / SHARC 3D-Reconstruction
12 Equine Diagnostic Center Munich Materials and Methods MRI-Scans were Reviewed by Diplomate ACVR and/or Diplomate ACVS Post-MRI arthroscopies were performed If lesions were deemed accessible based on MRI In a separate anesthetic episode
13 Equine Diagnostic Center Munich Materials and Methods Post-MRI re-evaluation of rads, szinti and/or CT Bone pathology identificable retrospectively? Concurrent pathology? Post-MRI re-evaluation of sono, and/or A-Copy Was soft tissue pathology identificable retrospectively? Concurrent pathology?
14 Equine Diagnostic Center Munich Results Number of horses 34 horses met inclusion criteria All MRI-scans were completed successfully (100%) Total anesthesia time 92min Age, breed, gender 10,7 years (3-28) WB=13, Hafl=3, STB=3, QH=2, PRE=1, Pony=1, Trakehn=1 12 mares, 9 geldings, 3 stallions (50% : 50%)
15 Equine Diagnostic Center Munich Results Clinical findings Duration of lameness = 26 weeks (1-104) R Tarsus=13; L Tarsus=11 (54% : 46%) Degree of lameness = Grad 2,8/5 (1-5) Positive flexion test = 65% Positive i.a. anesthesia = 40% MRI-scans All successfully and savely completed Bone and soft tissue pathology throughly portrayed
16 Equine Diagnostic Center Munich Results Pathology Typical lesions Bone edema, bone cysts Physitis, fissures Chondropathy/osteoarthritis Synovitis/arthritis/tenovaginitis with adhesions Tendinitis, collateral ligament desmitis Foreign body and fistula
17 Equine Diagnostic Center Munich Results Normal anatomy T1 - Dorsal PD - Axial T1 - Sagittal
18 Equine Diagnostic Center Munich Results Bone edema Dorsal Axial Sagittal
19 Equine Diagnostic Center Munich Results Tibia cysts Sagittal Axial Dorsal
20 Equine Diagnostic Center Munich Results Calcaneus/Talus cysts Sagittal Axial Sagittal Sagittal
21 Equine Diagnostic Center Munich Results Fissures and physitis Sagittal Dorsal Sagittal
22 Equine Diagnostic Center Munich Results Cartilage defects Dorsal Dorsal
23 Equine Diagnostic Center Munich Results Synovitis,arthritis,adhesions Sagittal Axial Dorsal
24 Equine Diagnostic Center Munich Results Tendovaginitis Axial Dorsal
25 Equine Diagnostic Center Munich Results DDF-Tendinitis/-tears Dorsal Axial Sagittal
26 Equine Diagnostic Center Munich Results Collateral ligament desmitis Dorsal Axial Sagittal
27 Equine Diagnostic Center Munich Results Coll.Desmitis & Bone edema Dorsal Axial Sagittal
28 Equine Diagnostic Center Munich Results Foreign body and fistula Dorsal Axial Sagittal
29 Equine Diagnostic Center Munich Results MRI vs. Rads and Sono Retrospective re-evaluation of pre-mri rads Failed to identify bone lesions in 43% Retrospective re-evaluation of pre-mri sono Failed to identify soft tissue lesions in 20% 85% failure for concurrent, multiple pathology
30 Equine Diagnostic Center Munich Results Post-MRI A-Copies Post-MRI A-Copies Performed in 8 cases (23,5%) Technique All superficial MRI-lesions were confirmed But extent of desmo-, tendo- & chondropathies was underestimated However, useful to explore & treat superficial pathology
31 Equine Diagnostic Center Munich Discussion MRI-Technique In contrast to previous reports Straight forward and save protocol Can be routinely performed on all horses independent on age, breed and gender Soft tissue and bone structures Complete tarsus was scanned Bone and soft tissue toroughly portrayed
32 Equine Diagnostic Center Munich Discussion Pathology Wide variety of lesions Bone = intraosseous Bone edema >>> Cysts + edema (+/- joint communication) Physitis, fissures Soft tisse = multiple lesions Frequently secondary and chronic Synovitis/Tendinitis/Tenovaginitis and adhesions chronic Chondropathies chronic Collateral ligament desmitis = acute and/or chronic
33 Equine Diagnostic Center Munich Discussion Bone pathology Bone edema Observed in acute and chronic cases Mostly trauma-related Cysts Presence + extension underestimated on radiographs Joint communication easily confirmed on MRI Frequently encircled by bone edema Bone health and structure underestimated...?
34 Equine Diagnostic Center Munich Discussion Soft tissue pathology Tendon and ligaments Frequently multiple + extra-synovial lesions Intralesional pathology associated with adhesions Consequences? Diagnostic anesthesia = negative... Sonographie failed in 20% Soft tissue edges retract after injury... Open wounds, contour of the hock, gas...
