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− | {{toplink
| + | #REDIRECT[[:Category:Joints - Developmental Pathology]] |
− | |backcolour =CDE472
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− | |linkpage =Musculoskeletal System - Pathology
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− | |linktext =Musculoskeletal System
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− | |maplink = Musculoskeletal System (Content Map) - Pathology
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− | |pagetype =Pathology
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− | |sublink1=Joints - Pathology
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− | |subtext1=JOINTS
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− | }}
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− | <br>
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− | ===Hip dysplasia===
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− | *Mainly large and giant dog breeds, especially with stocky conformations
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− | *Seen in cattle - Herefords
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− | *Subluxation of hip joint due to maldevelopment
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− | *Not present at bith
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− | *Inherited + environmental factor involvement (nutrition, exercise)
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− | *Pelvic muscles are behind the bone development in rapidly growing dogs -> lack of restraint of the joint -> excess movement before acetabulum is fully mature
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− | *Usually develops within first 6 months of life
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− | *Varying degrees of severity
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− | *Pathogenesis:
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− | **Joint laxity / acetabular dysplasia
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− | **-> Flattened femoral head +/- mild or severe periarticular [[Musculoskeletal terminology|osteophyte]] formation
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− | **-> Thickening of femoral head + degeneration of [[Joints - normal#Articular cartilage|articular cartilage]]
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− | **[[Musculoskeletal terminology|Eburnation]]
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− | *Predisposes to [[Joints - degenerative#Degenerative joint disease (DJD)|DJD]]
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− | *Round ligament of femoral head may rupture -> luxation
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− | ===Elbow dysplasia===
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− | * = '''Ununited anconeal process'''
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− | *In dogs, especially German Shepherd Dogs, St. Bernards, Labradors
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− | *Occurs during first few years of life
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− | *Failure of anconeal centre of ossification to unite with the ulna
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− | **Normally, they unite between 4-6 months of life
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− | *May partially or totally separate from each other
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− | *Intra-articular irritation -> [[Joints - degenerative#Degenerative joint disease (DJD)|DJD]] with [[Musculoskeletal terminology|osteophyte]] formation within the joint
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− | ===Osteochondrosis===
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− | [[Image:Pig elbow osteochondrosis.jpg|right|thumb|100px|<small><center>Osteochondrosis in pig elbow (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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− | [[Image:Osteochondrosis dissecans.jpg|right|thumb|100px|<small><center>Osteochondrosis dissecans (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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− | *Defect in cartilage growth (i.e. '''dyschondroplasia''')
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− | *In growing animals: large breeds of dogs (4-8 months), pigs (5-7 months) and horses (weeks - 2 years)
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− | *Involves both the [[Bones - normal#Physis (Growth plate)|growth plate]] and the immature [[Joints - normal#Articular cartilage|joint cartilage]]
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− | *Multifactorial:
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− | **Trauma
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− | **Genetic
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− | **Rapid growth
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− | **Ischaemia
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− | **Nutritional
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− | *Essentially idiopathic
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− | *Failure of [[Bones - normal#Bone development|endochondral ossification]]
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− | *Lesions bilateral in 70% of cases but lameness often unilateral, sometimes no clinical signs
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− | *Some authors consider this condition more generalised, in which case e.g. [[Joints - developmental#Elbow dysplasia|ununited anconeal process]] would be part of osteochondrosis syndrome
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− | Different manifestations include:
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− | *'''1. ''Osteochondrosis dissecans''''' (OCD):
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− | **Retained cartilage cores
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− | ***White, wedge-shaped areas of retained cartilage in the metaphysis
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− | ***Clefts -> separation of cartilage from bone -> flaps or free '''joint mice'''
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− | ***May interfere with joint function
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− | **Lysis → bone cysts
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− | **Focal disruption of [[Bones - normal#Bone development|endochondral ossification]]
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− | **-> Angular limb deformities and [[Joints - degenerative#Degenerative joint disease (DJD)|degenerative joint disease]]
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− | **May be present together with '''synovitis'''
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− | **Predilection sites:
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− | ***<u>In dogs:</u>
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− | ****Proximal humerus
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− | ****Lateral femoral condyle
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− | ****Coronoid process of ulna
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− | ***<u>In pigs:</u>
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− | ****Humeral and medial femoral condyles
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− | ****Anconeal process of elbow
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− | ***<u>In horses:</u>
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− | ***Medial femoral condyle
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− | ***Distal tibia
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− | **''Osteochondrosis dissecans'' in dogs:
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− | ***Grossly:
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− | ****Lesion in central part of the caudal aspect of developing ossification centre in humeral head
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− | ***Histologcally:
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− | ****Lesion filled with [[General Pathology - Chronic Inflammation#Granulation tissue|granulation tissue]] (fibroplasia)
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− | ****Surrounding thickened bone spicules
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− | ****Cap of thickened [[Joints - normal#Articular cartilage|articular cartilage]] over the defect
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− | ****-> May fragment - joint mice
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− | ****Calcified cartilage fragments may be in the posterior pocket of joint capsule
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− | *****May grow through synovial fluid nourishment
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− | *'''2. Epiphysiolysis'''
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− | **Not associated with retention of cartilage
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− | **Separation of epiphysis from the metaphysis
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− | **Likely to be due to trauma to degenerated [[Bones - normal#Physis (Growth plate)|growth plate]]
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− | **Possibly the basis of ununited anconeal process and ununited coronoid process in dogs
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− | ===Arthrogryposis===
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− | *Persistent congenital flexure of a joint in conjunction with muscle contraction
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− | *Caused by:
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− | **Inactivity or paralysis in utero
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− | **Spinal dysraphism
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− | **Intrauterine viral infections
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− | **Toxic plants (poison hemlock, lupine)
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− | **Cause persitent contraction of uterus -> fetal compression
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− | *Arthrogryposis and [[Oral Cavity - Cavity & Gingiva#Cleft Palate|palatoschisis]] in Charolais cattle
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− | ===[[Bones Developmental - Pathology#Angular limb deformity|Angular limb deformity]]===
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