Musculoskeletal Flashcards
What 3 cell types form bone?
Osteoblasts, osteocytes and osteoclasts
What is lamellar bone composed of?
Parallel-orientated collagen fibres
How is woven bone characterisied?
Collagen fibres arranged in an irregular meshwork
What does brachygnathia mean?
Abnormally short jaw
What is kyphosis?
Dorsal curvature of the spinal column
What is lordosis?
Ventral curvature of the spinal column
What is scolisos?
Lateral deviation of the spinal column
What is syndactyly?
Fusion of digits
What is osteoporosis?
Reduction in bone mass
What is rickets?
Failure of mineralisation in the growing skeleton or adults
What are the causes of rickers?
Calcium/vitamin D deficiency
Phosphorus deficiency
Chronic renal failure
What is fibrous osteodystrophy?
Increased widespread osteoclastic resorption of bone and replacement by fibrous tissue.
What is the signalment associated with metaphyseal osteopathy?
Young dogs (2-6 months), large breeds
What are the clinical signs of metaphyseal osteopathy?
Lameness, fever, swollen, painful metaphysis in multiple long bones.
What is the most common primary bone neoplasia in dogs and cats?
Osteosarcomas
What is the most common treatment for pharyngeal fractures?
External coaptation with dressings and splints
What is the most common treatment for carpal fractures and subluxations?
Arthrodesis
What is the top differential for cellulitis and acute onset of lameness in the cat?
Cat bite
What is the breed pre-disposition for pododermatitis?
English bull terrier
What breed is pre-disposed to sesamoiditis?
Greyhounds
What is found on clinical exam with sesamoiditis?
Profound acute lameness with pinpoint pain on applying pressure over the affected sesamoid.
What is paronychia?
Bacterial infection in the nail base
What is onychomycosis?
Fungal infection seen in multiple nails
When should neoplasia of the nail bred be considered?
Any non-healing nail bed infection or a torn nail that fails to heal after removal
What can influence the degree of post-operative fracture care?
Strength of repair and confidence in it
Nature of fracture
Age of patient
Temperament of patient
Degree to which owner can be relied on
What is the aim of open fracture reduction?
Try to achieve 100% reduction
What can be a post-operative complication of cerclage wires?
Loosing of the wires can result in fracture instability as they twist.
What are some of the post-operative risks of IM pins?
Damage to sciatic nerve, migration, rotation of the fracture around the pin, enters joint
What are the clinical signs of osteomyelitis?
Lame, swelling, warmth, discharging sinus, pyrexia
What type of malunion are well tolerated?
Craniocaudal malunions
How is blood supply distributed to the bone?
1/3 periosteal and 2/3 endosteal
What is classes as a comminuted fracture?
Consists of at least 3 pieces of bone
What is classed as an avulsion fracture?
Distractive force results in a fracture.
What is primary bone healing?
When there is bone to bone heling. Requires intimate contact of the bone ends.
What is secondary bone healing?
When there is intervening callus formation
What anaesthesia considerations are there for head and mandibular fractures?
Often have compromised airways and reduced local reflexes. Consider tracheotomy or pharyngology.
Consider feeding tube at time of surgery.
What is the simplest management technique for mandibular fractures?
Muzzle
What species are temporomandibular luxation seen almost exclusively in?
Cats
What breeds are overrepresented with temporomandibular dysplasia?
Basset hounds and Persian cats
What are the two types of temporomandibular ankylosis?
Intrascapular and extrascapular
What is Perthe’s disease?
Avascular necrosis of the femoral head
What is the pre-disposition of Perthe’s disease?
Toy and small breed dogs less than 6 months old
Manchester Terrier - heritability
What are the clinical signs of Perthe’s disease?
Lameness associated with marked muscle atrophy. Reluctance to jump or go up and down the stairs.
How is metaphyseal osteopathy characterised?
Dogs less than 6 months
Severe and excruciating painful swelling to metaphyseal region of all limbs.
Pyrexic
What is the signalment of craniomandibular osteopathy?
Small terriers less than 6 months old
What is the typical presentation of panosteitis?
Male GSD less than a year old that’s depressed, Pyrexic with severe lameness and pain on palpation of diaphysis.
What is the result of osteochondrosis?
Thickened cartilage which fragments. Allows contact of synovial fluid with subchondral bone.
Cartilage can form a flap. Subchondral bone can fracture.
When does the onset elbow dysplasia occur?
5-7 months
What are the clinical sign of elbow dysplasia?
Chronic lameness worse on rising, tends to hold limb abducted and externally rotated.
Pain on manipulation and flexion with an ununited anconeal process.
Joint effusion and muscle atrophy
Differentials for acute lameness in the mature animal
Sprains, acute cruciate rupture, fractures, cellulitis
Differentials for chronic lameness in the mature animal
Osteoarthritis, humeral intercondylar fissure, nerve root tumour
Differentials for intermittent lameness in the mature animal
Patella luxation, dislocation of the tendon of origin of the long digital extensor, superficial digital flexor instabililty
What is the common signalment for humeral intercondylar fissure?
Breed: Spaniels, French bulldog
Age: Young to middle aged
What is the most common bone tumour?
Osteosarcoma
What are the pre-dilection sites for osteosarcomas?
Proximal humerus and tibia.
Distal radius and femur
What are patella fractures in cats associated with?
Retained deciduous teeth
Clinical history of osteoarthritis
Chronic lameness, worse in morning or after rising. Swelling to the joints. Reluctance to mount stairs or jump in car.
Action of monoclonal antibodies in osteoarthritis
Directed against nerve growth factors
What is an erosive form of immune mediated polyarthritis?
Rheumatoid arthritis
Indications of a myopathy
Muscle atrophy
Reduced muscle tone and local reflexes
Dysphonia, dysphagia and regurgitation
Megaoesophagus
Describe myotonia
Increased tone and poor relaxation after muscle stimulation
What is arthroplasty?
Excision or replacement of a joint
What is arthrodesis?
Surgical fusion of a joint
What are the indications for arthroplasty?
- Grossly dysplastic joints
- Severe and intractable pain from osteoarthritic joints
- Un-reconstructable articular fractures
- Persistent luxation