Walter Dingemanse

Comparison of clinical and computed tomographic features between medial and lateral trochlear ridge talar osteochondrosis in dogs.

OBJECTIVE To evaluate clinical and subchondral bone lesion differences between medial (MTRT-OC) and lateral trochlear ridge tarsocrural osteochondrosis (LTRT-OC). STUDY DESIGN Retrospective case series. ANIMALS Dogs (n = 66) with MTRT-OC or LTRT-OC. METHODS Medical records (1997-2010) of dogs with MTRT-OC or LTRT-OC were reviewed. Clinical data (breed, age, gender, weight, and duration of clinical signs) were retrieved. Computed tomographic examinations of the tarsocrural joints were performed. Length, width, and depth of the subchondral bone lesions on the computed tomographic images, and surface and volume of the lesions were estimated. The location of the OC lesion on the trochlear ridge (proximal, dorsal, or distal) was determined. Data collected from dogs with MTRT-OC (n = 56) were compared with data from dogs with LTRT-OC (n = 10). RESULTS Length, width, depth, surface, and volume of LTRT-OC lesions were significantly (P < .01) larger than those of MTRT-OC lesions. Dogs with LTRT-OC were significantly younger at the time of diagnosis (P < .01). CONCLUSIONS OC lesions on the lateral trochlear ridge are significantly larger than those on the medial trochlear ridge. Dogs with lesions on the lateral trochlear ridge are significantly younger at the time of diagnosis, and tend to have a shorter duration of lameness before presentation.

Assessment of medial coronoid disease in 180 canine lame elbow joints: a sensitivity and specificity comparison of radiographic, computed tomographic and arthroscopic findings

BackgroundDiagnostic imaging is essential to assess the lame patient; lesions of the elbow joint have traditionally been evaluated radiographically, however computed tomography (CT) has been suggested as a useful technique to diagnose various elbow pathologies. The primary objective of this study was to determine the sensitivity and specificity of CT to assess medial coronoid disease (MCD), using arthroscopy as gold standard. The secondary objective was to ascertain the radiographic sensitivity and specificity for MCD compared with CT.MethodsFor this study 180 elbow joints were assessed, of which 141 had been examined with radiography, CT and arthroscopy; and 39 joints, had radiographic and CT assessment. Sensitivity and specificity were calculated for CT and radiographic findings using available statistical software.ResultsSensitivity and specificity of CT using arthroscopy as gold standard resulted in high values for sensitivity (100 %) and specificity (93 %) for the assessment of MCD. For the radiographic evaluation, a sensitivity of 98 % and specificity of 64 - 69 % using CT as the technique of reference, were found.DiscussionThese results suggest that in case of doubt during radiographic assessment, CT could be used as a non-invasive technique to assess the presence of MCD.ConclusionBased on the high sensitivity and specificity obtained in this study it has been considered that CT, rather than arthroscopy, is the preferred noninvasive technique to assess MCD lesions of the canine elbow joint.

An heuristic filtering tool to identify phenotype-associated genetic variants applied to human intellectual disability and canine coat colors

BackgroundIdentification of one or several disease causing variant(s) from the large collection of variants present in an individual is often achieved by the sequential use of heuristic filters. The recent development of whole exome sequencing enrichment designs for several non-model species created the need for a species-independent, fast and versatile analysis tool, capable of tackling a wide variety of standard and more complex inheritance models. With this aim, we developed “Mendelian”, an R-package that can be used for heuristic variant filtering.ResultsThe R-package Mendelian offers fast and convenient filters to analyze putative variants for both recessive and dominant models of inheritance, with variable degrees of penetrance and detectance. Analysis of trios is supported. Filtering against variant databases and annotation of variants is also included. This package is not species specific and supports parallel computation. We validated this package by reanalyzing data from a whole exome sequencing experiment on intellectual disability in humans. In a second example, we identified the mutations responsible for coat color in the dog. This is the first example of whole exome sequencing without prior mapping in the dog.ConclusionWe developed an R-package that enables the identification of disease-causing variants from the long list of variants called in sequencing experiments. The software and a detailed manual are available at https://github.com/BartBroeckx/Mendelian.

Musculoskeletal modelling in dogs: challenges and future perspectives

Musculoskeletal models have proven to be a valuable tool in human orthopaedics research. Recently, veterinary research started taking an interest in the computer modelling approach to understand the forces acting upon the canine musculoskeletal system. While many of the methods employed in human musculoskeletal models can applied to canine musculoskeletal models, not all techniques are applicable. This review summarizes the important parameters necessary for modelling, as well as the techniques employed in human musculoskeletal models and the limitations in transferring techniques to canine modelling research. The major challenges in future canine modelling research are likely to centre around devising alternative techniques for obtaining maximal voluntary contractions, as well as finding scaling factors to adapt a generalized canine musculoskeletal model to represent specific breeds and subjects.