35 Equine Diagnostic Center Munich Discussion Multiple pathology Bone + soft tissue pathology = simultaneously Common and frequently trauma-related, e.g. bone edema and adhesions Require different/several Tx/management... Several lesions only detected on MRI... May explain long duration of lameness & frustrating therapy success... Important for rehabilation and prognosis
36 Equine Diagnostic Center Munich Discussion MRI and clinics... Duration = 6 months Quite long symptoms Other diagnostics less specific...? Flexion test = 60% positive Low sensitivity...? Indication for multiple + extra-articular lesions...? Intra-articular anesthesia = 37% positiv % cases of tarsitis Extra-articular lesions...? Tib. Fib. anesthesia better...?
37 Equine Diagnostic Center Munich Discussion MRI vs. Rads and Sono Radiographs (+) Fast screening tool (-) Only 57% sensitivity for bone pathology Bone edema, cysts and fissures etc...? Sonography (+) 80% of soft tissue lesions confirmed (-) Only 15% sensitivity for concurrent pathology Uneven contour of tarsal region...?
38 Equine Diagnostic Center Munich Discussion MRI vs. A-Copy MRI Technique (+) Non-invasive more global view Identifies pathology more clearly as compared to traditional techniques = more prognostic value May prevent unnecessary Sx for inaccessible lesions Tarsus Arthroscopy (+) Great for superficial lesions and probing Important for intervention = therapeutic value May remain Gold Standard for most hospitals
39 Equine Diagnostic Center Munich Conclusion Tarsus MRI Can be routinely and savely performed on all horses independent on breed, age and gender Portrays all abnormal/diseased soft tissue and bone structures completely Appears advantageous identifying singular or concurrent pathology Can assist in managing tarsal lameness and in pre- OP planning
40 Equine Diagnostic Center Munich Conclusion Tarsus MRI Is indicated if: Inconclusive and long-lasting tarsal lameness Negative on traditional diagnostics MRI and Tx...? New findings, e.g. painful bone edema, expansile cysts Multiple lesions require multiple Tx-strategies Prognostic value
41 Any Questions and/or Suggestions? Mmmmmm Mmmmmm mmmmmmmmmmmmm mmmmmmm mmmmmmm
Mmmmmm Mmmmmm mmmmmmmmmmmmm mmmmmmm mmmmmmm MRI of Equine Stifle Injuries: A Review of the first 100 clinical cases Martin Waselau, Dr.med.vet., MS Diplomate ACVS, Diplomate ECVS Equine Hospital Aschheim,
Equine Lameness & Imaging Techniques
Equine Lameness & Imaging Techniques Peter Heidmann DVM MPH Specialist in Equine Internal Medicine Montana Equine Medical & Surgical Center www.montanaequine.com 406-285-0123 Types of lameness Skeletal
What MRI has taught us about ultrasound. W. Michael Karlin DVM, MS, Dipl ACVS Mid-Atlantic Equine Medical Center
What MRI has taught us about ultrasound W. Michael Karlin DVM, MS, Dipl ACVS Mid-Atlantic Equine Medical Center Overview Ultrasound uses MRI Experimentally induced injury How does understanding MRI help
How to Perform and Interpret Navicular Bursography
How to Perform and Interpret Navicular Bursography Tracy A. Turner, DVM, MS, Diplomate ACVS, ACVSMR The injection of contrast material into the navicular bursa, accompanied by a subsequent radiographic
Proceedings of the 55th Annual Convention of the American Association of Equine Practitioners
Close this window to return to IVIS www.ivis.org Proceedings of the 55th Annual Convention of the American Association of Equine Practitioners December 5 9, 2009, Las Vegas, Nevada Program Chair : Nathaniel
Proceedings of the 59th Annual Convention of the American Association of Equine Practitioners - AAEP -
http://www.ivis.org Proceedings of the 59th Annual Convention of the American Association of Equine Practitioners - AAEP - December 7-11, 2013 Nashville, TN, USA Next Meeting : Dec. 6-10, 2014 - Salt Lake
Case Studies. A. Kent Allen, DVM LAMENESS AND IMAGING IN THE SPORT HORSE
Case Studies A. Kent Allen, DVM Author s address: Virginia Equine Imaging, 2716 Landmark School Road, The Plains, VA 20198; e-mail: vaequine@aol.com. 2007 AAEP. 1. Case Study #1: Medial Collateral Desmitis
Proceedings of the 56th Annual Convention of the American Association of Equine Practitioners - AAEP -
http://www.ivis.org Proceedings of the 56th Annual Convention of the American Association of Equine Practitioners - AAEP - December 4-8, 2010 Baltimore, Maryland, USA Next Meeting : Nov. 18-22, 2011 -
