Difference between revisions of "Bones Developmental - Pathology"

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#REDIRECT[[:Category:Bones - Developmental Pathology]]
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{{review}}
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{{toplink
 +
|backcolour =CDE472
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|linkpage =Musculoskeletal System - Pathology
 +
|linktext =Musculoskeletal System
 +
|maplink = Musculoskeletal System (Content Map) - Pathology
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|pagetype =Pathology
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|sublink1=Bones - Pathology
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|subtext1=BONES
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}}
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<br>
 +
==Generalised==
 +
===Proportionate dwarfism===
 +
*Miniature breeds
 +
*Due to growth factor deficit
 +
===Chondrodysplasia===
 +
 +
*Literally means “abnormal cartilage development”
 +
*Defective cartilage growth at the physis
 +
*Usually genetic cause
 +
*Occurs in cattle, dogs, sheep, pigs and cats
 +
*Leads to '''disproportionate dwarfism''' (contrast with miniature breeds)
 +
**Generally, growth is disproportionate because only the growth of bones which form from cartilage models is retarded – growth of other bones is normal (i.e. long bones shorter than normal)
 +
 
 +
<u>In Dogs:</u>
 +
*'''Localised''' forms occur in dogs (e.g. affecting skulls of Pekingese and Bulldogs or the limbs of Dachshunds and Bassett hounds)
 +
*Occasionally seen in immature Beagles, Poodles, Alaskan Malamutes, Scottish Deerounds and Norwegian Elkhounds
 +
 
 +
<u>In Cattle:</u>
 +
*'''Dexter cattle'''
 +
**Are heterozygous for incompletely dominant gene
 +
**When homozygous - lethal, producing 'buldog calf'
 +
**Usually aborted prior to seven month of pregnancy
 +
**Also occurs in Holstein, Jerseys and Charolais
 +
**Grossly:
 +
***Limbs and vertebral column are short
 +
***Domed cranium
 +
***Protruding [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]]
 +
***Absent hard palate
 +
***Large umbilical hernia with eventrated abdominal organs
 +
**Histologically:
 +
***Proliferative and hypertrophic zones in the physes are irregularly separated by fibrovascular tissue
 +
***Chondrocytes are not properly arranged
 +
***Irregular ossification and mineralisation
 +
 
 +
*'''Telemark type'''
 +
**Cattle of Norwegian origin
 +
**Also seen in Jersey cows
 +
**Calves born alive, unable to stand and die soon after birth
 +
**Grossly:
 +
***Domed cranium
 +
***Brachygnatic face
 +
***Protruding [[Oral Cavity - Tongue - Anatomy & Physiology|tongue]]
 +
***Cleft palate
 +
***Short neck and limbs
 +
 
 +
*'''Brachycephalic 'Snorter' type'''
 +
**Hereford and Aberdeen Angus
 +
**Show nasal dyspnoea and chronic rumenal tympany
 +
**Grossly:
 +
***Short, broad head
 +
***Prominent, laterally displaced eyes
 +
***Short and compressed vertebral column
 +
***Distal long bones shorter than proximal
 +
**Histologically:
 +
**Physes appear normal
 +
**Pallisading chondrocytes fewer in number
 +
**Less hypertrophy
 +
 
 +
<u>In Sheep:</u>
 +
*'''Ancon type'''
 +
**Short limbs due to premature closure of growth plates
 +
**Now rare
 +
*'''Spider lamb'''
 +
**Hereditary (autosomal recessive) in Suffolk and Hampshire breeds in North America
 +
**Long, thin, angular limbs
 +
**May be born alive or dead, aborted or develop symptoms within a month of birth
 +
**Grossly:
 +
***Fine bones, poor musculature, small heads, scoliosis
 +
**Histologically:
 +
***Abnormal centres of [[Bones - normal#Bone development|endochondral ossification]]
 +
***Nodular cartilage hypertrophy
 +
 
 +
<u>In Pigs:</u>
 +
*Occurs in Danish Landrace
 +
*Autosomal recesive inheritance
 +
*Dwarfs with short legs, forelegs shorter than hind legs
 +
*Abnormal movement is noticable at weaning
 +
*Sequel is [[Joints Degenerative - Pathology#Degenerative joint disease (DJD)|arthrosis]]
 +
 
