Arthroscopic anatomy of the equine cervical articular process joints

Pepe, Marco; Angelone, Mario; Gialletti, Rodolfo; Nannarone, Sara; Beccati, Francesca

doi:10.1111/evj.12112

Cited by 17 publications

(53 citation statements)

References 24 publications

(47 reference statements)

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“…; Pepe et al . ). Interpretation of neck radiographs is challenging due to complex anatomy, superimposition of structures and difficulty obtaining orthogonal radiographic views (Dimock and Puchalski ).…”

Section: Discussionmentioning

confidence: 97%

“…As found by Pepe et al . (), transcutaneous ultrasound provided a practical method of identifying surgical landmarks. Dissection was centred over the caudodorsal joint margin to avoid the ventral intervertebral foramen and fifth cervical spinal nerve.…”

Section: Discussionmentioning

confidence: 99%

“…After CT, the horse was transferred to theatre and positioned in right lateral recumbency with a 5 L fluid bag placed beneath the mid neck to maintain slight lateral flexion of the cervical spine (Pepe et al . ).…”

Section: Surgical Techniquementioning

confidence: 97%

“…Recently, arthroscopic evaluation of the APJs has been described with three clinical cases of APJ arthropathy evaluated arthroscopically and with debridement of fibrillated cartilage performed in one case (Pepe et al . ). This case report describes the diagnosis, treatment and outcome of a case of APJ OCD: a surgical technique for the successful removal of an OCD fragment from the C4–C5 APJ is described.…”

Section: Introductionmentioning

confidence: 97%

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Arthroscopic treatment for cervical articular process joint osteochondrosis in a Thoroughbred horse

Tucker

Piercy

Dixon

et al. 2016

Equine Veterinary Education

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Summary A yearling Thoroughbred colt was presented for investigation of neck stiffness and episodes of intermittent neck pain without neurological signs. Osteochondrosis (OCD) of the cervical articular process joints (APJs) was diagnosed with the aid of radiography and computed tomography. An articular osteochondral fragment of the left fourth caudal cervical articular process was removed arthroscopically following a cut down approach to the joint capsule of the affected APJ. Surgical removal resulted in resolution of clinical signs at 4 weeks. However, subsequently the horse was markedly ataxic 6 weeks post surgery after being found cast in its stable. Cervical stenotic myelopathy was considered the most likely cause based on clinical and radiographic signs and the horse was subjected to euthanasia due to a poor prognosis for racing. Post‐mortem examination identified atypical cartilage within several cervical APJs with histological changes consistent with OCD. This case report supports OCD of the APJs as a cause of neck pain and confirms the clinical practicality and short‐term effectiveness of arthroscopic fragment removal. Surgical treatment for cervical OCD should be considered in horses without neurological signs, although case selection is important and the underlying pathology remains a risk factor for the development of subsequent neurological signs.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Arthroscopic treatment for cervical articular process joint osteochondrosis in a Thoroughbred horse

Tucker

Piercy

Dixon

et al. 2016

Equine Veterinary Education

View full text Add to dashboard Cite

show abstract

“…Neurological assessment in foals differs from that in adult horses and represents a limitation of this study. However, in 2 studies describing arthroscopic surgery of the articular process joints (APJ) in 3 adult clinical cases, neurologic deficits were not noted in the postoperative period . Because of their similar proximity to the spinal cord, the risk of distending APJ and A‐O joints may be comparable.…”

Section: Discussionmentioning

confidence: 99%