Treatment and Rehabilit Treatment and ation Plans for Various Musculoske Musculosk letal Conditions
Treatment and Rehabilitation Plans for Various Musculoskeletal Conditions Indiana Association of Equine Practitioners November 2012 Duncan Peters DVM, MS Equine Lameness and Sports Medicine Michigan State
Proceedings of the 56th Annual Convention of the American Association of Equine Practitioners - AAEP -
http://www.ivis.org Proceedings of the 56th Annual Convention of the American Association of Equine Practitioners - AAEP - December 4-8, 2010 Baltimore, Maryland, USA Next Meeting : Nov. 18-22, 2011 -
Magnetic resonance imaging
MRI, CTprovide early link to diagnosing injuries, disease in horses Selecting the proper modality will help equine practitioners identify medical problems that were previously difficult to pinpoint A B
OTHER IMAGING TECHNIQUES AND THEIR ADDED VALUE TO DIAGNOSE ELBOW DYSPLASIA. I. Gielen, H. van Bree
OTHER IMAGING TECHNIQUES AND THEIR ADDED VALUE TO DIAGNOSE ELBOW DYSPLASIA. I. Gielen, H. van Bree Department of Medical Imaging & Small Animal Orthopaedics. Faculty of Veterinary Medicine, Ghent University,
Equine Diagnostic Radiography & Ultrasonography
Equine Diagnostic adiography & Ultrasonography Dr. ussell Tucker DACV Prof Emeritus, WSU 90 ~30 DLPMO ~ projects medial forward lateral backward ~30 PL to DM projection 1 EQUINE DISTAL LIMB TENDONS & LIGAMENTS
Diagnostic Stifle Joint Arthroscopy Using a Needle Arthroscope in Standing Horses
Using a Needle Arthroscope in Standing Horses David D. Frisbie, DVM, PhD, Diplomate ACVS & ACVSMR, Myra F. Barrett, DVM, MS, Diplomate ACVR, C. Wayne McIlwraith, BVSc, PhD, DSc, FRCVS, Diplomate ACVS &
Magnetic Resonance Imaging Findings in Horses With Recent and Chronic Bilateral Forelimb Lameness Diagnosed as Navicular Syndrome
Magnetic Resonance Imaging Findings in Horses With Recent and Chronic Bilateral Forelimb Lameness Diagnosed as Navicular Syndrome Sarah N. Sampson, DVM; Robert K. Schneider, DVM, MS, Diplomate ACVS; and
Lameness & Non- Surgical Therapies of the Equine Athlete
Lameness & Non- Surgical Therapies of the Equine Athlete Mark T. Reilly, DVM, Dipl. ABVP (Equine) Linda J. Cimetti, DVM South Shore Equine Clinic & Diagnostic Center Lameness & Non-Surgical Therapy of
Impingement Syndromes of the Ankle. Noaman W Siddiqi MD 5/4/2006
Impingement Syndromes of the Ankle Noaman W Siddiqi MD 5/4/2006 Ankle Impingement Overview Clinical DX Increasingly recognized cause of chronic ankle pain Etiology can be soft tissue or osseous Professional
Dr. Chris Bell BSc, DVM, MVetSc, Dip ACVS* *Elders Equine Veterinary Service, Winnipeg, MB, Canada
Use of a nutraceutical supplement (EXCEED 6 WAY ) Med Vet Pharmaceuticals (MVP) for daily joint support in horses with osteoarthritis Minimal risk field trial and survey. Introduction: Dr. Chris Bell BSc,
Why Talk About Technique? MRI of the Knee:
Why Talk About Technique? MRI of the Knee: Part 1 - Imaging Techniques Mark Anderson, M.D. University of Virginia Health Sciences Center Charlottesville, Virginia Always had an interest teach our fellows
JMSCR Vol 05 Issue 01 Page January
www.jmscr.igmpublication.org Impact Factor 5.244 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i1.28 Diagnostic Accuracy of Magnetic Resonance
APPROPRIATE USE GUIDELINES
APPROPRIATE USE GUIDELINES Appropriateness of Advanced Imaging Procedures (MRI, CT, Bone Scan/PET) in Patients with Shoulder Pain CDI QUALITY INSTITUTE: PROVIDER LED ENTITY (PLE) Compiled by Rob Liddell,
REFERRING FOR EQUINE MRI. Standing for Safety
REFERRING FOR EQUINE MRI Standing for Safety WHY? WHAT S SO SPECIAL ABOUT MRI? Since the advent of MRI, much has been learned about the causes of equine lameness. From the previously under-diagnosed, such
What is the most effective MRI specific findings for lateral meniscus posterior root tear in ACL injuries
What is the most effective MRI specific findings for lateral meniscus posterior root tear in ACL injuries Kazuki Asai 1), Junsuke Nakase 1), Kengo Shimozaki 1), Kazu Toyooka 1), Hiroyuki Tsuchiya 1) 1)
Viviane Khoury, MD. Assistant Professor Department of Radiology University of Pennsylvania
