EQ Developmental Orthopaedic disease Flashcards
Name examples of developmental orthropedic diseases in:
- Horses
- Dogs
- Cows
- Pigs
- Horse - OCD, Physitis, Angular limb deformities, Flexural deformities
- Canine - OCD, Legg calve perthes, hip dysplasia, hypertrophic osteodystrophy
- Cow - OCD, FLEXURAL DEFORMITIES
- Pig - OCD
Name the different zones of the growth plates.
Resting
Proliferative
Hypertrophic
Calcified
What is the articular-epiphyseal cartilage complex?
The area at which epiphyseal bone transitions to being articular cartilage
Chondrodysplasia
Abnormal endochondral ossification
Outline the pathophysiology of OCD.
- Disruption of blood supply
- Affects subchondral bone mineralisation
- Alters biomechanical properties of tissues
- Abnormal chondrocyte development
- Defective matrix production
- Persistence of hypertrophic chondrocytes
- Weakened, abnormal cartilage
How do cartilage flaps occur during OCD?
Shear forces and weight-bearing
Separation at osteo-chondral junction
Cartilage flaps & fragments
Exposed subchondral bone
What are the clinical signs associated with OCD?
- Joint effusion
- Pain
- Swelling
What endocrine factors influence OCD formation?
- Testosterone
- Growth hormone
- Transient hyperinsulinaemia
- Transient hypothyroidism - affect chondrocyte maturation
- Growth factors - alter chondrocyte metabolism
What nutritional factors influence OCD formation?
- XS energy and protein
- Ca:P imbalance - XS P
- Cu:Zn imbalance
- Cu involved in collagen cross-linking
- lysyl oxidase enzyme
How do subchondral cyst-like lesions occur in OCD?
- Retention of cartilage core
- Collapse of cartilage
- Pressure from synovial fluid
Outline the pathogenesis of hypertrophic osteodystrophy.
Idiopathic cause
Necrosis of capillary loops of cartilage of metaphyseal physis
Cuff of metaplastic cartilage and bone
What clinical signs are observed with hypertrophic osteodystrophy?
- Lameness
- Pyrexia
- Lethergy
- Pain
- Bilateral
What radiographic abnormalities are observed with hypertrophic osteodystrophy?
- Abnormal bone on dyaphyseal side of physis
- Decreased radiodensity parallel to physis
- Irregular widening of physis
- Sub&extra-periosteal new bone
Panosteitis
Pain/ inflammation of long bones