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Veterinary surgery : VS2021; 52(6); 801-809; doi: 10.1111/vsu.13681

Arthroscopic removal of osteochondral fragments of the cervical articular process joints in three horses.

Abstract: To report arthroscopic osteochondral fragment removal from the equine cervical spine articular process joints (APJs) including long-term follow-up. Methods: Case series. Methods: Three Warmblood horses with forelimb lameness and/or reduced range of motion of the cervical spine with osteochondral fragments between the cervical vertebrae C5 /C6 or C6 /C7 . Methods: Arthroscopy of the APJs of C5 /C6 and C6 /C7 was performed under general anesthesia. Following endoscopic evaluation of the joints, osteochondral fragments were removed using a rongeur. Results: All horses recovered from anesthesia with no anesthetic or minor postanesthetic complications. One horse needed a second procedure for fragment removal. Fourteen to 31 months post-surgery the horses were sound for their intended use and neurological examination revealed no abnormalities. Conclusions: Arthroscopic removal of osteochondral fragments can be performed safely in the equine cervical APJs of C5 /C6 and C6 /C7 resulting in a favorable long-term outcome. Conclusions: Arthroscopic removal is a valid option for horses showing clinical signs that can be attributed to osteochondral fragments in the APJs of the neck.
Publication Date: 2021-07-20 PubMed ID: 34288006DOI: 10.1111/vsu.13681Google Scholar: Lookup
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  • Journal Article

Summary

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The study explores the process and impact of arthroscopic removal of osteochondral fragments from the cervical spine articular process joints (APJs) in three Warmblood horses showing forelimb lameness or reduced neck motion.

Methods

  • The study focuses on three Warmblood horses, which were showing clinical signs of forelimb lameness and/or reduced range of motion in the cervical spine.
  • The horses had osteochondral fragments wedged between their cervical vertebrae C/C or C/C.
  • The arthroscopic procedure to remove these fragments was conducted under general anesthesia.
  • After the endoscopic evaluation of the joints, a rongeur was used to remove the osteochondral fragments from the APJs of the C/C and C/C positions.

Results

  • All horses successfully recovered from anesthesia, with minor postanesthetic complications for some.
  • One of the horses required a second procedure for complete fragment removal.
  • Long-term follow-ups conducted 14 to 31 months post-surgery showed that all the horses were sound for their intended use and did not show any neurological abnormalities.

Conclusions

  • The study concludes that arthroscopic removal of osteochondral fragments from the equine cervical APJs of C/C and C/C can be carried out safely and effectively, leading to favorable long-term outcomes.
  • Arthroscopic removal stands as a valid treatment option for horses showing clinical signs that can be attributed to osteochondral fragments in the APJs of the neck.

Cite This Article

APA
Schulze N, Ehrle A, Beckmann I, Lischer C. (2021). Arthroscopic removal of osteochondral fragments of the cervical articular process joints in three horses. Vet Surg, 52(6), 801-809. https://doi.org/10.1111/vsu.13681

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 52
Issue: 6
Pages: 801-809

Researcher Affiliations

Schulze, Nicole
  • Equine Clinic, Surgery and Radiology, Freie Universität Berlin, Berlin, Germany.
Ehrle, Anna
  • Equine Clinic, Surgery and Radiology, Freie Universität Berlin, Berlin, Germany.
Beckmann, Ina
  • Equine Clinic, Surgery and Radiology, Freie Universität Berlin, Berlin, Germany.
Lischer, Christoph
  • Equine Clinic, Surgery and Radiology, Freie Universität Berlin, Berlin, Germany.

MeSH Terms

  • Horses
  • Animals
  • Joints / surgery
  • Arthroscopy / methods
  • Arthroscopy / veterinary
  • Neck
  • Cervical Vertebrae / surgery
  • Lameness, Animal / surgery
  • Horse Diseases / surgery
  • Horse Diseases / diagnosis