U Penn Diagnostic Imaging: On the Cape Chatham, MA July 11-15, 2016 Viviane Khoury, MD Assistant Professor Department of Radiology University of Pennsylvania Hip imaging has changed in recent years: new
Proceedings of the 59th Annual Convention of the American Association of Equine Practitioners - AAEP -
http://www.ivis.org Proceedings of the 59th Annual Convention of the American Association of Equine Practitioners - AAEP - December 7-11, 2013 Nashville, TN, USA Next Meeting : Dec. 6-10, 2014 - Salt Lake
ELENI ANDIPA General Hospital of Athens G. Gennimatas
ELENI ANDIPA General Hospital of Athens G. Gennimatas Technological advances over the last years have caused a dramatic improvement in ultrasound quality and resolution An established imaging modality
This presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Outline Coils, Patient Positioning Acquisition Parameters, Planes and Pulse Sequences Knee Arthrography Normal
Magnetic resonance imaging evaluation of lateral ankle ligaments and peroneal tendons in a group of asymptomatic patients
Magnetic resonance imaging evaluation of lateral ankle ligaments and peroneal tendons in a group of asymptomatic patients Abstract: Background: The role of magnetic resonance (MR) imaging in patients with
HOW DO WE DIAGNOSE LAMENESS IN YOUR HORSE?
HOW DO WE DIAGNOSE LAMENESS IN YOUR HORSE? To help horse owners better understand the tools we routinely use at VetweRx to evaluate their horse s soundness, the following section of this website reviews
This presentation is the intellectual property of the author. Contact them at for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Financial Disclosure Dr. Jennifer Swart has no relevant financial relationships with commercial interests to disclose.
GENERAL PRINCIPLES FOR TREATMENT OF EQUINE JOINT DISEASES
GENERAL PRINCIPLES FOR TREATMENT OF EQUINE JOINT DISEASES Martin Waselau, Dr.med.vet, MS Diplomate ACVS, Diplomate ECVS - University of Helsinki - Eläinlääketieteellinen tiedekunta / Faculty of Veterinary
Diagnosis of Conditions of the Fetlock
Diagnosis of Conditions of the Fetlock W. Rich Redding, DVM, MS, DACVS Department of Clinical Sciences College of Veterinary Medicine North Carolina State University Raleigh, NC 27607 Introduction The
Navicular Syndrome/Heel Pain
Navicular Syndrome/Heel Pain Navicular Syndrome/Heel Pain Clinical signs: Forelimb lameness, intermittent, progressive and insidious onset, usually bilateral. Stumbling Pointing toes to relieve pressure
Fracture and Dislocation of the Carpus ( 1-Jan-1985 )
In: Textbook of Small Animal Orthopaedics, C. D. Newton and D. M. Nunamaker (Eds.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New York, USA. Fracture and Dislocation
Proceeding of the NAVC North American Veterinary Conference Jan. 8-12, 2005, Orlando, Florida
Proceeding of the NAVC North American Veterinary Conference Jan. 8-12, 2005, Orlando, Florida Reprinted in the IVIS website with the permission of the NAVC http:/// The North American Veterinary Conference
Role of magnetic resonance imaging in the evaluation of traumatic knee joint injuries
Original Research Article Role of magnetic resonance imaging in the evaluation of traumatic knee joint injuries Dudhe Mahesh 1*, Rathi Varsha 2 1 Resident, 2 Professor, Department of Radio-Diagnosis, Grant
Neonatal Orthopedic Conditions
Neonatal Orthopedic Conditions Kyla Ortved, DVM, PhD, DACVS, DACVSMR kortved@vet.upenn.edu Learning Objectives Differentiate between the main equine pediatric orthopedic conditions Understand principles
The Egyptian Journal of Hospital Medicine (October 2017) Vol.69 (3), Page
The Egyptian Journal of Hospital Medicine (October 2017) Vol.69 (3), Page 2016-2024 Role of MRI in Evaluation of Traumatic Ankle Injuries Mervat Mohamed Ibrahim Ali Elgohary*, Susan Adel Ali Abdul Rahim*,
Role of Magnetic Resonance Imaging in Internal Derangement of Shoulder
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 5 Ver. I (May. 2016), PP 22-26 www.iosrjournals.org Role of Magnetic Resonance Imaging in Internal
Use of Magnetic Resonance Imaging to Diagnose Oblique and Straight Distal Sesamoidean Ligament Desmitis
Use of Magnetic Resonance Imaging to Diagnose Oblique and Straight Distal Sesamoidean Ligament Desmitis Sarah N. Sampson, DVM; Robert K. Schneider, DVM, MS, Diplomate ACVS; Russell L. Tucker, DVM, MS,
EQUINE APPROACHES TO THE DISTENDED DIGITAL FLEXOR TENDON SHEATH ORTHOPAEDICS
