Management and outcome of fractures of the distal phalanx: a retrospective study of 285 horses with a long term outcome in 223 cases

A multicentre study of 285 cases was performed to enhance the management of distal phalangeal fractures on the basis of clinical evidence. The outcome after treatment was available for 223 of the cases. Horses with a non-articular type I fracture had a better prognosis (91.7%) for return to original or expected level of use than horses with an articular type II or III fracture (69.6% and 74.1%, respectively). The prognosis for types IV and V fractures was fair (57.7% and 57.1%, respectively) and for type VI good (80%). Horses with a hindlimb fracture had a significantly greater chance of a successful outcome. No significant association between age or time to start treatment and success rate was noted. The best treatment option for types I-III fractures was a conservative approach (box rest). Type IV fractures were best treated by arthroscopic removal of the fragment. Immobilisation of the hoof did not seem to influence outcome. Radiological findings and clinical healing were not accurately correlated and the re-commencement of training should be based on clinical rather than radiological findings. Complete osseous union of the fracture was not essential for a successful return to athletic activity.

A finite element model of the bovine claw under static load for evaluation of different flooring conditions

AIM

To create a computer-based finite element (FE) model of the bovine claw and to use finite element analysis (FEA) to estimate stress and deformation of a physiologically-shaped model claw under static load, to visualise potential material weakness and to evaluate the effect of different flooring conditions.

METHODS

Model geometry was derived using digitalised images from a recently trimmed, sound, hind claw from a 4-year-old Austrian Fleckvieh cow. Material properties of bovine claw horn were defined from preliminary investigations and recently established material data, using a modulus of elasticity from 200 to 600 N/mm2. Meshing of the model was performed with 42,127 elements based on 116,141 nodes. Loading of the model was defined at 756 N per claw on a hard and soft surface.

RESULTS

The FE model of the bovine claw under a load of 756 N showed only minimal deformation, most of which took place at the axial wall. Highest stresses were evident in the proximal axial wall, the outer edge of the weight-bearing surface and under the heels. The claw-floor contact image showed a pressure distribution resembling the distal rim of the claw wall. On the hard surface, the maximum stresses were three times higher than those on the soft surface.

CONCLUSIONS AND CLINICAL RELEVANCE

FEA allowed visualisation of the effects that loading on different floor surfaces have on the biomechanics of the claw. Uneven preparation of the claw sole resulted in high stresses at and close to irregularities of the sole. Consequences were more severe on harder flooring. The model supports the hypothesis that mechanical factors play a substantial role in the pathogenesis of claw lesions.

Prevalence of bovine papillomavirus and Treponema DNA in bovine digital dermatitis lesions

Bovine digital dermatitis (BDD) is a common infectious foot disease whose aetiology is not fully understood. Its origin is thought to be multifactorial, with treponemes being involved. Using PCR-based techniques, BDD samples from 45 affected cows and intact skin from 8 BDD-affected and 33 healthy cows were assessed for the presence of bovine papillomavirus and Treponema DNA. BPV DNA (mainly BPV-1/2) was detected in 22% of lesions and one skin sample from affected animals, and in 15% (BPV-1/-2) and 23% (BPV-3/4/6/9/10) of skin samples from healthy cows. Using quantitative PCR, Treponema DNA was demonstrated in 38/45 BDD lesions, with bacterial DNA loads ranging between 2 × 10(3) and 2.78 × 10(5) copies/40 ng of total DNA. Qualitative PCR confirmed this result and revealed Treponema DNA in 4 additional BDD samples, thus leading to an overall infection rate of 93.3%. Sequence analysis of amplified Treponema DNA revealed T. pedis sp. nov. in 51%, T. medium ssp. bovis in 37.7%, and T. phagedenis ssp. vaccae in 4.4% of lesions. T. brennaborense was not detected in any of the samples. Six BDD samples contained type IV oral Treponema strains, 6 other harboured so far unpublished Treponema sequences. To our knowledge, this is the first report providing information on BPV infection in BDD-affected cattle, and the Treponema DNA load and occurrence of type IV treponemes in BDD samples. Our findings further support an etiologic association of treponemes, particularly T. pedis sp. nov., with BDD disease, yet indicate that BPVs do not directly contribute to BDD development.

