A comparison of two techniques for arthrocentesis of the equine metacarpophalangeal joint.
Abstract: Because arthrocentesis of the metacarpophalangeal joint through the proximal palmar pouch may induce synovial haemorrhage, this study evaluated arthrocentesis through the lateral collateral sesamoidean ligament. The proximal palmar pouch and collateral sesamoidean ligament approaches were used in contralateral forelimbs to obtain paired initial synovial fluid samples from 16 horses 12 to 15 h before being killed. Synovial fluid samples also were collected from the same joints at necropsy and the subcutis, synovium and articular cartilage were evaluated. Metacarpophalangeal joint arthrocentesis through the collateral seamoidean ligament yielded fewer haemorrhagic synovial fluid samples with less subcutaneous and synovial inflammation, and also yielded 2 ml of synovial fluid more often than arthrocentesis through the proximal palmar pouch.
Publication Date: 1991-07-01 PubMed ID: 1915226DOI: 10.1111/j.2042-3306.1991.tb03716.xGoogle Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research article explores and compares two techniques for arthrocentesis of the metacarpophalangeal joint in horses. The study found that using the collateral sesamoidean ligament method results in less haemorrhagic synovial fluid samples, decreased inflammation and an increased amount of synovial fluid in comparison to the proximal palmar pouch method.
Study Method & Design
- The study was carried out on 16 horses, from which initial synovial fluid samples were collected 12 to 15 hours before euthanasia.
- Two different methods for arthrocentesis of the metacarpophalangeal joint were evaluated: the proximal palmar pouch approach and the lateral collateral sesamoidean ligament approach. Each method was used on opposite forelimbs in each horse for comparison.
- Further synovial fluid samples were taken from the same joints at the time of necropsy, and associated areas such as the subcutis, synovium and articular cartilage were also examined.
Findings
- The main outcome of the study was that arthrocentesis through the collateral sesamoidean ligament resulted in fewer haemorrhagic (bloody) synovial fluid samples compared to the proximal palmar pouch approach.
- Additionally, the collateral sesamoidean ligament method resulted in less subcutaneous and synovial inflammation.
- The research further noted that the collateral sesamoidean ligament method more frequently yielded 2 ml of synovial fluid.
Interpretation
- The results of this study suggest that the collateral sesamoidean ligament approach for arthrocentesis of the equine metacarpophalangeal joint is potentially superior to the proximal palmar pouch approach due to several advantages.
- These advantages include less haemorrhagic activity in the synovial fluid samples, decreased subcutaneous and synovial inflammation, and a more consistent yield of synovial fluid.
- As a result, the collateral sesamoidean ligament approach could potentially provide a safer and more effective method for equine arthrocentesis.
Cite This Article
APA
Misheff MM, Stover SM.
(1991).
A comparison of two techniques for arthrocentesis of the equine metacarpophalangeal joint.
Equine Vet J, 23(4), 273-276.
https://doi.org/10.1111/j.2042-3306.1991.tb03716.x Publication
Researcher Affiliations
- Veterinary Medical Teaching Hospital, Davis, California.
MeSH Terms
- Animals
- Biopsy, Needle / adverse effects
- Biopsy, Needle / veterinary
- Forelimb
- Hemorrhage / etiology
- Hemorrhage / pathology
- Hemorrhage / veterinary
- Horse Diseases / diagnosis
- Horse Diseases / etiology
- Horse Diseases / pathology
- Horses
- Joint Diseases / diagnosis
- Joint Diseases / veterinary
- Punctures / adverse effects
- Punctures / veterinary
- Synovial Fluid / chemistry
- Synovitis / etiology
- Synovitis / pathology
- Synovitis / veterinary
Citations
This article has been cited 3 times.- Niemelä TM, Tulamo RM, Aaltonen K, Sankari SM, Hielm-Björkman AK. Changes in biomarkers in equine synovial fluid two weeks after intra-articular hyaluronan treatment: a randomised double-blind clinical trial.. BMC Vet Res 2018 Jun 15;14(1):186.
- Moraes AP, Moreira JJ, Brossi PM, Machado TS, Michelacci YM, Baccarin RY. Short- and long-term effects of platelet-rich plasma upon healthy equine joints: Clinical and laboratory aspects.. Can Vet J 2015 Aug;56(8):831-8.
- Moreira JJ, Moraes AP, Brossi PM, Machado TS, Michelacci YM, Massoco CO, Baccarin RY. Autologous processed plasma: cytokine profile and effects upon injection into healthy equine joints.. J Vet Sci 2015;16(1):47-55.
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