Dr Hans Wilderjans, Dipl ECVS Dierenkliniek De Bosdreef Spelonckvaart 46 9180 Moerbeke-Waas Belgium www.bosdreef.be info@bosdreef.be APPROACHES TO THE DISTENDED DIGITAL FLEXOR TENDON SHEATH During this
How to Perform Arthrocentesis of the Compartments of the Stifle of the Horse
HW T MAKE ATINA HIES F INTA-ATIUA INJETINS How to Perform Arthrocentesis of the ompartments of the Stifle of the Horse James Schumacher, DVM, MS, Diplomate AVS*; and ay Wilhite, PhD Authors addresses:
Osseous Trauma in the Fetlock Region of Mature Sports Horses
Osseous Trauma in the Fetlock Region of Mature Sports Horses Sue J. Dyson, VetMB, PhD; and Rachel Murray, VetMB, PhD Osseous trauma of the fetlock is a potentially important cause of lameness in mature
The nature, incidence and response to treatment of injuries to the distal limbs in the racing Greyhound. Mike Guilliard MA VetMB CertSAO MRCVS
The nature, incidence and response to treatment of injuries to the distal limbs in the racing Greyhound Mike Guilliard MA VetMB CertSAO MRCVS Objectives: To determine the nature, incidence and response
MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging
MRI of the Shoulder What to look for and how to find it? Dr. Eric Handley Musculoskeletal Radiologist Cherry Creek Imaging MRI of the Shoulder Benefits of Ultrasound: * Dynamic * Interactive real time
A Guide to Common Ankle Injuries
A Guide to Common Ankle Injuries Learn About: Common ankle injuries Feet and Ankle Diagnosis and Treatment Ankle exercises Beginning your recovery Frequently asked questions Do s and Don t s Arthroscopy
STANDING EQUINE MRI. Early, safe and accurate lameness diagnosis
STANDING EQUINE MRI Early, safe and accurate lameness diagnosis EARLY, SAFE AND ACCURATE LAMENESS DIAGNOSIS. MRI has long been the imaging method of choice in human medicine, making it the gold standard
Labral Tears/FAI. Andrew Parker, MD
Labral Tears/FAI Andrew Parker, MD Athletic Hip Injuries Incidence of hip injuries has increased dramatically over the last decade In part due to better recognition with improved imaging and arthroscopy,
Available online at
Original Research Article Evaluation of knee joint by MRI in 65 patients Gulamus sibtain asad *, Himanshu Singla, Ankit vasoya, P. J. Jhala 2 2 nd year Resident, 2 Professor Radiology Department, SBKS
Priorities Forum Statement GUIDANCE
Priorities Forum Statement Number 21 Subject Knee Arthroscopy including arthroscopic knee washouts Date of decision November 2016 Date refreshed March 2017 Date of review November 2018 Osteoarthritis of
Some Carpal Lesions in the Non-racehorse
Published in IVIS with the permission of the AAEP Close this window to return to IVIS Some Carpal Lesions in the Non-racehorse Sue Dyson, VetMB, PhD Author s address: Centre for Equine Studies, Animal
IMAGING TECHNIQUES CHAPTER 4. Imaging techniques
IMAGING TECHNIQUES Imaging techniques 23 4.1. Conventional radiographic findings Conventional radiography, tomography, arthrography and stress views have traditionally been used for imaging the ankle and
Review of Principles and Clinical Applications of Magnetic Resonance Imaging in the Horse
Review of Principles and Clinical Applications of Magnetic Resonance Imaging in the Horse Natasha M. Werpy, DVM; Charles P. Ho, MD, PhD; Chris E. Kawcak, DVM, PhD, Diplomate ACVS; Norman W. Rantanen, DVM,
Proceedings of the 12th International Congress of the World Equine Veterinary Association WEVA
www.ivis.org Proceedings of the 12th International Congress of the World Equine Veterinary Association WEVA November 2-5, 2011 Hyderabad, India Reprinted in IVIS with the Permission of WEVA Organizers
Role of Magnetic Resonance Imaging in Patients with Knee Trauma
Original Research Article Role of Magnetic Resonance Imaging in Patients with Knee Trauma Bhautik Kapadia 1, Bhumika Suthar 2* 1 Associate Professor, 2 Assistant Professor, Department of Radiodiagnosis,
Natasha M. Werpy, DVM, Diplomate ACVR; Betsy Charles, DVM; Norm Rantanen, DVM, MS, Diplomate ACVR IMAGING
Should I Throw Away My Ultrasound Machine Now That MRI Is Here? A Review of Ultrasound and MRI for the Diagnosis of Musculoskeletal Injury in the Equine Patient Natasha M. Werpy, DVM, Diplomate ACVR; Betsy
Chronic knee pain in adults - a multimodality approach or which modality to choose and when?