Scanning electron microscopy and fungal culture of hoof horn from horses suffering from onychomycosis

Horn samples were taken from the hooves of eight horses with clinical signs of equine onychomycosis in at least one hoof capsule. None of the horses had a documented mycological history. The predominant alterations of the horn capsules were sand cracks, white line disease, brittleness (especially around the nail holes), parakeratosis and bruising. The horn samples were stored in sterile tubes for transportation and transferred onto Sabouraud Dextrose Agar and dermatophyte test agar for mycological examination within 6 h. Fungal cultures were incubated for 30 days at room temperature. Fungal identification was based on colonial morphology and microscopic examination of conidia. Horn samples were also stored at -80°C until used for scanning electron microscopy (SEM). The fungal culture revealed that the hoof horn from all eight horses was infected with keratinophilic fungi. The keratinopathogenic fungi Trichophyton spp and Scopulariopsis brevicaulis were also detected in six horses. SEM revealed severe alterations of the horn structure in horn samples infected with keratinopathogenic fungi compared to horn samples from a sound hoof. The most evident changes were deterioration of the tubular structure of the horn wall, disruption of the horny layers, superficial lysis of cornified cells and the presence of fungal elements. Samples without dermatophyte or Scopulariopsis infection, in contrast, were similar to healthy hoof horn.

Clusters of infections in horses with MRSA ST1, ST254, and ST398 in a veterinary hospital

During 2006 and 2007 small clusters of methicillin-resistant Staphylococcus aureus (MRSA) infections in horses were recorded in different clinical departments of a veterinary university. The infections were caused by different MRSA clones (ST1, ST254, and ST398). In the same time, nasal colonization of veterinarians, veterinary personnel, and students was observed indicating transmission to humans.

Peripheral blood mononuclear cells represent a reservoir of bovine papillomavirus DNA in sarcoid-affected equines

Bovine papillomaviruses of types 1 and 2 (BPV-1 and -2) chiefly contribute to equine sarcoid pathogenesis. However, the mode of virus transmission and the presence of latent infections are largely unknown. This study established a PCR protocol allowing detection of <or=10 copies of the BPV-1/-2 genes E5 and L1. Subsequent screening of peripheral blood mononuclear cell (PBMC) DNA derived from horses with and without BPV-1/2-induced skin lesions demonstrated the exclusive presence of E5, but not L1, in PBMCs of BPV-1/2-infected equines. To validate this result, a blind PCR was performed from enciphered PBMC DNA derived from 66 horses, revealing E5 in the PBMCs of three individuals with confirmed sarcoids, whereas the remaining 63 sarcoid-free animals were negative for this gene. L1 could not be detected in any PBMC DNA, suggesting either deletion or interruption of this gene in PBMCs of BPV-1/-2-infected equines. These results support the hypothesis that PBMCs may serve as host cells for BPV-1/-2 DNA and contribute to virus latency.

A subset of equine sarcoids harbours BPV-1 DNA in a complex with L1 major capsid protein

Bovine papillomavirus type 1 or 2 (BPV-1, BPV-2) are accepted causal factors in equine sarcoid pathogenesis. Whereas viral genomes are consistently found and expressed within lesions, intact virions have never been detected, thus permissiveness of sarcoids for BPV-1 replication remains unclear. To reassess this issue, an immunocapture PCR (IC/PCR) was established using L1-specific antibodies to capture L1-DNA complexes followed by amplification of the viral genome. Following validation of the assay, 13 sarcoid-bearing horses were evaluated by IC/PCR. Samples were derived from 21 tumours, 4 perilesional/intact skin biopsies, and 1 serum. Tissue extracts from sarcoid-free equines served as controls. IC/PCR scored positive in 14/24 (58.3%) specimens obtained from sarcoid-patients, but negative for controls. Quantitative IC/PCR demonstrated <125 immunoprecipitable viral genomes/50 microl extract for the majority of specimens. Moreover, full-length BPV-1 genomes were detected in a complex with L1 proteins. These complexes may correspond to virion precursors or intact virions.

Is moisture really the most important influencing factor on the mechanical properties of claw horn? Modulus of elasticity and dry-matter content in flat and contracted claws

The modulus of elasticity (E) and dry matter content (DMC) of horn samples from two types of claw deformity (contracted and flat claws) were determined according to EN-ISO 527 and ASTM D 638-03. The overall E values for all segments combined were 168 +/- 154 MPa (mean +/- SD, n = 79) and 248 +/- 196 (n = 90) for contracted and flat claws, respectively. These values were approximately 60% and 40% less than the E value of sound claw material. The high correlation between E and DMC, as previously found for sound claw horn material was not present in horn obtained from these types of pathologically altered claws.

