Abstract
joint injection. One limb showed a communication through the T‐ligament and 6 limbs showed a communication through the distal sesamoidean impar ligament. In 3 cases, the communication through the distal sesamoidean impar ligament was associated with a distal border fragment. Our study showed that communication between the distal interphalangeal joint and navicular bursa is uncommon and inconsistent. Clinically, the presence of a communication could (1) influence the interpretation of diagnostic analgesia of the distal interphalangeal joint or the navicular bursa by facilitating the diffusion of local anaesthetic between these structures; (2) allow the drug and its potential adverse effects to spread from the treated synovial cavity to the non‐targeted synovial cavity; (3) be responsible for the failure of joint drainage in the case of sepsis.
| Original language | English |
|---|---|
| Pages (from-to) | 133-141 |
| Number of pages | 9 |
| Journal | Anat Histol Embryol |
| Volume | 48 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 1 Mar 2019 |
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Keywords
- arthrography
- foot
- horses
- joints
- synovial bursa
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Communication between the distal interphalangeal joint and the navicular bursa in the horse at Computed Tomography Arthrography. / Hontoir, Fanny; Rejas, Erika; Falticeanu, Ana; Nisolle, Jean-François; Simon, Vincent; Nicaise, Charles; Clegg, Peter; Vandeweerd, Jean-Michel.
In: Anat Histol Embryol, Vol. 48, No. 2, 01.03.2019, p. 133-141.Research output: Contribution to journal › Article
TY - JOUR
T1 - Communication between the distal interphalangeal joint and the navicular bursa in the horse at Computed Tomography Arthrography
AU - Hontoir, Fanny
AU - Rejas, Erika
AU - Falticeanu, Ana
AU - Nisolle, Jean-François
AU - Simon, Vincent
AU - Nicaise, Charles
AU - Clegg, Peter
AU - Vandeweerd, Jean-Michel
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Diffusion of drugs injected into the distal interphalangeal joint or the navicular (podotrochlear) bursa can influence diagnosis and treatment of foot pain. Previous anatomical and radiographic studies of the communication between these synovial structures have produced conflicting results and did not identify the location of any communication if present. This anatomic study aimed to assess the presence and site of communication between the distal interphalangeal joint and the navicular bursa in the horse by computed tomography arthrography. Sixty‐six pairs of cadaver forelimbs were injected with contrast medium into the distal interphalangeal joint and imaged by computed tomography arthrography. The presence of a communication, location of the communication and additional structural changes were assessed. Navicular bursa opacification occurred in 7 distal limbs (5.3%) following distal interphalangealjoint injection. One limb showed a communication through the T‐ligament and 6 limbs showed a communication through the distal sesamoidean impar ligament. In 3 cases, the communication through the distal sesamoidean impar ligament was associated with a distal border fragment. Our study showed that communication between the distal interphalangeal joint and navicular bursa is uncommon and inconsistent. Clinically, the presence of a communication could (1) influence the interpretation of diagnostic analgesia of the distal interphalangeal joint or the navicular bursa by facilitating the diffusion of local anaesthetic between these structures; (2) allow the drug and its potential adverse effects to spread from the treated synovial cavity to the non‐targeted synovial cavity; (3) be responsible for the failure of joint drainage in the case of sepsis.
AB - Diffusion of drugs injected into the distal interphalangeal joint or the navicular (podotrochlear) bursa can influence diagnosis and treatment of foot pain. Previous anatomical and radiographic studies of the communication between these synovial structures have produced conflicting results and did not identify the location of any communication if present. This anatomic study aimed to assess the presence and site of communication between the distal interphalangeal joint and the navicular bursa in the horse by computed tomography arthrography. Sixty‐six pairs of cadaver forelimbs were injected with contrast medium into the distal interphalangeal joint and imaged by computed tomography arthrography. The presence of a communication, location of the communication and additional structural changes were assessed. Navicular bursa opacification occurred in 7 distal limbs (5.3%) following distal interphalangealjoint injection. One limb showed a communication through the T‐ligament and 6 limbs showed a communication through the distal sesamoidean impar ligament. In 3 cases, the communication through the distal sesamoidean impar ligament was associated with a distal border fragment. Our study showed that communication between the distal interphalangeal joint and navicular bursa is uncommon and inconsistent. Clinically, the presence of a communication could (1) influence the interpretation of diagnostic analgesia of the distal interphalangeal joint or the navicular bursa by facilitating the diffusion of local anaesthetic between these structures; (2) allow the drug and its potential adverse effects to spread from the treated synovial cavity to the non‐targeted synovial cavity; (3) be responsible for the failure of joint drainage in the case of sepsis.
KW - arthrography
KW - foot
KW - horses
KW - joints
KW - synovial bursa
UR - http://www.scopus.com/inward/record.url?scp=85059508974&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/ahe.12421
DO - https://doi.org/10.1111/ahe.12421
M3 - Article
VL - 48
SP - 133
EP - 141
JO - Anatomia, Histologia, Embryologia
JF - Anatomia, Histologia, Embryologia
SN - 0340-2096
IS - 2
ER -