Chronic knee pain in adults - a multimodality approach or which modality to choose and when? Poster No.: P-0157 Congress: ESSR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit E. Ilieva, V. Tasseva,
Diseases and surgery of the globe and orbit
Chapter 5 Diseases and surgery of the globe and orbit Claudia Hartley and Rachael A. Grundon Orbital imaging See Chapter 2 and online material for detailed information on imaging the orbit of a horse.
L account for up to 80% of chronic, low grade hindlimb
LOW-FIELD MGNETIC RESONNCE IMGING OF THE EQUINE TRSUS: NORML NTOMY MRGRET. LIK, DVM, R. REID HNSON, DVM, STEVEN. KINCID, DVM, MS, PHD, JOHN T. HTHCOCK, DVM, MS, JUDITH. HUDSON, DVM, PHD, DER K. IRD, DVM,
Life. Uncompromised. The KineSpring Knee Implant System Surgeon Handout
Life Uncompromised The KineSpring Knee Implant System Surgeon Handout 2 Patient Selection Criteria Patient Selection Criteria Medial compartment degeneration must be confirmed radiographically or arthroscopically
Magnetic resonance imaging of the distal limb of the standing horse Keywords: Introduction Equine MRI limb scanner Scanning procedure
4 EQUINE VETERINARY EDUCATION Equine vet. Educ. (00) () 4-8 Satellite Article Magnetic resonance imaging of the distal limb of the standing horse T. S. MAIR*, J. KINNS, R. D. JONES AND N. M. BOLAS Bell
Navicular Bursa (fluid sack at back of bone) Pedal (coffin) bone Navicular bone
NAVICULAR SYNDROME Navicular syndrome is one of the most common causes of intermittent forelimb lameness in horses. It is the inflammation or degeneration of the navicular bone and its surrounding structures
CT ARTHROGRAPHY It s not Always About the
CT ARTHROGRAPHY It s not Always About the Magnet Kirkland W. Davis, M.D. University of Wisconsin Department of Radiology Disclosures Financial FDA IA Gd! What Is CT Arthrography? (CTR) Arthrogram: imaging
Foot Injuries. Dr R B Kalia
Foot Injuries Dr R B Kalia Overview Dramatic impact on the overall health, activity, and emotional status More attention and aggressive management Difficult appendage to study and diagnose. Aim- a stable
Comparative study of high resolusion ultrasonography and magnetic resonance imaging in diagnosing traumatic knee injuries & pathologies
Original article: Comparative study of high resolusion ultrasonography and magnetic resonance imaging in diagnosing traumatic knee injuries & pathologies Dr. Rakesh Gujjar*, Dr. R. P. Bansal, Dr. Sandeep
Knee Dislocation: Spectrum of Injury, Evolution of Treatment & Modern Outcomes
Knee Dislocation: Spectrum of Injury, Evolution of Treatment & Modern Outcomes William M Weiss, MD MSc FRCSC Orthopedic Surgery & Rehabilitation Sports Medicine, Arthroscopy & Extremity Reconstruction
Radiologic Imaging Magnetic Resonance Imaging (MRI)
Radiologic Imaging X-ray has always been the golden rule in diagnosing and treating podiatric patients. Unfortunately, for some patients the diagnosis is not as evident. That is when we need to utilize
A comparative study of MRI versus arthroscopic findings in ACL and meniscal injuries of the knee
International Journal of Research in Orthopaedics Kulkarni OP et al. Int J Res Orthop. 2018 Mar;4(2):198-202 http://www.ijoro.org Original Research Article DOI: http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20180123
MRI KNEE WHAT TO SEE. Dr. SHEKHAR SRIVASTAV. Sr.Consultant KNEE & SHOULDER ARTHROSCOPY
MRI KNEE WHAT TO SEE Dr. SHEKHAR SRIVASTAV Sr.Consultant KNEE & SHOULDER ARTHROSCOPY MRI KNEE - WHAT TO SEE MRI is the most accurate and frequently used diagnostic tool for evaluation of internal derangement
Northumbria Healthcare NHS Foundation Trust. Knee Arthroscopy. Issued by the Orthopaedic Department
Northumbria Healthcare NHS Foundation Trust Knee Arthroscopy Issued by the Orthopaedic Department Introduction This guide has been produced to provide you with information regarding your knee arthroscopy
Proceedings of the 11th Annual Resort Symposium of the American Association of Equine Practitioners AAEP
www.ivis.org Proceedings of the 11th Annual Resort Symposium of the American Association of Equine Practitioners AAEP January 25-28, 2009 - Gold Coast, Australia ACKNOWLEDGMENTS Dr. Stephen M. Reed, Educational
How to Use a Fetlock Support Brace to Manage Lacerations of Equine Flexor Tendons
How to Use a Fetlock Support Brace to Manage Lacerations of Equine Flexor Tendons Canaan Whitfield-Cargile, DVM; Robin M. Dabareiner, DVM, PhD, Diplomate ACVS; and Don Sustaire, CJF Horses with flexor
Scapholunate Ligament Lesions Imaging Which and when?