Modulus of elasticity and dry-matter content of bovine claw horn affected by the changes of chronic laminitis

The mechanical properties of horn samples from 22 hind claws with chronic laminitis were determined in adult Austrian Fleckvieh cows. The resistance to deformation was quantified as the modulus of elasticity (E). Tension tests revealed mean E values of 520MPa for the dorsal wall, 243MPa for the abaxial wall, 339MPa for the axial wall and 97MPa for the sole. E tended to be lower in laminitic horn than in sound horn in all segments tested, with the difference being largest in the abaxial wall. The mean dry-matter content (DMC) of the laminitic claws was 75.8% in the dorsal wall, 75.86% in the abaxial wall, 71.15% in the axial wall and 69.28% in the sole. These values are generally comparable to those for sound claws except in the axial wall. Further, E and DMC were only correlated in the axial wall. Chronic laminitis leads to a low resistance of claw horn to mechanical insults in the dorsal wall, abaxial wall and sole, and to the loss of a correlation between the E and DMC in these segments. The reason for these alterations is therefore not increased ingress of moisture, but must be due to changes in the microstructure, biochemical components and/or horn formation by the diseased dermis.

Ethidium monoazide and propidium monoazide for elimination of unspecific DNA background in quantitative universal real-time PCR

Unspecific background DNA in quantitative universal real-time PCR utilizing a hydrolysis probe was completely suppressed by the addition of EMA or PMA to the PCR mix via cross-linking of the dyes to DNA during 650 W visible light exposure. The proposed procedure had no effect on the sensitivity of the real-time PCR reaction.

Comparison of Stress Zones in Finite Element Models of Deformed Bovine Claw Capsules

Pathological claw formations occur subsequent to irregular or prolonged claw trimming periods and as a result of improper flooring. Clinical experience and material testing finds horn of minor quality to be associated with the malformations. Finite element models (FEM) of a flat claw (FC), a contracted claw (CC), and a laminitic claw (LC) were designed from native claw specimens to combine material properties and altered claw geometry for stress analysis. The FEM were created by digitizing the typically deformed exungulated claw capsule by means of computed tomography or digital photography. The derived geometry data were meshed with finite elements and the material properties were attributed. Loading was performed via vertical load vectors according to the suspensory and support apparatus of the bovine digit. All FEM were loaded on soft floors. Loading of the FEM of the FC with 756 N exhibited maximum stress values of 3.32 MPa in the dorsal wall, that of the CC exhibited comparably lower stress of 1.33 MPa in the distal abaxial wall, and the model of the LC showed maximum stress of 4.51 MPa in the region of the dorsal border, all at the same loading. The solar surfaces and the corresponding imprints showed stress concentrations in the palmar aspect of the bulb in the FC, a highly stressed bearing margin of the abaxial wall in the CC, and a diffusely stressed sole and bulb in the LC in contrast to the sound claw models. The FEM of the selected pathological claw forms (FC, CC, LC) calculated high stress zones exactly at locations in the claw wall and sole where clinical experts expect the typical claw lesions for these pathologies. These results were obtained simply by exchanging the outer form of the claw capsules; the method of loading and type of flooring for these pathological models were equivalent to those of the sound FEM. It is highly possible that the stress zones derived from these calculations represent corium compression in reality, and these data support the pathophysiological theory that claw lesions may arise as a consequence thereof.

Methicillin-resistant Staphylococcus aureus ST398 in humans and animals, Central Europe

Methicillin-resistant Staphylococcus aureus of clonal lineage ST398 that exhibits related spa types and contains SCCmec elements of types IVa or V has been isolated from colonized and infected humans and companion animals (e.g., dog, pig, horse) in Germany and Austria. Of particular concern is the association of these cases with cases of nosocomial ventilator-associated pneumonia.

[Radiotherapy for prostate cancer]

Depending on tumor-stage and risk-factors, prostate cancer can be treated by Radical Prostatectomy, External Beam Radiotherapy, Brachytherapy, Androgen Ablation or a combination of at least two of them. In clinically localized low-risk cases, the results of radiotherapy and surgery are very similar. Patients with intermediate-risk or high-risk prostate cancer, often not suited for radical prostatectomy, seem to benefit from higher radiation doses and additional Androgen ablation, although questions remain regarding the treatment volume of radiotherapy and the optimal timing and duration of androgen deprivation. Standardised target volume definitions and dose prescriptions for different risk groups and improved patient selection for radiotherapy are required.