References

This article includes 27 references
  1. Henson FMD. Equine Neck and Back Pathology. 2nd ed. Oxford: John Wiley & Sons Ltd; 2018.
  2. O'Leary SA, White JL, Hu JC, Athanasiou KA. Biochemical and biomechanical characterization of equine cervical facet joint cartilage. Equine Vet J 2018;50:800-808.
  3. Nickel R, Schummer A, Seiferle E. The Locomotor System of the Domestic Mammals. Berlin: Verlag Paul Parley; 1986.
  4. Claridge HAH, Piercy RJ, Parry A, Weller R. The 3D anatomy of the cervical articular process joints in the horse and their topographical relationship to the spinal cord. Equine Vet J 2010;42:726-731.
  5. Clayton HM, Townsend HG. Kinematics of the cervical spine of the adult horse. Equine Vet J 1989a;21:189-192.
  6. Whithers JM, Voute LC, Hammond G, Lischer CJ. Radiographic anatomy of the articular process joints of the caudal cervical vertebrae in the horse on lateral and oblique projections. Equine Vet J 2009;41:895-902.
  7. Pool RR. Difficulties in definition of equine osteochondrosis; differentiation of developmental and acquired lesions. Equine Vet J Suppl 1993;16:5-12.
  8. Rooney JR. Osteochondrosis in the horse. Mod Vet Pract 1975;56:41-43.
  9. Powers BE, Stashak TS, Nixon AJ, Yovich JV, Nordin RW. Pathology of the vertebral column of horses with cervical static stenosis. Vet Pathol 1988;23:392-399.
  10. Tucker R, Piercy RJ, Dixon JJ. Arthroscopic treatment of cervical articular process joint osteochondrosis in a thoroughbred horse. Equine Vet Educ 2018;30:116-121.
  11. Beck C, Middleton D, Maclean A, Lavelle R. Osteochondrosis of the second cervical vertebra of a horse. Equine Vet J 2002;34:210-212.
  12. Bergmann W, de Mik-van Mourik M, Veraa S. Cervical articular process joint osteochondrosis in Warmblood foals. Equine Vet J 2020;52(5):664-669.
  13. Lim CK, Hawkins JF, Vanderpool AL, Heng HG, Gillespie Harmon CC, Lenz SD. Osteochondritis dissecans-like lesions of the occipital condyle and cervical articular process joints in a Saddlebred colt horse. Acta Vet Scand 2017;59(1):76.
  14. Janes JG, Garrett KS, McQuerry KJ. Cervical vertebral lesions in equine stenotic myelopathy. Vet Pathol 2015;52(5):919-927.
  15. Trostle S, Dubielzig R, Beck K. Examination of frozen cross sections of cervical spinal intersegments in nine horses with cervical vertebral malformation: lesions associated with spinal cord compression. J Vet Diagn Invest 1993;5:423-431.
  16. Stewart RH, Reed SM, Weisbrode SE. Frequency and severity of osteochondrosis in horses with cervical stenotic myelopathy. Am J Vet Res 1991;52:873.
  17. Ricardi G, Dyson SJ. Forelimb lameness associated with radiographic abnormalities of the cervical vertebrae. Equine Vet J 1993;25(5):422-426.
  18. Dyson SJ. Lesions of the equine neck resulting in lameness or poor performance. Vet Clin North Am Equine Pract 2011;27(3):417-437.
  19. García-López JM. Neck, back, and pelvic pain in sport horses. Vet Clin North Am Equine Pract 2018;34(2):235-251.
  20. Moore BR, Holbrook TC, Stefanacci JD, Reed SM, Tate LP, Menard MC. Contrast-enhanced computed tomography and myelography in six horses with cervical stenotic myelopathy. Equine Vet J 1992;24:197-202.
  21. Tucker R, Hall YS, Hughes TK, Parker RA. Osteochondral fragmentation of the cervical articular process joints. Equine Vet J 2022;54:106-113.
    doi: 10.1111/evj.13410google scholar: lookup
  22. McIlwraith CW. Surgical versus conservative management of osteochondrosis. Vet J 2013;197:19-28.
  23. McIlwraith CW, Foerner JJ, Davis DM. Osteochondritis dissecans of the tarsocrural joint: results of treatment with arthroscopic surgery. Equine Vet J 1991;23:155-162.
  24. Pepe M, Angelone M, Gialletti R, Nannarone S, Beccati F. Arthroscopic anatomy of the equine cervical articular process joints. Equine Vet J 2014;46:345-351.
  25. Berg LC, Nielsen JV, Thoefner MB, Thomsen PD. Ultrasonography of the equine cervical region: a descriptive study in eight horses. Equine Vet J 2003;35:647-655.
  26. Corraretti G, Vandeweerd JM, Hontoir F, Vanderperren K, Palmers K. Anatomy and ultrasound-guided injection of the medial branch of the dorsal ramus of the cervical spinal nerves in the horse: a cadaveric study. Vet Comp Orthop Traumatol 2020;33:377-386.
    doi: 10.1055/s-0050-1714301google scholar: lookup
  27. Gough SL, Anderson JDC, Dixon JJ. Computed tomographic cervical myelography in horses: technique and findings in 51 clinical cases. J Vet Intern Med 2020;33:377-386.
    doi: 10.1111/jvim.15848google scholar: lookup

Citations

This article has been cited 1 times.
  1. Dyson S, Phillips K, Zheng S, Aleman M. Congenital variants of the ventral laminae of the sixth and seventh cervical vertebrae are not associated with clinical signs or other radiological abnormalities of the cervicothoracic region in Warmblood horses. Equine Vet J 2025 Mar;57(2):419-430.
    doi: 10.1111/evj.14127pubmed: 38938125google scholar: lookup