Lateral approach for arthrocentesis of the distal interphalangeal joint in horses

Rodrigo Vazquez De Mercado, Susan M Stover, Kenneth T. Taylor, Laura Zarucco, Neil H. Willits

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objective - To determine anatomic landmarks for a lateral approach for arthrocentesis of the proximopalmarolateral aspect of the distal interphalangeal (DIP) joint in horses and the likelihood of entering synovial structures other than the DIP joint through this approach. Design - Prospective study. Sample Population - Paired forelimbs of 8 cadavers and 12 horses. Procedure - Anatomic preparations were used to determine anatomic landmarks. Positive-contrast arthrography was used to determine which structures were entered. Results - Landmarks for the lateral approach included a depression in the proximal border of the lateral ungular cartilage and the palmar border of the middle phalanx. Use of the lateral approach for arthrography resulted in deposition of contrast material exclusively in the DIP joint in only 13 of 20 limbs, whereas use of the dorsal approach resulted in deposition of contrast material exclusively in the DIP joint in 20 of 20 limbs. Clinical Implications - The lateral approach is an alternative to the conventional dorsal approach to the DIP joint in horses; however, inadvertent entry into adjacent synovial structures is a possible complication. The lateral approach provides an additional portal for through-and-through lavage and arthroscopic access to the palmar aspect of the DIP joint.

Original languageEnglish (US)
Pages (from-to)1413-1418
Number of pages6
JournalJournal of the American Veterinary Medical Association
Volume212
Issue number9
StatePublished - May 1 1998

Fingerprint

Horses
Joints
limbs (animal)
horses
Anatomic Landmarks
Arthrography
phalanges
forelimbs
prospective studies
cartilage
Contrast Media
Extremities
Forelimb
Therapeutic Irrigation
Cadaver
Cartilage
Arthrocentesis
Prospective Studies
sampling
Population

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Lateral approach for arthrocentesis of the distal interphalangeal joint in horses. / De Mercado, Rodrigo Vazquez; Stover, Susan M; Taylor, Kenneth T.; Zarucco, Laura; Willits, Neil H.

In: Journal of the American Veterinary Medical Association, Vol. 212, No. 9, 01.05.1998, p. 1413-1418.

Research output: Contribution to journalArticle

De Mercado, Rodrigo Vazquez ; Stover, Susan M ; Taylor, Kenneth T. ; Zarucco, Laura ; Willits, Neil H. / Lateral approach for arthrocentesis of the distal interphalangeal joint in horses. In: Journal of the American Veterinary Medical Association. 1998 ; Vol. 212, No. 9. pp. 1413-1418.
@article{35f293b555be4837a4298d30c21053cd,
title = "Lateral approach for arthrocentesis of the distal interphalangeal joint in horses",
abstract = "Objective - To determine anatomic landmarks for a lateral approach for arthrocentesis of the proximopalmarolateral aspect of the distal interphalangeal (DIP) joint in horses and the likelihood of entering synovial structures other than the DIP joint through this approach. Design - Prospective study. Sample Population - Paired forelimbs of 8 cadavers and 12 horses. Procedure - Anatomic preparations were used to determine anatomic landmarks. Positive-contrast arthrography was used to determine which structures were entered. Results - Landmarks for the lateral approach included a depression in the proximal border of the lateral ungular cartilage and the palmar border of the middle phalanx. Use of the lateral approach for arthrography resulted in deposition of contrast material exclusively in the DIP joint in only 13 of 20 limbs, whereas use of the dorsal approach resulted in deposition of contrast material exclusively in the DIP joint in 20 of 20 limbs. Clinical Implications - The lateral approach is an alternative to the conventional dorsal approach to the DIP joint in horses; however, inadvertent entry into adjacent synovial structures is a possible complication. The lateral approach provides an additional portal for through-and-through lavage and arthroscopic access to the palmar aspect of the DIP joint.",
author = "{De Mercado}, {Rodrigo Vazquez} and Stover, {Susan M} and Taylor, {Kenneth T.} and Laura Zarucco and Willits, {Neil H.}",
year = "1998",
month = "5",
day = "1",
language = "English (US)",
volume = "212",
pages = "1413--1418",
journal = "Journal of the American Veterinary Medical Association",
issn = "0003-1488",
publisher = "American Veterinary Medical Association",
number = "9",

}

TY - JOUR

T1 - Lateral approach for arthrocentesis of the distal interphalangeal joint in horses

AU - De Mercado, Rodrigo Vazquez

AU - Stover, Susan M

AU - Taylor, Kenneth T.

AU - Zarucco, Laura

AU - Willits, Neil H.

PY - 1998/5/1

Y1 - 1998/5/1

N2 - Objective - To determine anatomic landmarks for a lateral approach for arthrocentesis of the proximopalmarolateral aspect of the distal interphalangeal (DIP) joint in horses and the likelihood of entering synovial structures other than the DIP joint through this approach. Design - Prospective study. Sample Population - Paired forelimbs of 8 cadavers and 12 horses. Procedure - Anatomic preparations were used to determine anatomic landmarks. Positive-contrast arthrography was used to determine which structures were entered. Results - Landmarks for the lateral approach included a depression in the proximal border of the lateral ungular cartilage and the palmar border of the middle phalanx. Use of the lateral approach for arthrography resulted in deposition of contrast material exclusively in the DIP joint in only 13 of 20 limbs, whereas use of the dorsal approach resulted in deposition of contrast material exclusively in the DIP joint in 20 of 20 limbs. Clinical Implications - The lateral approach is an alternative to the conventional dorsal approach to the DIP joint in horses; however, inadvertent entry into adjacent synovial structures is a possible complication. The lateral approach provides an additional portal for through-and-through lavage and arthroscopic access to the palmar aspect of the DIP joint.

AB - Objective - To determine anatomic landmarks for a lateral approach for arthrocentesis of the proximopalmarolateral aspect of the distal interphalangeal (DIP) joint in horses and the likelihood of entering synovial structures other than the DIP joint through this approach. Design - Prospective study. Sample Population - Paired forelimbs of 8 cadavers and 12 horses. Procedure - Anatomic preparations were used to determine anatomic landmarks. Positive-contrast arthrography was used to determine which structures were entered. Results - Landmarks for the lateral approach included a depression in the proximal border of the lateral ungular cartilage and the palmar border of the middle phalanx. Use of the lateral approach for arthrography resulted in deposition of contrast material exclusively in the DIP joint in only 13 of 20 limbs, whereas use of the dorsal approach resulted in deposition of contrast material exclusively in the DIP joint in 20 of 20 limbs. Clinical Implications - The lateral approach is an alternative to the conventional dorsal approach to the DIP joint in horses; however, inadvertent entry into adjacent synovial structures is a possible complication. The lateral approach provides an additional portal for through-and-through lavage and arthroscopic access to the palmar aspect of the DIP joint.

UR - http://www.scopus.com/inward/record.url?scp=0347392857&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0347392857&partnerID=8YFLogxK

M3 - Article

C2 - 9589128

AN - SCOPUS:0347392857

VL - 212

SP - 1413

EP - 1418

JO - Journal of the American Veterinary Medical Association

JF - Journal of the American Veterinary Medical Association

SN - 0003-1488

IS - 9

ER -