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American journal of veterinary research2011; 72(4); 512-521; doi: 10.2460/ajvr.72.4.512

Computed tomographic anatomy of the equine stifle joint.

Abstract: To provide a detailed computed tomography (CT) reference of the anatomically normal equine stifle joint. Sample-16 hind limbs from 8 equine cadavers; no horses had evidence of orthopedic disease of the stifle joints. Methods: CT of the stifle joint was performed on 8 hind limbs. In all limbs, CT was also performed after intra-articular injection of 60 mL of contrast material (150 mg of iodine/mL) in the lateral and medial compartments of the femorotibial joint and 80 mL of contrast material in the femoropatellar joint (CT arthrography). Reformatted CT images in the transverse, parasagittal, and dorsal plane were matched with corresponding anatomic slices of the 8 remaining limbs. Results: The femur, tibia, and patella were clearly visible. The patellar ligaments, common origin of the tendinous portions of the long digital extensor muscle and peroneus tertius muscle, collateral ligaments, tendinous portion of the popliteus muscle, and cranial and caudal cruciate ligaments could also be consistently evaluated. The cruciate ligaments and the meniscotibial ligaments could be completely assessed in the arthrogram sequences. Margins of the meniscofemoral ligament and the lateral and medial femoropatellar ligaments were difficult to visualize on the precontrast and postcontrast images. Conclusions: CT and CT arthrography were used to accurately identify and characterize osseous and soft tissue structures of the equine stifle joint. This technique may be of value when results from other diagnostic imaging techniques are inconclusive. The images provided will serve as a CT reference for the equine stifle joint.
Publication Date: 2011-04-02 PubMed ID: 21453153DOI: 10.2460/ajvr.72.4.512Google Scholar: Lookup
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  • Journal Article

Summary

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The research conducted focuses on creating a comprehensive Computed Tomography (CT) representation of the anatomy of a healthy horse stifle joint, using 16 hind limbs from eight equine cadavers as samples. The findings will be helpful when other imaging methods fail to provide precise results, allowing better diagnostics in veterinary medicine.

Methodology

  • Eight hind limbs from equine cadavers were subjected to CT scanning, ensuring that none of these horses had any signs of orthopedic disease affecting their stifle joints.
  • The CT scanning was done both before and after injecting a contrast material into the medial and lateral compartments of the femorotibial joint and femoropatellar joint. This process is called CT arthrography.
  • The CT images acquired were then restructured in different planes – transverse, parasagittal, and dorsal – and were paired with corresponding anatomical sections from the remaining eight limbs.

Results

  • The CT images clearly depicted the femur, tibia, and patella. Other structures like patellar ligaments, some muscles’ tendinous parts, collateral ligaments, and the cruciate ligaments were also consistently visible.
  • The arthrogram sequences allowed for a complete assessment of the cruciate ligaments and the meniscotibial ligaments.
  • However, it was difficult to delineate the margins of the meniscofemoral ligament and the lateral and medial femoropatellar ligaments on both precontrast and postcontrast images.

Conclusions

  • The research successfully utilized CT and CT arthrography to identify and characterize the bony and soft tissue structures of a horse’s stifle joint.
  • The results may prove beneficial when results from other imaging methods fail to yield conclusive outcomes, thus enhancing the diagnostic capabilities in equine orthopedic cases.
  • Finally, the images and findings from this research would serve as a useful CT reference for the anatomy of the equine stifle joint in future studies and diagnostics.

Cite This Article

APA
Vekens EV, Bergman EH, Vanderperren K, Raes EV, Puchalski SM, Bree HJ, Saunders JH. (2011). Computed tomographic anatomy of the equine stifle joint. Am J Vet Res, 72(4), 512-521. https://doi.org/10.2460/ajvr.72.4.512

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 72
Issue: 4
Pages: 512-521

Researcher Affiliations

Vekens, Elke Van der
  • Department of Medical Imaging, Faculty of Veterinary Medicine, Ghent University, 9820 Merelbeke, Belgium. elke.vandervekens@UGent.be
Bergman, Erik H J
    Vanderperren, Katrien
      Raes, Els V
        Puchalski, Sarah M
          Bree, Henri J J van
            Saunders, Jimmy H

              MeSH Terms

              • Animals
              • Femur / anatomy & histology
              • Femur / diagnostic imaging
              • Horses / anatomy & histology
              • Ligaments / anatomy & histology
              • Ligaments / diagnostic imaging
              • Patella / anatomy & histology
              • Patella / diagnostic imaging
              • Stifle / anatomy & histology
              • Stifle / diagnostic imaging
              • Tendons / anatomy & histology
              • Tendons / diagnostic imaging
              • Tibia / anatomy & histology
              • Tibia / diagnostic imaging
              • Tomography, X-Ray Computed / veterinary

              Citations

              This article has been cited 6 times.
              1. Bolz NM, Sánchez-Andrade JS, Torgerson PR, Bischofberger AS. Diagnostic Performance of Multi-Detector Computed Tomography Arthrography and 3-Tesla Magnetic Resonance Imaging to Diagnose Experimentally Created Articular Cartilage Lesions in Equine Cadaver Stifles. Animals (Basel) 2023 Jul 14;13(14).
                doi: 10.3390/ani13142304pubmed: 37508081google scholar: lookup
              2. Consoli FMA, Bernaldo de Quirós Y, Arbelo M, Fulle S, Marchisio M, Encinoso M, Fernandez A, Rivero MA. Cetaceans Humerus Radiodensity by CT: A Useful Technique Differentiating between Species, Ecophysiology, and Age. Animals (Basel) 2022 Jul 13;12(14).
                doi: 10.3390/ani12141793pubmed: 35883340google scholar: lookup
              3. Hagag U, Nahas AE, Almohamad ZA, Brehm W, Gerlach K. 3T Magnetic resonance imaging and computed tomography of the bovine carpus. BMC Vet Res 2022 Jun 22;18(1):236.
                doi: 10.1186/s12917-022-03346-wpubmed: 35733155google scholar: lookup
              4. Aßmann AD, Ohlerth S, Suárez Sánchez-Andráde J, Torgerson PR, Bischofberger AS. Ex vivo comparison of 3 Tesla magnetic resonance imaging and multidetector computed tomography arthrography to identify artificial soft tissue lesions in equine stifles. Vet Surg 2022 May;51(4):648-657.
                doi: 10.1111/vsu.13798pubmed: 35289943google scholar: lookup
              5. Zellmann P, Ribitsch I, Handschuh S, Peham C. Finite Element Modelling Simulated Meniscus Translocation and Deformation during Locomotion of the Equine Stifle. Animals (Basel) 2019 Jul 31;9(8).
                doi: 10.3390/ani9080502pubmed: 31370196google scholar: lookup
              6. Lacitignola L, De Luca P, Guarracino A, Crovace A. Computed Tomographic Tenography of Normal Equine Digital Flexor Tendon Sheath: An Ex Vivo Study. Vet Med Int 2015;2015:903169.
                doi: 10.1155/2015/903169pubmed: 26185709google scholar: lookup