Metabolic and clinical traits in horses undergoing feed deprivation for elective orthopaedic surgery

The objective of this study was to investigate some metabolic and clinical effects of feed deprivation in horses that were submitted for orthopaedic surgery. The effects of preoperative feed restriction were investigated in 20 horses submitted for elective orthopaedic surgery. The patients were fasted from 12 hours before until 4 hours after surgery. Serum free amino acids, glucose,free fatty acids (FFA), white blood cell counts, creatine kinase (CK) and aspartate aminotransferase (AST) were determined 24 hours before surgery, 2 hours after the end of anaesthesia and 24 and 72 hours after surgery. Besides, abdominal sounds, appetite, faecal quality and body temperature were examined. Serum free amino acids did not react homogenously, concentrations were partly increasing or decreasing. Plasma glucose and FFA increased after surgery and returned to their preoperative levels 72 hours after surgery. A significant rise of the segmented granulocytes occurred 24 hours after surgery, all other parameters of the leukogram did not exceed the physiological range. AST reached its highest activity 24 hours after surgery, whereas CK activities were highest at 2 hours after surgery. Abdominal sounds were significantly reduced until 24 hours after surgery, however, appetite was not depressed. Faecal quality was physiological after surgery. Mean body temperature stayed within the physiological range. In conclusion, a relatively short perioperative fasting period had significant effects on the metabolic traits in horses, however the effects on physiological functions were minor. The consequences of major surgical procedures need to be addressed in future studies.

Inhibitor-free DNA for real-time PCR analysis of synovial fluid from horses, cattle and pigs

The potential of five different commercial DNA isolation methods to remove real-time PCR inhibitors from the synovial fluid of horses, cattle and pigs was investigated. All kits with the exception of one included a silica column-based purification of the DNA. With the fifth kit, DNA purification is achieved by removing contaminating macromolecules by a desalting process. We used a recently developed method based on comparison of the real-time PCR signal of an artificial target incorporated into each PCR reaction in the presence of the isolated DNA from the sample, and in control samples containing water instead of isolated DNA. This was followed by statistical analysis of the data. Inhibition and subsequent reduction of the endpoint fluorescence in the real-time PCR reaction was encountered in many cases. Less frequently, the target copy number in the samples was underestimated. However, we found no experimental evidence of a negative influence of the reduced endpoint fluorescence signal on the detection limit of the real-time PCR assay. All kits tested were useful for analyzing pelleted synovial fluid from horses, cattle and pigs. When analyzing non-pelleted synovial fluid, three kits - two based on silica columns and one employing a desalting process - yielded inhibitor-free DNA for real-time PCR analysis.

Effect of different claw trimming methods on the pressure distribution under the bovine claw--an in vitro study

This survey focusses on the effects of various claw trimming methods as well as the effect of the different resulting claw shapes on the pressure distribution under the sole. 64 bovine claws were trimmed according to 3 different trimming methods, the functional claw trimming method by Toussaint Raven and two other specially modified methods. The alternative methods resulted on the one hand in long and acute-angled claws, on the other hand in a very steep claw profile. The limb samples were attached to the hydraulic plunger of a material testing machine and pressed onto a pressure distribution plate with a predefined load. The pressure distribution pattern was recorded before and after trimming. An obvious stress concentration could be observed in the bulbar region of the outer claws. All of the applied claw trimming methods induced a redistribution of load onto the inner claws while relieving the bulbar area of the outer claws. The inner claws were the main reason for the enlarged floor contact area caused by the trimming techniques. The results show that all techniques led to an improvement of stress conditions. In some cases, methods 2 and 3 were slightly superior in reducing maximum pressure and enlarging floor contact area.

In vitro effects of fungi isolated from equine hooves on primary human keratinocytes

The effects of two dermatophytes (Microsporum gypseum and Trichophyton mentagrophytes) and four moulds (Scopulariopsis brevicaulis, Alternaria alternata, Geotrichum candidum and Penicillium spp.) on living keratinocyte cultures were examined in vitro using primary human keratinocytes. Rates of apoptosis of infected cells were determined using a colorimetric TUNEL system which detects the characteristic nuclear DNA fragmentation of apoptotic cells. The cytotoxicity of the individual fungi was tested by quantitatively measuring cytosolic enzyme lactate dehydrogenase, released upon cell lysis, in culture supernatants. Additionally, the cell structures within the infected keratinocytes in cultures were examined by scanning electron microscopy. All of the fungi exhibited high cytotoxicity, whereas the development of only the two dermatophytes and the mould Scopulariopsis brevicaulis resulted in distinctly increased apoptosis. Electron microscopy showed that all fungi studied caused similar alterations in the cell structure, with Microsporum gypseum being the most harmful. Increasing loss of cell adhesion as a consequence of a decreasing number of reticulating cell appendices and a reduced cell plasticity were the most evident alterations.

