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− | * [[Osteochondrosis - Small Animal]] | + | [[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>]] |
− | * [[Osteochondrosis - Equine]] | + | [[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''') |
| + | *In growing animals: large breeds of dogs (4-8 months), pigs (5-7 months) and horses (weeks - 2 years) |
| + | *Involves both the [[Bones - Anatomy & Physiology|growth plate]] and the immature [[Joints - Anatomy & Physiology#Articular cartilage|joint cartilage]] |
| + | *Multifactorial: |
| + | **Trauma |
| + | **Genetic |
| + | **Rapid growth |
| + | **Ischaemia |
| + | **Nutritional |
| + | *Essentially idiopathic |
| + | *Failure of [[Cartilage - Anatomy & Physiology|endochondral ossification]] |
| + | *Lesions bilateral in 70% of cases but lameness often unilateral, sometimes no clinical signs |
| + | *Some authors consider this condition more generalised, in which case e.g. [[Joints Developmental - Pathology#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): |
| + | **Retained cartilage cores |
| + | ***White, wedge-shaped areas of retained cartilage in the metaphysis |
| + | ***Clefts -> separation of cartilage from bone -> flaps or free '''joint mice''' |
| + | ***May interfere with joint function |
| + | **Lysis → bone cysts |
| + | **Focal disruption of [[Cartilage - Anatomy & Physiology|endochondral ossification]] |
| + | **-> Angular limb deformities and [[Joints Degenerative - Pathology#Degenerative joint disease (DJD)|degenerative joint disease]] |
| + | **May be present together with '''synovitis''' |
| + | **Predilection sites: |
| + | ***<u>In dogs:</u> |
| + | ****Proximal humerus |
| + | ****Lateral femoral condyle |
| + | ****Coronoid process of ulna |
| + | ***<u>In pigs:</u> |
| + | ****Humeral and medial femoral condyles |
| + | ****Anconeal process of elbow |
| + | ***<u>In horses:</u> |
| + | ***Medial femoral condyle |
| + | ***Distal tibia |
| + | **''Osteochondrosis dissecans'' in dogs: |
| + | ***Grossly: |
| + | ****Lesion in central part of the caudal aspect of developing ossification centre in humeral head |
| + | ***Histologcally: |
| + | ****Lesion filled with [[Granulation Tissue|granulation tissue]] (fibroplasia) |
| + | ****Surrounding thickened bone spicules |
| + | ****Cap of thickened [[Joints - Anatomy & Physiology#Articular cartilage|articular cartilage]] over the defect |
| + | ****-> May fragment - joint mice |
| + | ****Calcified cartilage fragments may be in the posterior pocket of joint capsule |
| + | *****May grow through synovial fluid nourishment |
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| + | *'''2. Epiphysiolysis''' |
| + | **Not associated with retention of cartilage |
| + | **Separation of epiphysis from the metaphysis |
| + | **Likely to be due to trauma to degenerated [[Bones - Anatomy & Physiology|growth plate]] |
| + | **Possibly the basis of ununited anconeal process and ununited coronoid process in dogs |
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| + | [[Category:Joints - Developmental Pathology]] |