Scapholunate Ligament Lesions Imaging Which and when? Kolo Frank Lesions to scapholunate ligament(sl) Most frequent cause of carpal instability Traumatic tears of SL ligament = most common ligament injury
CARPAL SHEATH TENOSYNOVITIS: APPROACHES, NEW CONDITIONS, AND OUTCOMES
CARPAL SHEATH TENOSYNOVITIS: APPROACHES, NEW CONDITIONS, AND OUTCOMES Alan J. Nixon, BVSc, MS, DACVS College of Veterinary Medicine, Cornell University, Ithaca, NY Key Points Carpal sheath effusion and
The condition occurs when the proximal femur repeatedly comes into contact with the native acetabular rim during normal hip range of motion.
RIM SYNDROME [femoroacetabular impingement] It has been suggested to be a preosteoarthritic mechanism. The condition occurs when the proximal femur repeatedly comes into contact with the native acetabular
Evaluation of Role of Magnetic Resonance Imaging in Knee Joint Injuries in Correlation with Arthroscopy
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/442 Evaluation of Role of Magnetic Resonance Imaging in Knee Joint Injuries in Correlation with Arthroscopy T Sundara
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 10/6/2012 Radiology Quiz of the Week # 93 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
Module 2 Objectives. Module 2 Current Research in Regenerative Therapy - Orthopedics - Rabbit Osteochondral Defect Repair Model
Module 2 Current Research in Regenerative Therapy - Orthopedics - Module 2 Objectives Review of current research Review of equine orthopedics clinical data Review of canine orthopedics clinical data Review
REPORTING SERVICE: XR
REPORTING SERVICE: XR Report number: VETCT-70603 Report date: 04/04/2017 Referring Veterinarian: xxxxx Referring Practice: xxxxx Email address: xxxxx Owner: xxxx Patient: xxxx Species: Equine Breed: Belgian
Powered by. Dedicated MRI
Powered by Dedicated MRI Provides the latest software and hardware upgrade configuration powered by exp technology: boosting productivity, increasing image quality, and adding new acquisition techniques.
Radiographic Evaluation of Calcaneal Fractures. Kali Luker, PGY-1
Radiographic Evaluation of Calcaneal Fractures Kali Luker, PGY-1 Anatomy Extraarticular Fractures Involve body, anterior process or tuberosity Treated with immobilization and NWB x 6 wks UNLESS Displaced
Diagnostic Tools: Equine Dentistry. Dr. Chris Blevins Equine Field Service Clinician
Diagnostic Tools: Equine Dentistry Dr. Chris Blevins Equine Field Service Clinician Objectives Know 3 useful diagnostic tools. What is most important aspect about dental radiology? Know 3 standard radiographs
Proceedings of the 10th International Congress of World Equine Veterinary Association
www.ivis.org Proceedings of the 10th International Congress of World Equine Veterinary Association Jan. 28 Feb. 1, 2008 - Moscow, Russia Next Congress: Reprinted in IVIS with the permission of the Conference
and K n e e J o i n t Is the most complicated joint in the body!!!!