 +
===Osteopetrosis (Marble bone disease)===
 +
 
 +
*Occurs in sheep, dogs, cattle, horses
 +
*Failure of resorption by osteoclasts -> failure of remodelling of [[Bones - normal#Bone organisation|cancellous bone]]
 +
*Bones become thickened and dense but brittle
 +
*Marrow cavites are full of unresorbed primary spongiosa
 +
*Thickened intramembranous bones of skull -> altered shape of brain
 +
*Associated with severe viral infections, e.g.  '''FeLV''', [[Cavity & Gingiva - Pathology#Bovine Viral Diarrhoea / Mucosal disease|BVD]]
 +
*Hereditary in Angus cattle
 +
 
 +
 
 +
===Lysosomal storage disease===
 +
 
 +
*Excess accumulation of metabolites in lysosomes
 +
*Affects mainly nervous system
 +
*Also affects growth of cartilage
 +
 
 +
 
 +
===Osteogenesis Imperfecta===
 +
 
 +
*Cause of fragile bones in humans, very rarely in animals
 +
*Reported in Holstein and Charolais calves
 +
*Poor mineralisation of bones and teeth
 +
*Fractures are often present at birth
 +
 
 +
 
 +
===Congenital hyperostosis of pigs===
 +
[[Image:Hyperostosis.jpg|right|thumb|100px|<small><center>Hyperostosis (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
 +
 
 +
*Rare, genetic
 +
*Diaphysial dysplasia
 +
*Excessive periosteal intramembranous bone, particularly in long bones
 +
*Grossly:
 +
**Greatly thickened long bones
 +
**Tense, shiny skin, closely adherent to tissues below
 +
*Born dead or die soon after birth
 +
 
 +
 
 +
 
 +
 
 +
 
 +
 
 +
===Retention of elongated primary trabeculae===
 +
 
 +
*Happens due to impaired osteoclastic activity
 +
*Primary trabeculae do not transform into secondary and tertiary
 +
*Continue to elongate
 +
*Form a dense band beneath growth plate - growth retardation lattice
 +
*Dense spikules apparent on radiographs
 +
*Can be caused by [[Paramyxoviridae#Canine Distemper Virus (CDV)|distemper virus]], [[Flaviviridae|bovine viral diarrhoea virus]]
 +
 
 +
==Localised==
 +
 
 +
*'''Hemimelia''' - abscence of one of limb bones
 +
*'''Syndactylia''' - fusion of toes
 +
*'''Polydactylia''' - increased number of digits
 +
*'''Ectrodactylia''' - cleft in paw extending to metacarpus of dogs and cats
 +
 
 +
 
 +
===Cervical Vertebral Stenotic Myelopathy (Wobblers)===
 +
 
 +
*Equine disease
 +
*Narrowing of the vertebral canal due to malalignment or maldevelopment of the vertebrae
 +
*Fast growing male TBs ranging from 8 months to 4 years
 +
*Hind limb ataxia due to cord compression
 +
 
 +
 
 +
===Angular limb deformity===
 +
 
 +
*Lateral deviation of distal portion of limb (valgus)
 +
*Medial deviation of distal portion of limb (varus) - more rare
 +
*Most common in foals
 +
**Carpal joint
 +
**Tarsal joint
 +
**Fetlock joint
 +
*Congenital or acquired
 +
*Due to:
 +
**Malpositioning in utero
 +
**Excessive joint laxity
 +
**[[Thyroid Gland - Pathology#Hypothyroidism|Hypothyroidism]]
 +
**Trauma
 +
**Overnutrition
 +
**Defective endochondral ossification
 +
**Poor conformation
 +
**Disruption of blood supply to one side of bone
 +
**Secondary to [[Bones Developmental - Pathology#Physitis|physitis in horses]]
 +
*Usually resolves spontaneously in one to two weeks of life
 +
*More severe cases exceding compensatory capabilities will persisist
 +
*[[Bones - normal#Bone development|Cartilage development]] is affected
 +
 
 +
 
 +
===Fibrous dysplasia===
 +
 
 +
*See [[Bones Hyperplastic and Neoplastic - Pathology#Fibrous dysplasia|Bones and Cartilage - hyperplastic and neoplastic]]
 +
 