A prospective follow up of age related changes in the subchondral bone density of the talus of healthy Labrador Retrievers

BackgroundDuring growth, the skeletal structures adapt to the increased loading conditions and mature to a fully-grown skeleton. Subchondral bone density reflects the effect of long-term joint loading and it is expected to change over time. The aim of this study was to describe the long-term changes in the density distribution of the subchondral bone of the talus of healthy Labrador Retrievers in a prospective study.ResultsThe subchondral bone density distribution was evaluated using computed tomographic osteoabsorptiometry (CTOAM). Visually, all joints showed very similar density distribution patterns. No significant differences in the topography of the density maxima were found between t1 and t2. The mean density, maximum density, and maximum area ratio (MAR) were significantly increased with increasing age.ConclusionsThe subchondral bone density of the talus of healthy Labrador Retrievers increases with increasing age. It is likely an adaptive response of the subchondral bone due to increased joint loading during growth.

Computed Tomographic and Low‐Field Magnetic Resonance Arthrography: A Comparison of Techniques For Observing Intra‐articular Structures of the Normal Canine Shoulder

OBJECTIVE To compare low-field magnetic resonance arthrography (MRA) and computed tomographic arthrography (CTA) for identification of intra-articular ligaments and joint cartilage in the normal canine shoulder with the aid of cross-sectional anatomy. ANIMALS Normal adult Foxhounds (n = 3) and 4 Foxhound cadaver shoulders. METHODS CTA of 3 dogs was performed after intra-articular administration of contrast medium in both shoulders. Transverse slices and reformatted sagittal and dorsal images were obtained. Later, an MRA study of all 6 shoulder joints was performed using a low-field system. T1- and T2-weighted images were made in 3 planes, arthrography performed, and T1-weighted images repeated. Unrelated cadaver shoulder joints were injected with red methylmethacrylate, frozen, and sectioned into dorsal, sagittal, and transverse sections. Representative anatomic images were compared with the CTA, MRA, and T2-weighted images. RESULTS The joint cartilage was identified on all CTA images. The glenohumeral ligaments were clearly visible on the transverse and dorsal CTA and MRA images but were not detected on the T2-weighted sequences. The biceps tendon could be evaluated on all images. The supraspinatus, infraspinatus, and subscapularis muscle tendons were most easily identified on the MRA and T2-weighted MR images. CONCLUSIONS CTA was useful for seeing articular cartilage and both CTA and MRA were useful for seeing the normal glenohumeral ligaments; however, further research is needed to examine each techniques sensitivity for diagnosing the pathology of these ligaments and any associated lesions of the capsule, tendon, and bone, and for determining the clinical importance of CTA for evaluating loose fragments or osteochondral lesions.Objective To compare low-field magnetic resonance arthrography (MRA) and computed tomographic arthrography (CTA) for identification of intra-articular ligaments and joint cartilage in the normal canine shoulder with the aid of cross-sectional anatomy. Animals Normal adult Foxhounds (n = 3) and 4 Foxhound cadaver shoulders. Methods CTA of 3 dogs was performed after intra-articular administration of contrast medium in both shoulders. Transverse slices and reformatted sagittal and dorsal images were obtained. Later, an MRA study of all 6 shoulder joints was performed using a low-field system. T1- and T2-weighted images were made in 3 planes, arthrography performed, and T1-weighted images repeated. Unrelated cadaver shoulder joints were injected with red methylmethacrylate, frozen, and sectioned into dorsal, sagittal, and transverse sections. Representative anatomic images were compared with the CTA, MRA, and T2-weighted images. Results The joint cartilage was identified on all CTA images. The glenohumeral ligaments were clearly visible on the transverse and dorsal CTA and MRA images but were not detected on the T2-weighted sequences. The biceps tendon could be evaluated on all images. The supraspinatus, infraspinatus, and subscapularis muscle tendons were most easily identified on the MRA and T2-weighted MR images. Conclusions CTA was useful for seeing articular cartilage and both CTA and MRA were useful for seeing the normal glenohumeral ligaments; however, further research is needed to examine each techniques sensitivity for diagnosing the pathology of these ligaments and any associated lesions of the capsule, tendon, and bone, and for determining the clinical importance of CTA for evaluating loose fragments or osteochondral lesions.