K n e e J o i n t K n e e J o i n t Is the most complicated joint in the body!!!! 1-Consists of two condylar joints between: A-The medial and lateral condyles of the femur and The condyles of the tibia
ORIGINAL ARTICLE. ROLE OF MRI IN EVALUATION OF TRAUMATIC KNEE INJURIES Saurabh Chaudhuri, Priscilla Joshi, Mohit Goel
ROLE OF MRI IN EVALUATION OF TRAUMATIC KNEE INJURIES Saurabh Chaudhuri, Priscilla Joshi, Mohit Goel 1. Associate Professor, Department of Radiodiagnosis & imaging, Bharati Vidyapeeth Medical College and
Mike Scott - Suspensory Ligament Injuries: Advances in Diagnosis and Treatment
Dr. Mike Scott Mike Scott graduated from WCVM in 1993 and then completed a 1-year internship in large animal medicine and surgery at the Ontario Veterinary College. He completed a 3-year residency in large
Non Surgical Management of Soft Tissue Injuries. Megan LeFave, DVM cvma
Non Surgical Management of Soft Tissue Injuries Megan LeFave, DVM cvma Non Surgical Management of Soft Tissue Injuries Biomechanical Principles Common front limb and hind limb injuries In hospital treatments
Clinical Case Series Adipose Derived Stem and Regenerative Cells for the Treatment of Equine Joint Injuries
Clinical Case Series Adipose Derived Stem and Regenerative Cells for the Treatment of Equine Joint Injuries Vet-Stem, Inc., 12860 Danielson Court, Suite B, Poway, CA 92064 Developmental bone disease, osteochondritis
Pseudotumor Deltoideus in the Left Humerus of a Young Adult Female Patient with Acute Lateral Shoulder Pain: A Case Report
of a Young Adult Female Patient with Acute Lateral Shoulder Pain: A Gulsen Aykol 1, Senol Fatih Elbir 2 1 Physical Medicine and Rehabilitation, Private Sevgi Medical Centre, Malatya, Turkey 2 Radiology
V E R I TAS MGH 1811 MGH 1811 V E R I TAS. *Gerber JP. Persistent disability with ankle sprains. Foot Ankle Int 19: , 1998.
MGH 1811 Management of Ankle Instability Richard J. de Asla, M.D. V E R I TAS MGH 1811 I have no potential conflicts with this presentation. V E R I TAS It s just a sprain Lateral Ankle Sprains Most common
The Relationship Between Hip Physical Examination Findings and Intra-articular Pathology Seen at the Time of Hip Arthroscopy
The Relationship Between Hip Physical Examination Findings and Intra-articular Pathology Seen at the Time of Hip Arthroscopy Craig M. Capeci, MD Mohaned Al-Humadi, MD Malachy P. McHugh, PhD Alexis Chiang-Colvin,
A Patient s Guide to Labral Tears of the Hip
A Patient s Guide to Labral Tears of the Hip 15195 Heathcote Blvd Suite 334 Haymarket, VA 20169 Phone: 703-369-9070 Fax: 703-369-9240 DISCLAIMER: The information in this booklet is compiled from a variety
The Role of Select Imaging Studies in the Lameness Examination
The Role of Select Imaging Studies in the Lameness Examination M. J. Martinelli, DVM, PhD and Norm Rantanen, DVM, MS The physical examination and gait analysis are the most important aspects of a lameness
Ankle Ligament Injury: Don t Worry- It s Only a Sprain Wes Jackson MD Orthopaedic Foot & Ankle
Ankle Ligament Injury: Don t Worry- It s Only a Sprain Wes Jackson MD Orthopaedic Foot & Ankle Outline I. Epidemiology II. Classification and Types of Sprains III. Anatomy IV. Clinical Assessment and Imaging
ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME
ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME Shoulder injuries are common in patients across all ages, from young, athletic people to the aging population. Two of the most common problems occur in the
CLINICS IN SPORTS MEDICINE
Clin Sports Med 25 (2006) 365 369 CLINICS IN SPORTS MEDICINE A Acetabular labrum, tears of, hip arthroscopy in, 264 Acetabular rim, trimming of, and labral repair, new method for, 293 297 Acetabulum, femoral
Disclosures. Ultrasonography. Conventional radiography (XR) Magnetic resonance imaging. Conventional CT 10/27/2013
What I can see in my gout patient that I couldn t before: the role of advanced imaging in gout diagnosis and monitoring Disclosures ND is supported by the Health Research Council of New Zealand I have
Clinical Case Series Adipose Derived Stem and Regenerative Cells for the Treatment of Equine Tendon and Ligament Injuries
Clinical Case Series Adipose Derived Stem and Regenerative Cells for the Treatment of Equine Tendon and Ligament Injuries VetStem Biopharma, Inc., 12860 Danielson Court, Suite B, Poway, CA 92064 Abstract:
Anatomy. Introduction
Anatomy Introduction Many adults (mostly women) between the ages of 40 and 60 years of age develop shoulder pain and stiffness called adhesive capsulitis. You may be more familiar with the term frozen
Arthroscopy in sports medicine
Arthroscopy in sports medicine DR PABITRA KUMAR SAHOO, ASSISTANT PROFESSOR (PMR) Sports medicine is a special branch of rehab specialty which deals with training in anatomy, biomechanics, pathophysiology