In vitro degradation of equine keratin by dermatophytes and other keratinophilic fungi

Keratinolytic properties of two dermatophytes (Microsporum gypseum, Trichophyton mentagrophytes) and three moulds (Scopulariopsis brevicaulis, Alternaria alternata, Geotrichum candidum) isolated from diseased equine hooves were examined to improve the understanding of pathogenic mechanisms leading to equine onychomycosis. Equine hoof horn material and skin, as well as hoof keratin and dermal keratin extracted from corresponding tissues, were used as sole carbon and nitrogen sources in five test tubes for each fungus. Within 18 days, supernatants of all tubes were repeatedly examined for keratinolytic activity by SDS-PAGE and Western blot analysis. In addition, fungal growth rates were determined to identify the preferred tissue of the individual fungi. Among the fungi examined, M. gypseum was the most keratinolytic species, followed by T. mentagrophytes and S. brevicaulis. In the concentration applied, the moulds A. alternata and G. candidum showed minimal keratinolytic activity. With respect to growth rates, M. gypseum favoured hoof horn material, S. brevicaulis and G. candidum preferred skin as a keratin source, whereas for the other two fungi no clear preference was detectable.

Doppler sonographic evaluation of the digital blood flow in horses with laminitis or septic pododermatitis

The aim of this study was to evaluate the use of Doppler ultrasonography to monitor vascular blood flow dynamics in defined diseases of the equine digit in a noninvasive way. Doppler sonography was used to evaluate medial digital artery blood flow in eight horses with septic pododermatitis and four horses with laminitis in comparison with 10 horses of a control group. Doppler sonographic measurement and lameness examinations were performed in lame horses before treatment (day 0) and at 3, 6, and 9 days following treatment. Before treatment, blood flow velocities, arterial diameter, and flow volume were significantly higher in the lame horses, while pulsatility indices (PIs) were significantly lower (P < 0.05). Compared with the control group, there was no significant difference of resistive indices (RI) in the septic pododermatitis group, but these indices were significantly lower in the laminitis group. No significant difference between the two lame groups was recorded. After treatment, blood flow velocities and flow volume decreased significantly and PIs increased significantly in both lame groups, while RI and arterial diameter did not change. No correlation between Doppler parameters and the degree of lameness was found. Doppler sonography can be used to monitor vascular blood flow dynamics in horses suffering from septic pododermatitis and laminitis, while blood flow velocities and PI can serve as parameters for monitoring the course of the disease.

Emergence of MRSA infections in horses in a veterinary hospital: strain characterisation and comparison with MRSA from humans

Methicillin-resistant Staphylococcus aureus has become an emerging public health problem worldwide, no longer only associated with healthcare-associated infections. With the exception of some recent reports concerning infections in cats, dogs and horses, infections with MRSA in companion animals have been infrequently reported. Here we submit findings for MRSA infections in horses in a central European university hospital.

Emergence of MRSA infections in horses in a veterinary hospital: strain characterisation and comparison with MRSA from humans

Methicillin-resistant Staphylococcus aureus has become an emerging public health problem worldwide, no longer only associated with healthcare-associated infections. With the exception of some recent reports concerning infections in cats, dogs and horses, infections with MRSA in companion animals have been infrequently reported. Here we submit findings for MRSA infections in horses in a central European university hospital.

Slatted Floors and Solid Floors: Stress and Strain on the Bovine Hoof Capsule Analyzed in Finite Element Analysis

An established finite element model of a bovine claw was used to compare mechanical stress levels in a loaded model claw on different types of flooring. The following situations were compared: a claw standing on a solid floor, a claw standing on the edge of a short tie stand, and claws standing on slatted floors with slats of 28 and 40 mm (wide) running parallel and perpendicular to the claw axis. Finite element analysis allowed visualization of stress peaks seen predominantly in the weight-bearing border of the dorsal abaxial wall and of the bulbar region and in the proximal axial wall. Maximum stress values of 13 MPa were found in the model claw loaded on the solid floor and values of 18 to 22 MPa were seen in the model claw loaded on the edge of the solid floor. On slatted floors, stresses increased in the situation in which the claw was not supported under the abaxial wall. Comparison between the other slatted floors showed little difference in amounts of mechanical stress. A clear distinction was detected between the solid floor with full claw contact and the slatted floors. From the point of view of the mechanical stress seen in finite element analysis, a large contact area between claw and floor, as seen in the solid surface floor, is preferable. When use of slatted floors is unavoidable, direction of the slats should run perpendicular to the direction of the walkway to prevent even more mechanical impact in certain footing situations.