Subchondral bone density distribution of the talus in clinically normal Labrador Retrievers

BackgroundBones continually adapt their morphology to their load bearing function. At the level of the subchondral bone, the density distribution is highly correlated with the loading distribution of the joint. Therefore, subchondral bone density distribution can be used to study joint biomechanics non-invasively. In addition physiological and pathological joint loading is an important aspect of orthopaedic disease, and research focusing on joint biomechanics will benefit veterinary orthopaedics. This study was conducted to evaluate density distribution in the subchondral bone of the canine talus, as a parameter reflecting the long-term joint loading in the tarsocrural joint.ResultsTwo main density maxima were found, one proximally on the medial trochlear ridge and one distally on the lateral trochlear ridge. All joints showed very similar density distribution patterns and no significant differences were found in the localisation of the density maxima between left and right limbs and between dogs.ConclusionsBased on the density distribution the lateral trochlear ridge is most likely subjected to highest loads within the tarsocrural joint. The joint loading distribution is very similar between dogs of the same breed. In addition, the joint loading distribution supports previous suggestions of the important role of biomechanics in the development of OC lesions in the tarsus. Important benefits of computed tomographic osteoabsorptiometry (CTOAM), i.e. the possibility of in vivo imaging and temporal evaluation, make this technique a valuable addition to the field of veterinary orthopaedic research.

Musculotendon excursion potential, tendon slack and muscle fibre length: the interaction of the canine gastrocnemius muscle and tendon

Although the form‐function relation of muscles and tendons has been studied extensively, little in vivo data exist on the musculotendon properties of the gastrocnemius complex in dogs. Using a combination of ultrasound and 3D motion tracking, musculotendon parameters were obtained in vivo from the lateral gastrocnemius muscle and the gastrocnemius tendon in nine healthy Labrador Retrievers. These parameters include musculotendon length and excursion potential, tendon slack length, muscle belly length, muscle fibre length, pennation angle and architectural index. This study also examined the variation of muscle and tendon length contributions to musculotendon length, as well as the relation between musculotendon excursion potential and muscle fibre length or tendon length. To facilitate comparison between dog breeds, the femur length as a potential scaling parameter was examined. In the Labrador gastrocnemius musculotendon complex, the tendon contributes 41% (± 9%) of musculotendon length. In longer musculotendon complexes, the contribution of the muscle belly increases while the tendon contribution decreases. Longer muscle belly and musculotendon complexes were, however, associated with shorter muscle fibres. No significant relations were found between musculotendon excursion potential and muscle fibre length or tendon slack length, and femur length did not prove to be a reliable scale factor for the length‐related musculotendon parameters examined in this study. Longer musculotendon complexes exhibit relatively longer muscle bellies, which are in turn associated with shorter muscle fibre lengths. This trade‐off between gastrocnemius muscle belly length and muscle fibre length might have the advantage that muscle volume stays constant regardless of the length of the limbs.

The influence of the size, age and sex on the computed tomographic measured size of the pituitary gland in normal horses

The objective of this study was to examine the influence of the size, age and sex of the horse on the size of the pituitary gland and determine the possibility of using the pituitary gland height‐to‐brain area ratio (P:B ratio) to allow comparison of different sized and aged horses. Thirty‐two horses without pituitary pars inter‐media dysfunction that underwent a contrast‐enhanced computed tomographic (CT) examination were included in a cross‐sectional study. On the CT images, the pituitary gland height was measured and the P:B ratio was calculated. These measurements were correlated to the size, age and sex of the horses. The pituitary gland height was significantly associated with the size (P < 0.001) and the age (P < 0.001), but not with the sex (P = 0.40), of the horses. No significant association was found between the P:B ratio and the size (P = 0.25), the age (P = 0.06) or the sex (P = 0.25) of the horses. In conclusion, the pituitary gland size varies between different sized and aged horses. The use of the P:B ratio is a valuable metric for making comparisons between the pituitary glands of these horses.

Bone density of elbow joints in Labrador retrievers and Golden retrievers: Comparison of healthy joints and joints with medial coronoid disease.

The aims of this study were: (1) to determine the inter-observer repeatability of particular regions of the canine elbow joints; (2) to assess the effect of age, bodyweight and breed on bone density in healthy young dogs; (3) to compare Hounsfield units (HU) and bone density (BD) measurements between normal elbow joints and diseased elbow joints; and (4) to determine the sensitivity and specificity for HU and BD measurements in specific regions in the canine elbow joint. Regions with the highest repeatability were located at the medial coronoid process (MCP) base and apex, and at the level of the humerus, on the sagittal and sagittal oblique planes of the elbow joint. Age and breed were significantly associated with several regions of interest; conversely, none of the measurements were associated with bodyweight. Increased HU and BD values in the MCP base and apex regions are likely to be related to medial coronoid disease. Labrador retrievers had higher HU and BD values than Golden retrievers and an increase in BD was found in older animals. Cut-offs determined with receiver operating characteristic plots of the MCP base and apex suggested fairly good sensitivity and specificity (base: area under the curve 0.85, sensitivity 75.0%, specificity 88.8%; apex: area under the curve 0.89, sensitivity 80.0%, specificity 92.5%).