Difference between revisions of "Bones Degenerative - Pathology"

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#REDIRECT[[:Category:Bones - Degenerative Pathology]]
|backcolour =CDE472
 
|linkpage =Musculoskeletal System - Pathology
 
|linktext =Musculoskeletal System
 
|maplink = Musculoskeletal System (Content Map) - Pathology
 
|pagetype =Pathology
 
|sublink1=Bones - Pathology
 
|subtext1=BONES
 
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<br>
 
<big>
 
[[Bones Metabolic - Pathology|'''Bones and Cartilage - Metabolic diseases''']]
 
 
 
[[Bones Fractures - Pathology|'''Bones and Cartilage - Fractures''']]
 
 
 
[[Bones - fractures|'''Bones and Cartilage - fractures''']]
 
</big>
 
 
 
===Osteoporosis (Atrophy)===
 
 
 
*Lesion, not a disease
 
*Reduction in bone mass due to reduced osteoid (bone atrophy)
 
*Bone resorption exceeds formation -> pathological loss of bone
 
*Resorbed from:
 
**Trabeculae, preserving the weight bearing ones until last
 
**Endosteal surface of cortical bone
 
**Along vascular channels
 
*Longitudinal section
 
**Fewer thin trabeculae
 
**Enlarged medulla
 
**Thin, porous cortex
 
*Bone which remains is normally mineralised
 
*Can be localised or generalised*Caused by:
 
**Starvation - in farm animals due to protein and energy deficiency
 
**Nutritional deficiency (calcium) and hypocalcaemia -> bone resorption
 
**Senility
 
***Physiological loss of skeletal mass with age
 
***May be excessive in some individuals
 
***Histologically - dead [[Bones - normal#Normal stucture|osteocytes and empty lacunea]]
 
**Physical inactivity (disuse) - muscular inactivity and reduced weight bearing, e.g. during limb casting
 
**Glucocorticoids
 
**[[Intestine - Parasites|Intestinal parasitism]] - in ruminants, malabsorption due to severe infestation
 
**[[General Pathology - Congenital and Neonatal Disease#Copper Deficiency|Copper deficiency]] - in lambs, calves, foals, pigs and dogs -> brittle bones
 
*May be reversed in young growing animals
 
 
 
 
 
===Osteosis===
 
 
 
*Also called '''Aseptic necrosis''' or '''Ischaemic necrosis'''
 
*Degeneration and necrosis of osseous tissue
 
*Due to bone marrow pressure and ischaemia resulting from
 
**[[Bones - fractures|Fractures]]
 
**Excessive heat e.g. horn disbudding
 
**Neoplasia ([[Bones - hyperplastic and neoplastic#Osteosarcoma|osteosarcoma]] and [[Bones - hyperplastic and neoplastic#Lymphosarcoma|lymphosarcoma]])
 
*Grossly:
 
**Necrotic bone difficult to recognise
 
**Sometimes, periosteum becomes dry, dull and detaches easily
 
**On longitudinal section
 
***Yellow-white necrotic bone
 
***Scattered cancellous and endosteal bone
 
*Histologically:
 
**Empty [[Bones - normal#Normal structure|lacunae or contain dead osteocytes]]
 
**Matrix remains mineralised
 
*Necrotic bone is slowly resorbed, sequstered or covered by new woven bone
 
*Persists
 
*May not be detected radiographically
 
*Associated with [[Joints - degenerative#Calve Legg-Perthe's disease|Calve-Legg Perthe's disease]]
 
 
 
 
 
===Bone cysts===
 
[[Image:Bone cysts dog.jpg|right|thumb|100px|<small><center>Bone cysts (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
 
*May be seen radiographically
 
*Must be distinguished from [[Bones - hyperplastic and neoplastic#Neoplastic|neoplasia]]
 
*Expansile lytic masses
 
*Do not appear aggressive
 
*'''Subchondral cysts'''
 
**Common in horses and pigs
 
**Usually manifestations of [[Joints - developmental#Osteochondrosis|osteochondrosis]] and [[Joints - degenerative#Degenerative joint disease (DJD)|DJD]]
 
*'''Simple cysts'''
 
**May contain clear colourless fluid, or serosanguinous
 
**Wall of dense fibrous tissue, [[Bones - normal#Bone organisation|woven or lamellar bone]]
 
*'''Aneurysmal bone cysts'''
 
**Expansie lesions
 
**Arise from disturbance of vascular tissue of bone marrow
 
**Grossly:
 
***Appear as blood filled sponge
 
***Spaces separated by fibrous trabeculae
 
**Histologically:
 
***Proliferation of undifferentiated mesenchymal cell with multinucleated osteoclast-like cells
 
***Haemorrhage and haemosiderosis
 
*Radiography is essential to help differentiate with cavity of a neoplasm
 
 
 
 
 
===Calcium hydroxylapatite deposition disease===
 
 
 
*Gt Dane puppies with paraplegia
 
*Calcium phosphate depositon has been reported in multiple diarthrodial joints of the axial and appendicular skeleton
 
*[[More on Calcium hydroxylapatite deposition disease|More about Calcium hydroxylapatite deposition disease]]
 
 
 
 
 
===Physeal dysplasia with slipped capital femoral epiphysis===
 
 
 
*Slipped capital femoral epiphysis seen in dogs, foals and calves
 
*Associated with severe trauma
 
*Pigs – manifestation of [[Joints - developmental#Osteochondrosis|osteochondrosis]] with only minimal trauma required
 
*Most common type of physeal fracture in small animals and the proximal femur is the most common site
 
*In horses, physeal dysplasia is synonymus with [[Bones Developmental - Pathology#Physitis|physitis]]
 
*[[More about Physeal dysplasia]]
 

Latest revision as of 12:04, 3 March 2011