Comparing racing performance following arthroscopic surgery of metacarpophalangeal/metatarsophalangeal and carpal joints in Thoroughbred racehorses rehabilitated using conventional and underwater treadmill therapies

2020 ◽  
Vol 187 (9) ◽  
pp. 355-355
Author(s):  
Korin N Potenza ◽  
Nick A Huggons ◽  
Andrew R E Jones ◽  
Sarah M Rosanowski ◽  
C Wayne McIlwraith
Keyword(s):  
Retrospective Study ◽  
Stride Length ◽  
Arthroscopic Surgery ◽  
Experimental Studies ◽  
Joint Mobility ◽  
Joint Range Of Motion ◽  
Racing Performance ◽  
Thoroughbred Racehorses ◽  
Joint Range ◽  
Mtp Joints

BackgroundRehabilitation of horses using underwater treadmill therapy has been shown to improve joint range of motion, joint mobility, stride length and proprioceptive parameters with experimental studies. However, studies investigating the prognosis and return to function following rehabilitation are lacking.MethodsA retrospective study of Thoroughbred racehorses treated with arthroscopic surgery for osteochondral fragments of the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joints or carpal joints undergoing conventional rehabilitation or underwater treadmill assisted rehabilitation at the same facility were included. The objective of the current study was to investigate if underwater treadmill assisted rehabilitation following arthroscopy in the Thoroughbred racehorse was positively associated with returning to racing, time to return to racing and postoperative racing performance including Beyer Speed Figures.ResultsSurgery was performed on 165 horses on 174 surgical occasions; 70 (40.2 per cent) underwent underwater treadmill rehabilitation, with the remainder undergoing conventional rehabilitation. The time to return to racing was a median of 227 (IQR 185–281) days and 239 (IQR 205–303) days for underwater treadmill and conventional rehabilitation, respectively (P=0.16). Of the horses that raced presurgery, 83 per cent (58/70) of underwater treadmill rehabilitated horses and 61 per cent (63/104) of horses undergoing conventional rehabilitation returned to racing following surgery (P=0.02).ConclusionUnderwater treadmill rehabilitation is superior in returning a Thoroughbred racehorse to racing following arthroscopic surgery of the carpus and/or MCP/MTP joints.

scholarly journals A new role for joint mobility in reconstructing vertebrate locomotor evolution

2021 ◽  
Vol 118 (7) ◽  
pp. e2023513118
Author(s):  
Armita R. Manafzadeh ◽  
Robert E. Kambic ◽  
Stephen M. Gatesy
Keyword(s):  
Range Of Motion ◽  
Full Potential ◽  
Joint Mobility ◽  
American Alligator ◽  
Joint Range Of Motion ◽  
Consistent Relationship ◽  
History Of ◽  
Joint Range ◽  
Additional Constraints

Reconstructions of movement in extinct animals are critical to our understanding of major transformations in vertebrate locomotor evolution. Estimates of joint range of motion (ROM) have long been used to exclude anatomically impossible joint poses from hypothesized gait cycles. Here we demonstrate how comparative ROM data can be harnessed in a different way to better constrain locomotor reconstructions. As a case study, we measured nearly 600,000 poses from the hindlimb joints of the Helmeted Guineafowl and American alligator, which represent an extant phylogenetic bracket for the archosaurian ancestor and its pseudosuchian (crocodilian line) and ornithodiran (bird line) descendants. We then used joint mobility mapping to search for a consistent relationship between full potential joint mobility and the subset of joint poses used during locomotion. We found that walking and running poses are predictably located within full mobility, revealing additional constraints for reconstructions of extinct archosaurs. The inferential framework that we develop here can be expanded to identify ROM-based constraints for other animals and, in turn, will help to unravel the history of vertebrate locomotor evolution.

Arthrofibrosis of the Knee Joint – the Current State of Knowledge. Literature Review

2019 ◽  
Vol 21 (2) ◽  
pp. 87-98
Author(s):  
Andrzej Czamara ◽  
Mateusz Kuźniecow ◽  
Aleksandra Królikowska
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Knee Joint ◽  
Point Of View ◽  
Joint Mobility ◽  
Limited Mobility ◽  
Work Related ◽  
Joint Range Of Motion ◽  
Current State ◽  
Joint Range

The objective of the paper is to highlight the interdisciplinary problem of arthrofibrosis (AF) and to present this problem from the physiotherapy angle based on a literature review and the authors’ experience. Arthrofi­brosis is a pain­ful condition limiting joint mobility due to pathological fibrosis involving scarring. The limited mobility is often ac­companied by pain. Arthrofibrosis may result in limited locomotion in everyday life or at work and withdrawal from physical activity. In severe cases, Severe AF can lead to patients’ unemployability due to their inability to perform certain work-related activities. The problem is important from the clinical point of view, and therefore treatment of AF involves specialists, physiotherapists and psychologists. Our paper presents the definitions of AF, the most fre­quent causes and epidemiology of the dysfunction. This is followed by a classification of arthrofibrosis. Special attention is paid to problems connected with AF-related terminology. The consequences of the disease, such as pain, inflammation and impairment of joint function, especially joint range of motion limitation, are also presented. The relationship between AF and decreased muscle strength is discussed as well as the ways of muscle strength genera­tion and the issue of limited locomotion in patients with this condition. Some emphasis is given to the role of con­servative and surgical treatment as well as physiotherapy for the prevention or reduction of AF consequences. The next section presents the main guidelines for early physiotherapy. The goal of early physiotherapeutic intervention is to prevent excessive fibrosis within the knee joint and enable safe recovery of joint mobility. The conclusions high­light the need to conduct further research and develop a standard for physiotherapeutic intervention within a com­prehensive evidence-based treatment approach to arthrofibrosis.