The hardness of horn in different segments of the bovine claw

Hardness of bovine hoof horn was tested as ball indentation hardness and as shore D hardness post mortem in different segments of the hoof wall, in the sole and the hard bulb of sound claws of 10 Austrian Holstein Friesian cows. Both methods of hardness determination showed corresponding results, with shore D hardness between 52.2 and 63.9 hardness units (hu) and ball indentation hardness between 11.2 N/mm2 and 24.3 N/mm2. Bovine hoof horn becomes significantly softer from the coronary band towards the weight bearing border (vertical decrease) and from the dorsal wall towards the heel (horizontal decrease). Decreasing hardness was associated with decreasing dry matter content. Measurements of the claw capsule showed thickness of the hoof wall increasing from the coronary border towards the sole. In dorsopalmar/-plantar direction, bovine hoof wall at the weight bearing border decreases towards the heel.

Elastic properties of hoof horn on different positions in the bovine claw

Hind claws of 15 adult, sound Fleckvieh cows were used for material analysis. The elastic modulus was tested in tension tests according to EN ISO 527 and ASTM D 638-03 at a universal material testing machine. Samples were taken from different segments of the bovine claw to find the differences in material properties. Samples orientation was parallel to the horn tubules and transversal, respectively. Dry matter of the test samples was determined at the time of testing. Elastic modulus values were highest with mean = 659.7 N/mm2 at the dorsal wall. Values dropped axial to 416.3 N/mm2, abaxial to 343.9 N/mm2 for longitudinal (parallel) samples and to 433.1 N/mm2 for transversal samples. The elastic modulus of the sole segment was found to be 172.1 N/mm2. No difference was calculated neither between right and left feet, lateral and medial claws, nor between longitudinal and transversal samples.

Comparison of computed radiography and conventional film-screen radiography of the equine stifle

Major advantages of computed radiography are the potential reduction of dose and the possibility of postprocessing. In our study, we compared conventional radiographs to digital radiographs of the equine stifle by subjective evaluation of diagnostic quality when using a decreasing photon flux (mAs). Twelve equine stifle joints from horses of different weight and size were examined. Conventional and digital radiographs were performed identically in a caudocranial projection with the tube angled 15 degrees. A series of four radiographs was performed in each technique with an increasing photon flux starting with 2.5 mAs and going up to 5, 10, and 20 mAs. All radiographs were evaluated subjectively in a blinded fashion by seven readers in terms of contrast, bone structure, and diagnostic value and were graded using a 1-5 scale. Results from conventional and digitized radiographs were compared, and differences between the individual observers were analyzed statistically. Contrast, bone structure, and diagnostic value from digital images were rated significantly better than from conventional images (p < .001). For both techniques, a decrease in ranking was found with a decrease of photon flux. There was only slight interobserver variability. A dose reduction up to a factor of 4 compared to a 100 speed film-screen system seems to be possible without loss of information. Weight and size of the horse are not major influences.

Ultrasonographic investigation of the atlanto-occipital articulation in the horse

The purpose of this study was to evaluate ultrasonographic imaging as a means of easy and noninvasive diagnosis of articular and periarticular structures of the atlanto-occipital articulation in the horse; and to find a safe approach to the atlanto-occipital joint. Ultrasonographic investigations were performed on 6 healthy horses and 16 specimens from horses humanely destroyed age 2-17 years (mean 9.56 years). Preliminary examinations included anatomical studies and preparation of cross-sections. On 4 horse specimens, puncture of the atlanto-occipital joint under ultrasonographic guidance was performed and a new lateral approach undertaken. For ultrasonographic investigations, the neck was divided into 4 zones according to anatomical and clinical modalities: 1) insertion of the funiculus nuchae; 2) tuberculum dorsale of the atlas; 3) atlanto-occipital joint and 4) region above the foramen alare. Each zone was examined in transverse and longitudinal planes proceeding from cranial to caudal. Ultrasonography was found to be useful for soft tissue imaging of this region and was performed down to the atlanto-occipital joint of which the joint surfaces, joint capsule and collateral ligament could be delineated in both planes. We conclude that ultrasonography of the neck is a useful technique, representing an easy to use and safe method. However, further studies are indicated which should be performed on live subjects.