 +
 
 +
===Physitis===
 +
 
 +
*In horses
 +
*Often associated with [[Bones Developmental - Pathology#Angular limb deformity|angular limb deformity]]
 +
*Also called '''epiphysitis''' and '''physeal dysplasia'''
 +
*Problem of [[Bones - normal#Bone development|endochondral ossification]]
 +
*Two age groups
 +
**Weanlings
 +
**Yearlings in early training and two-year-olds
 +
*May cause contracted tendons and flexural deformities
 +
*Factors probably involved in its development:
 +
**Genetically fast growth rate
 +
**Large quantities of imbalanced, high energy feed
 +
**Imbalanced weight-bearing on joints
 +
**Excessive activity
 +
**Growth spurts
 +
*Histologically: (appearance similar to [[Bones Developmental - Pathology#Angular limb deformity|angular limb deformity]])
 +
**Lateral aspect of radius
 +
***Thickened metaphyseal part of physeal cartilage
 +
***-> Delay or disturbance of endochondral ossification
 +
***Compression
 +
**Central part
 +
***No obvious deformity
 +
**Medial aspect
 +
***Tension
 +
***-> Transverse [[Bones Fractures - Pathology|fractures]] and repair
 +
**Laxity of periarticular attachements in young foals allows [[Bones Developmental - Pathology#Angular limb deformity|angular limb deformity]]; not occuring in older foals and young horses
 +
**(Sustained trauma produces similar lesions)
 +
 
 +
 
 +
[http://www.omafra.gov.on.ca/english/livestock/horses/facts/info_congenital.htm#musculoskeletal Developmental abnormalities]

Revision as of 08:19, 28 August 2009


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BONES



Generalised

Proportionate dwarfism

  • Miniature breeds
  • Due to growth factor deficit

Chondrodysplasia

  • Literally means “abnormal cartilage development”
  • Defective cartilage growth at the physis
  • Usually genetic cause
  • Occurs in cattle, dogs, sheep, pigs and cats
  • Leads to disproportionate dwarfism (contrast with miniature breeds)
    • Generally, growth is disproportionate because only the growth of bones which form from cartilage models is retarded – growth of other bones is normal (i.e. long bones shorter than normal)

In Dogs:

  • Localised forms occur in dogs (e.g. affecting skulls of Pekingese and Bulldogs or the limbs of Dachshunds and Bassett hounds)
  • Occasionally seen in immature Beagles, Poodles, Alaskan Malamutes, Scottish Deerounds and Norwegian Elkhounds

In Cattle:

  • Dexter cattle
    • Are heterozygous for incompletely dominant gene
    • When homozygous - lethal, producing 'buldog calf'
    • Usually aborted prior to seven month of pregnancy
    • Also occurs in Holstein, Jerseys and Charolais
    • Grossly:
      • Limbs and vertebral column are short
      • Domed cranium
      • Protruding tongue
      • Absent hard palate
      • Large umbilical hernia with eventrated abdominal organs
    • Histologically:
      • Proliferative and hypertrophic zones in the physes are irregularly separated by fibrovascular tissue
      • Chondrocytes are not properly arranged
      • Irregular ossification and mineralisation
  • Telemark type
    • Cattle of Norwegian origin
    • Also seen in Jersey cows
    • Calves born alive, unable to stand and die soon after birth
    • Grossly:
      • Domed cranium
      • Brachygnatic face
      • Protruding tongue
      • Cleft palate
      • Short neck and limbs
  • Brachycephalic 'Snorter' type
    • Hereford and Aberdeen Angus
    • Show nasal dyspnoea and chronic rumenal tympany
    • Grossly:
      • Short, broad head
      • Prominent, laterally displaced eyes
      • Short and compressed vertebral column
      • Distal long bones shorter than proximal
    • Histologically:
    • Physes appear normal
    • Pallisading chondrocytes fewer in number
    • Less hypertrophy

In Sheep:

  • Ancon type
    • Short limbs due to premature closure of growth plates
    • Now rare
  • Spider lamb
    • Hereditary (autosomal recessive) in Suffolk and Hampshire breeds in North America
    • Long, thin, angular limbs
    • May be born alive or dead, aborted or develop symptoms within a month of birth
    • Grossly:
      • Fine bones, poor musculature, small heads, scoliosis
    • Histologically:

In Pigs:

  • Occurs in Danish Landrace
  • Autosomal recesive inheritance
  • Dwarfs with short legs, forelegs shorter than hind legs
  • Abnormal movement is noticable at weaning
  • Sequel is arthrosis

Osteopetrosis (Marble bone disease)

  • Occurs in sheep, dogs, cattle, horses
  • Failure of resorption by osteoclasts -> failure of remodelling of cancellous bone
  • Bones become thickened and dense but brittle
  • Marrow cavites are full of unresorbed primary spongiosa
  • Thickened intramembranous bones of skull -> altered shape of brain
  • Associated with severe viral infections, e.g. FeLV, BVD
  • Hereditary in Angus cattle


Lysosomal storage disease

  • Excess accumulation of metabolites in lysosomes
  • Affects mainly nervous system
  • Also affects growth of cartilage


Osteogenesis Imperfecta

  • Cause of fragile bones in humans, very rarely in animals
  • Reported in Holstein and Charolais calves
  • Poor mineralisation of bones and teeth
  • Fractures are often present at birth


Congenital hyperostosis of pigs

Hyperostosis (Image sourced from Bristol Biomed Image Archive with permission)
  • Rare, genetic
  • Diaphysial dysplasia
  • Excessive periosteal intramembranous bone, particularly in long bones
  • Grossly:
    • Greatly thickened long bones
    • Tense, shiny skin, closely adherent to tissues below
  • Born dead or die soon after birth




Retention of elongated primary trabeculae

  • Happens due to impaired osteoclastic activity
  • Primary trabeculae do not transform into secondary and tertiary
  • Continue to elongate
  • Form a dense band beneath growth plate - growth retardation lattice
  • Dense spikules apparent on radiographs
  • Can be caused by distemper virus, bovine viral diarrhoea virus

Localised

  • Hemimelia - abscence of one of limb bones
  • Syndactylia - fusion of toes
  • Polydactylia - increased number of digits
  • Ectrodactylia - cleft in paw extending to metacarpus of dogs and cats


Cervical Vertebral Stenotic Myelopathy (Wobblers)

  • Equine disease
  • Narrowing of the vertebral canal due to malalignment or maldevelopment of the vertebrae
  • Fast growing male TBs ranging from 8 months to 4 years
  • Hind limb ataxia due to cord compression


Angular limb deformity

  • Lateral deviation of distal portion of limb (valgus)
  • Medial deviation of distal portion of limb (varus) - more rare
  • Most common in foals
    • Carpal joint
    • Tarsal joint
    • Fetlock joint
  • Congenital or acquired
  • Due to:
    • Malpositioning in utero
    • Excessive joint laxity
    • Hypothyroidism
    • Trauma
    • Overnutrition
    • Defective endochondral ossification
    • Poor conformation
    • Disruption of blood supply to one side of bone
    • Secondary to physitis in horses
  • Usually resolves spontaneously in one to two weeks of life
  • More severe cases exceding compensatory capabilities will persisist
  • Cartilage development is affected


Fibrous dysplasia


Physitis

  • In horses
  • Often associated with angular limb deformity
  • Also called epiphysitis and physeal dysplasia
  • Problem of endochondral ossification
  • Two age groups
    • Weanlings
    • Yearlings in early training and two-year-olds
  • May cause contracted tendons and flexural deformities
  • Factors probably involved in its development:
    • Genetically fast growth rate
    • Large quantities of imbalanced, high energy feed
    • Imbalanced weight-bearing on joints
    • Excessive activity
    • Growth spurts
  • Histologically: (appearance similar to angular limb deformity)
    • Lateral aspect of radius
      • Thickened metaphyseal part of physeal cartilage
      • -> Delay or disturbance of endochondral ossification
      • Compression
    • Central part
      • No obvious deformity
    • Medial aspect
    • Laxity of periarticular attachements in young foals allows angular limb deformity; not occuring in older foals and young horses
    • (Sustained trauma produces similar lesions)


Developmental abnormalities