The Weil Osteotomy of the Lesser Metatarsals: a Clinical and Pedobarographic Follow-up Study

2000 ◽  
Vol 21 (5) ◽  
pp. 370-374 ◽  
Author(s):  
Geoffroy Vandeputte ◽  
Greta Dereymaeker ◽  
Annie Steenwerckx ◽  
Louis Peeraer
Keyword(s):  
Metatarsophalangeal Joint ◽  
Metatarsal Head ◽  
Clinical Results ◽  
Complete Disappearance ◽  
Joint Range Of Motion ◽  
Shortening Osteotomy ◽  
Joint Range ◽  
Metatarsophalangeal Joints ◽  
Mtp Joints

The clinical results with pedobarographic analysis were assessed in 32 patients (59 metatarsals) who underwent a distal metatarsal shortening (Weil) osteotomy for either intractable plantar keratoses or chronically dislocated lesser metatarsal phalangeal joints. All patients had increased pressure under the involved metatarsal heads. Thirty three of the 59 metatarsophalangeal (MTP) joints were chronically dislocated. At an average follow-up of 30 months, patients rated the result as excellent or good for 32 of the 37 feet (86%). The mean preoperative AOFAS score was 59 (maximum 100), which improved to 81 postoperatively. This difference is significant : p= 0,00001 (with t-test). Comparison of the pre and post-operative pedobarographic measurements showed a significant decreased load under the affected metatarsal heads (p = 0.05). A complete disappearance of the callus was noted under 44 operated metatarsals (75%) and partial disappearance under 12 metatarsals (20%). Two symptomatic transfer lesions occurred under an adjacent metatarsal head. Recurrent dislocations occurred in 5 joints (15%). While metatarsophalangeal joint range of motion was significantly diminished, toe strength was maintained. Average metatarsal shortening was 5.9 mm with no nonunions, delayed unions, or malunions. The Weil shortening osteotomy is a simple and reliable procedure which can effectively reduce the load under the lesser metatarsophalangeal joints and is helpful for the reduction of dorsally dislocated MTP joints.

scholarly journals Comparison of Early Outcome of Weil Osteotomy and Distal Metatarsal Mini-Invasive Osteotomy for Lesser Toe Metatarsalgia

2016 ◽  
Vol 24 (3) ◽  
pp. 350-353 ◽  
Author(s):  
Nicholas Eng Meng Yeo ◽  
Bryan Loh ◽  
Jerry YongQiang Chen ◽  
Andy Khye Soon Yew ◽  
Sean YC Ng
Keyword(s):  
Range Of Motion ◽  
Visual Analogue Score ◽  
Bone Union ◽  
Foot And Ankle ◽  
Early Outcome ◽  
Post Surgery ◽  
Joint Range Of Motion ◽  
American Orthopaedic ◽  
Joint Range ◽  
Mtp Joints

Purpose To compare the 6-month outcome of Weil osteotomy with distal metatarsal mini-invasive osteotomy (DMMO) in 33 patients with lesser toe metatarsalgia. Methods Records of 33 patients who underwent Weil osteotomy (n=20, 41 toes) or DMMO (n=13, 22 toes) for lesser toe metatarsalgia by a single surgeon were reviewed. 25 of them had a concurrent procedure on the 1st toe. Outcome at 6 months was assessed using the visual analogue score (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) lesser toe metatarsophalangeal-interphalangeal (MTP-IP) score, and the RAND-36 score. Results The 2 groups were comparable in terms of age, gender, and preoperative MTP joint range of motion (ROM), VAS for pain, AOFAS lesser toe MTP-IP score, and RAND-36 scores. At 6 months, the Weil osteotomy group had a higher RAND-36 (mental) score (92 vs. 78, p=0.026), and the DMMO group had a higher percentage of toes with greater MTP joint ROM (p=0.043). All patients achieved bone union within 6 months. Two patients in the DMMO group had prolonged oedema until 3 months post-surgery. Conclusion DMMO is a safe and reliable alternative to Weil osteotomy for metatarsalgia and can preserve ROM of the MTP joints.

Arthroscopy in Arthrosis: Is It Worth it? A case Presentation

2018 ◽  
Vol 69 (8) ◽  
pp. 2232-2235
Author(s):  
Marius Moga ◽  
Mark Edward Pogarasteanu ◽  
Antoine Edu
Keyword(s):  
Clinical Status ◽  
Loose Body ◽  
Point Of View ◽  
The Other ◽  
Joint Range Of Motion ◽  
Objective Evidence ◽  
Before And After ◽  
Total Knee ◽  
Joint Range

The role of arthroscopy in incipient and mild arthrosis, even combined with proximal tibial ostetomy, is well known and well documented. On the other hand, its role in the treatment of advanced arthrosis of the large joints, especially the knee, is a subject of controversy. The proponents of the use of arthroscopy in advanced arthrosis claim that meniscectomy, synovectomy, ostophytectomy, chondral lesion stabilization, arthroscopic release, plica and loose body removal greatly improve the quality of life for most patients, especially if followed by the use of viscoelastic injection, by diminishing pain and improving joint range of motion. The opponents claim that, even though the advantages are clear in the cases that refuse arthroplasty, in all the other cases the surgical indication should be total knee arthroplasty, as the clinical relief is temporary, but with all the risks of a surgical intervention. We have conducted an overview of the recent literature, in order to find objective evidence to sustain either point of view. We focused on articles published that included an objective measurement of before and after clinical status through clinical scores and objective measurements. We also focused on the follow-up period and on the evolution of the pathology after arthroscopy.

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