Finite element analysis (FEA) as a model to predict effects of farriery on the equine hoof

A finite element (FE) hoof capsule was built as a small, symmetrical forelimb hoof on IDEAS* as a model for calculation and visualisation of stress and displacement of the equine hoof capsule. The model's loading was performed according to the suspension of the coffin bone within the hoof wall (pulling force) and over the sole and frog (compressing force) with a total of 3000 N. Restraints of the model's ground nodes and surface wall nodes were defined for simulation of 4 shoeing situations: a regular horseshoe, a horseshoe with a toe clip, a horseshoe with regular side clips and a horseshoe with a toe clip and more caudally-placed side clips, all fixed to the hoof capsule with 3 nails on each side and each calculated in a tense and a loose nailed condition. Von Mises stresses were taken ranging from 1.22 N/mm2 in the weightbearing border of the side clip shoe fixed loosely to the capsule up to 16.67 N/mm2 in the hoof horn material surrounding the third nail. Further high stress zones were calculated in the proximal dorsal wall, the distal heel and the lateral hoof wall. Displacement values were taken showing movements of hoof wall, sole and frog according to the shoeing conditions. Maximal displacement was calculated in the hoof capsule shod with a regular horseshoe without a clip. Minimal displacement was found in the capsule with a toe clip and 2 side clips placed behind the 3rd nail. All models showed higher displacements when calculated with a loose nail fixation. Validation of the detailed features of the models is not yet possible. Finite element analysis (FEA) can be used practically to predict influences of various farrier techniques on the equine hoof in order to avoid possible harm to horses' feet in field studies.

Keratinopathogenic mould fungi and dermatophytes in healthy and diseased hooves of horses

Specimens of hoof horn from 187 horses were examined for a possible relationship between clinically affected hooves and the occurrence of pathogenic fungi. Specimens were taken from the coronary band and from the stratum externum and medium of the coronary horn and transferred on to Sabouraud dextrose agar, with and without cycloheximide, and incubated at 28 degrees C. Dermatophytes and mould fungi were identified by their macroscopic and microscopic characteristics. The 732 isolates could be assigned to 26 species of moulds, two different species of the dermatophyte Microsporum and three different species of the dermatophyte Trichophyton. Depending on their pathogenic potential they were assigned to three groups: (i) fungi known to be keratinopathogenic (Acremonium blochii, Alternaria alternata, Alternaria chlamydospora, Geotrichum candidum, Microsporum ferrugineum, Microsporum gypseum, Scopulariopsis brevicaulis, Trichophyton species, Trichophyton mentagrophytes, Trichophyton schönleinii, 57 isolates), (ii) a group of uncertain pathogenicity (223 isolates), and (iii) a group of non-pathogenic species (452 isolates). Eighty per cent of the samples from horses with hoof horn lesions and 66.7 per cent of the samples from horses with slightly affected hoof horn contained fungi of the keratinopathogenic group, whereas only 8.9 per cent of the samples from horses with healthy hoof horn contained fungi of this group. There were no significant correlations between the clinical data and the age, sex or breed of the horses or their bedding and hygiene. Twelve species of fungi were isolated from the air in the horses' stables, but none of them belonged to the keratinopathogenic group.

Quality assurance in preoperative radiotherapy of rectal cancer: evaluation of a pre-trial dummy-run

PURPOSE

To assess inter-institution variability of treated volumes in preoperative radiotherapy for rectal cancer among Austrian radiotherapy institutions in the framework of a multi-centre phase-III clinical trial.

MATERIALS AND METHODS

All eleven Austrian radiotherapy departments were invited to participate in this pre-study dummy-run. They received a short history of two 'dummy patients' (case A and case B); three computer assisted tomography (CT) slices; simulation films; and the protocol describing the radiation technique to be used. Participants were asked to prepare a treatment plan for either case on the basis of the materials provided and to use their computerized planning systems. Additionally and independently of the CT-based treatment plans, they were asked to delineate the fields to be treated on the simulation films.

RESULTS

Nine of eleven departments participated. All participants used a three or four field technique as requested. The variation of beam widths and planning target volumes (PTVs) in the central plane was 6-11% and 11-16%, respectively. The standard deviations (SD) were 21 and 24% for the two cases for mean treated volumes of 2.1 and 2.9 l, respectively. The variation of beam widths in the central plane was less pronounced in the simulation based treatment plans as compared with the CT-based treatment plans for the dorsal fields, the opposite was true for the laterals.

