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Evaluation of the effects of intra-articular injection of dimethylsulfoxide on normal equine articular tissues.

Abstract: To evaluate the effects of intra-articular injection of dimethylsulfoxide (DMSO) on normal equine articular structures, 7 adult horses with clinically normal carpi were allotted to 2 treatment groups (group A, n = 4; group B, n = 3). In each horse after collection of synovial fluid samples, the right antebrachial carpal and middle carpal joints were aseptically injected with 2 ml of a 40% solution of 90% medical grade DMSO in lactated Ringer solution, and the corresponding joints of the left forelimb (controls) were injected with 2 ml of lactated Ringer solution. In group-A horses, 2 ml of synovial fluid was obtained prior to injections of 40% DMSO at 24 hours and 72 hours, for a total of 3 injections. At necropsy, synovial fluid, synovial membrane, and articular cartilage specimens were obtained. Group-B horses were injected with 40% DMSO in the same sequence; however, the series was repeated following a 1-week interval. Clinical evaluation of these horses revealed no evidence of carpal inflammation associated with any injection in any group. Synovial fluid analysis of DMSO-injected and control joints revealed insignificant differences in leukocyte counts and total protein content. There was no evidence of cartilage degradation on gross, histologic, or histochemical evaluation of any of the joints. Intercellular matrix staining of the articular cartilage failed to reveal any observable difference in glycosaminoglycan content between injection with DMSO or lactated Ringer solution.
Publication Date: 1989-07-01 PubMed ID: 2476053
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  • Journal Article

Summary

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The study investigates the impact of dimethylsulfoxide (DMSO) injected directly into the joint tissues of horses. It concludes that this treatment doesn’t appear to adversely affect joint inflammation, leukocyte counts, protein content, or cartilage degradation in horses, thereby pointing to DMSO’s potential as a safe therapeutic option.

Method and Experiment Groups

  • The researchers enlisted seven adult horses which were divided into two groups (four in group A and three in group B). Each horse was deemed to be clinically normal.
  • Right antebrachial carpal and middle carpal joints were administered with a 2 ml solution consisting of 40% percentage DMSO in lactated Ringer solution. The left forelimb joints served as the controls and were instead injected with lactated Ringer solution.
  • Two samples of synovial fluid were collected from group A horses before the DMSO injection, after 24 hours, and then after 72 hours, totaling three injections. Following the injections, the horses were euthanized and samples from the synovial fluid, synovial membrane, and articular cartilage were taken.
  • The experiment procedure was duplicated for the horses in group B with the inclusion of a one-week interval between each series of injections.

Observations and Results

  • After evaluating the horses clinically, researchers found no evidence of inflammation in the carpal (wrist) area connected with any injections in either of the groups.
  • The analysis of synovial fluid from joints that were injected with DMSO and the control groups revealed insignificant differences in the leukocyte counts and total protein content.
  • The researchers found no visible signs of degradation in cartilage, examined at a gross, histologic, and histochemical level in any of the joints.
  • There was no observable difference noted in glycosaminoglycan content (a compound critical for the structural integrity of cartilage) in the articular cartilage between joints that were treated with DMSO or lactated Ringer solution.

Conclusions

  • The study thereby indicates that intra-articular injections of DMSO appear not to result in significant negative effects on equine joint tissues in the conditions tested.
  • These findings suggest that DMSO could potentially serve as a safe therapeutic agent for use directly in joint tissues.

Cite This Article

APA
Welch RD, DeBowes RM, Liepold HW. (1989). Evaluation of the effects of intra-articular injection of dimethylsulfoxide on normal equine articular tissues. Am J Vet Res, 50(7), 1180-1182.

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 50
Issue: 7
Pages: 1180-1182

Researcher Affiliations

Welch, R D
  • Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station 77843-4475.
DeBowes, R M
    Liepold, H W

      MeSH Terms

      • Animals
      • Carpus, Animal / drug effects
      • Cartilage, Articular / drug effects
      • Dimethyl Sulfoxide / administration & dosage
      • Dimethyl Sulfoxide / pharmacology
      • Forelimb / drug effects
      • Glycosaminoglycans / analysis
      • Horses / anatomy & histology
      • Injections, Intra-Articular / veterinary
      • Staining and Labeling
      • Synovial Fluid / analysis
      • Synovial Fluid / drug effects
      • Synovial Membrane / drug effects

      Citations

      This article has been cited 2 times.
      1. Sotelo EDP, Vendruscolo CP, Fülber J, Seidel SRT, Jaramillo FM, Agreste FR, Silva LCLCD, Baccarin RYA. Effects of Joint Lavage with Dimethylsulfoxide on LPS-Induced Synovitis in Horses-Clinical and Laboratorial Aspects. Vet Sci 2020 Apr 30;7(2).
        doi: 10.3390/vetsci7020057pubmed: 32365982google scholar: lookup
      2. Dória RG, Carvalho MB, Freitas SH, Laskoski LM, Colodel EM, Mendonça FS, Silva MA, Grigoletto R, Fantinato Neto P. Evaluation of intravenous regional perfusion with amphotericin B and dimethylsulfoxide to treat horses for pythiosis of a limb. BMC Vet Res 2015 Jul 16;11:152.
        doi: 10.1186/s12917-015-0472-zpubmed: 26174778google scholar: lookup