Bone Pathology Flashcards
Malignant Neoplasms of Joints
Arise from the synovial membrane
Uncommon in dogs and very rare in other species
Pannus formation is a possible sequel of
Chronic joint injury
Lordosis
Ventral deviation of the vertebral column
Etiology of osteoporosis
Nutritional
Aging
Disuse
Amelia
Absence of limbs
Degree of osteonecrosis is influenced by
Influenced by size and extent of necrosis and extent and strength of collateral circulation and local repair mechanism
Causes of angular limb deformities
Malposition in utero
Joint laxity
Hypothyroidism
Trauma
Malnutrition
Impaired endochondral ossification
Valgus deformity
Lateral deviation of one or more limbs distal to the affected growth plate or joint
Syndactylia
Fusion of digits
Most common joint lesions in domestic animals involve
synovial joints
Primary Degenerative Joint Disease
No apparent predisposing cause - generally observed in older animals
Pathologic Bone Fracture
Abnormal bone broken by minimal trauma or normal weight bearing
Traumatic Bone Fracture
Normal bone broken by excessive force
Nutritional Secondary Hyperparathyroidism
Dietary deficiency of Ca, excess dietary P or deficiency of Vitamin D
Typically a result of decreased Ca or increased P in the diet and affects young growing animals
Osteodystrophies - Metabolic Bone Diseases
Result from disturbed bone growth, modeling or remodeling due to either nutritional or hormonal imbalance
Osteodystrophy due to Hypervitaminosis A
Cats that consume high quantities of bovine livers
Cause deforming cervical spondylosis
Affected cats develop osteophyte formation around the joints of the cervical vertebrae, should and elbow
Metabolic Bone Disease is characterized by
Failure of production of bone matrix, its mineralization or its maintenance
Chondroplasia - Chondrodysplasia fetalis
Disproprotionate dwarfism
Breed associated, usually hereditary conditions.
Membranous appositional growth is normal but interstitial growth of cartilage is abnormal resulting in premature closure of growth plates and decreas length of long bones
Intramembranous Ossification
Bone formation that occurs within “membranes” of condensed primitive mesenchymal tissue
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Flat bones of the skull
Microscopic appearance fo osteonecrosis
Cell death with loss of osteocytes from their lacunae
Cervico-vertebral Stenotic Myelopathy - “Wobbler’s Syndrome”
Localized skeletal dysplasia
Classified as a degenerative joint disease which affects the axial skeleton
Results in dynamic or static compression of the cervcial spinal cord by abnormal cervical vertebrae
Secondary Degenerative Joint Disease
Associated with an underlying abnormality in the join or its supporting structures which leads to premature degeneration of the articular cartilage
Micromelia
Abnormally small or short limbs
Angular Limb Deformities
Common in young animals and specially important in horses
Origin can be traced to asymptomatic lesion in an active growth plate
Characterized by twisting of the bone
Osteomalacia
Grown (adult) animal disease
Failure in the mineralization of osteoid primarily due to vitamin D or P deficiency
Unmineralized osteoid is resistant to osteoclast resorption and accumulates in the bone
Affected animals may exhibit bone pain, pathologic fractures and deformities
Collapse of articular surface may occur
End-Stage Joint
Describe a joint with severe chronic injury
Affected joints exhibit variable degrees of damage to the articular cartilage, deformation, osteophyte, and pannus formation, capsular fibrosis, synovial villous hypertrophy/hyperplasia and occasional ankylosis
Rickets
Affecting young growing animals
Defective calcification of osteoid and defective endochondral ossification
Multifactoral etiology typically involves vitamin D or phosphorus deficiency
Outcome of osteonecrosis
Complete resorption and replacement of necrotic bone may occur
Formation of sequestrum
(Primary/Secondary) bone tumors are more common
Primary
Osteomyelitis
Common in young farm animals as result of bacteremia or septicemia
Omphalophlebitis is common source in neonates
Can be localized
Predilection site of Osteosarcoma
Close to the knee and way from the elbow
Types of malignant neoplasms of joints
Synovial Cell Sarcoma
Histocytic Sarcoma
Lesions of “Elbow Dysplasia Syndrome” in young dogs
Ununited anconeal process
Fragmented medial coronoid process of the ulna
Fibrous Osteodystrophy
Common metabolic bone disease
Characterized by extensive bone resportion and replacement by fibrous connective tissue and poorly mineralized immature bone
Result of persistent elevations of plasma PTH levels - hyperparathyroidism
Osteodystrophy caused by fluoride toxicosis
Occurs in herbiovores - cattle and sheep
Affects the normal metabolism of bone and teeth primarily in growing animals
Ameloblasts and odontoblasts are markedly sensitive to excess fluoride and the result are soft dark brown discolored teeth that wear down easily
Bones exhibit periosteal hyperostosis
Two types of bone based on degree of maturity
Woven bone
Lamellar bone
Involucrum
Layer of granulation tissue and reactive bone formed as a result of attempts to wall of a sequestrum
Synovial Cell Sarcoma
Malignant tumors arising from the synovial fibrocyte origin
Histiocytic Sarcoma
Malignant tumors arising from cells of histocytic phenotype, possible dendritic cells present in synovium
Ringbone
Degenerative disease in horses affecting the inter-phalangeal joints
Common in horses used in rodeo events or Polo
Result of abrupt stops, turns and twists
Etiology of metabolic bone disease
Nutritional
Hormonal
Disuse
Toxicity