CONCLUSION

Considerable variation of treated volumes is inevitable in multi-institution trials despite detailed treatment guidelines. Simulator based treatment fields seem to result in less pronounced inter-institution variations compared with CT-based treatment planning, if bony landmarks can be used as is the case in rectal cancer. Continuous quality control is thus warranted in multi-centre trials to increase homogeneity of volumes treated.

The effect of flat horseshoes, raised heels and lowered heels on the biomechanics of the equine hoof assessed by finite element analysis (FEA)

The biomechanical effects of lowering and raising the heels were studied using a finite element (FE) computer model of the equine hoof capsule consisting of 18,635 finite elements. A static load of 3000 N was distributed to nodes of the inner hoof wall (80%) according to the suspension of the coffin bone, 20% loaded sole and frog. When loaded the FE hoof capsules showed the following deformations: the proximal dorsal wall moves back, the quarters flare to the side and sole and frog perform a downward movement. Stresses are high in the material surrounding the quarter nails, in the heels and in the proximal dorsal wall. Three types of horseshoes were simulated, a regular shoe with flat branches, a shoe with 5 degrees raised heels and a shoe with 5 degrees lowered heels. Raising the heels resulted in significantly (P < 0.05) low stress and displacement values. The lowered heels model calculated highest stress and displacement values and the results of the FE model with the regular horseshoe were found in between.

[Use of tempered, particle-reinforced aluminum horse shoes in sport horses under field conditions]

The use of handmade particulate reinforced alloy horseshoes (MMC metal matrix composites) was tested in a field study on 15 riding and draught horses. All horseshoes have been tempered after having been manually forged and tested concerning their surface imperfection. Forging temperature ranged between 350 degrees and 420 degrees C. Horseshoes in series A consisted of particulate reinforced wrought alloy (22% Al2O3 in alloy matrix). 11 shoeing periods with a duration of mean = 49.7 days (sd = 13.6) were evaluated. Horseshoes in series B consisted of particulate reinforced foundry alloy (20% SiC in alloy matrix), 5 shoeing periods were evaluated with a duration of mean = 45.4 days (sd = 7.9). Series C tested horseshoes made of particulated reinforced coextruded wrought alloy evaluating 6 shoeing periods with a duration of mean = 49.2 days (sd = 18.7). Service of the tempered particulate reinforced alloy horseshoes was significantly higher compared to untempered alloy horseshoes. Mechanical and forging properties of tempered particulate reinforced alloy are satisfactory. Service is only suitable for riding horses but not for draught horses.

Evaluation of magnetic resonance imaging techniques in the equine digit

An anatomic study of the equine digit using magnetic resonance imaging (MRI) was performed. Seventeen isolated forelimbs and one hindleg of nine warmblood horses were imaged in transverse, sagittal, and dorsal planes with a 1.5 Tesla magnet using T1-, T2- proton density-weighted spin echo sequences as well as T2 gradient echo sequences. One scan plane in each horse was compared with corresponding anatomic and histologic sections. The best imaging planes to visualize various anatomic structures were determined. Fibrocartilage was visualized in the insertion of the deep digital flexor tendon and the suspensory ligament as well as in the distal sesamoidean ligaments. The correlation of MRI images with anatomic and histologic sections confirmed that all of the anatomic structures in the equine digit could be evaluated in PD and T2 studies.

[Use of sodium ceftiofur in the combined therapy of complicated septic diseases in cattle]

The use of Sodium-Ceftiofur (Excenel) with a dosage regimen of 1 mg/kg body mass intramuscularly was evaluated in the therapy of complicated claw diseases, like septic arthritis of the distal interphalangeal joint, septic tenosynovitis of the digital flexor tendon sheath or complicated interdigital necrosis. Sodium-Ceftiofur was applied in 34 dairy cattle in addition to surgical intervention. 14 cattle of the control group perceived only surgical intervention without additional antibiotic therapy. Application of the cephalosporin proved to be necessary, with the untreated animals exhibiting far more disturbance of the reconvalescence course in the postoperative phase. Treated animals had a decreasing duration of the postoperative stay at the clinic. Sodium-Ceftiofur was found to be an effective antibiotic in the therapy, an application over a five- to 10-day-period is recommended in complicated digital diseases. As a side effect five cows exhibited slight diarrhea, which disappeared without additional treatment.