Autologous Bone Marrow Mononuclear Cells (BMMCs) for the Treatment of Uncomplicated Grade 2 Ununited Anconeal Process (UAP) in Six Dogs: Preliminary Results

The aim of this study was to report the results of autologous bone marrow mononuclear cell (BMMC) transplantation as a minimally invasive treatment for grade 2 UAP in dogs. This was an observational case series on six German shepherd dogs affected by grade 2 UAP as defined according to their clinical condition as well as radiographic and CT findings. Bone marrow was collected from the iliac crest and the mononuclear fraction was separated with density gradient centrifugation. Cells were suspended in fibrin glue before BMMC administration and implanted via transcutaneous injection under IB or CT guidance, using a spinal needle directly inserted into the ossification centre between the anconeal process and the olecranon. Clinical and radiographic follow-up was performed for up to 6 months. Microradiographic assessment was performed on one dog that died of other causes. A progressive reduction of pain within 3 weeks after BMMC administration was observed in all dogs, with gradually increased weight bearing on the affected limb. Radiographic and CT follow-up revealed the progressive fusion of the ossification centre at 90 days without any signs of secondary OA. The examination of microradiographs showed newly formed bone tissue in which a residue of calcified cartilage was present at the site of BMMC implantation. On the basis of these results, BMMC therapy for grade 2 UAP may be considered to be an effective and minimally invasive treatment option for dogs.

Radiographic and Biochemical Evaluations of Postnatal Development of Bones of the Forelimb in Nigerian Indigenous Dogs.

Bone is a hard and resilient tissue structure that provides mechanical support for the body of an organism. This study was aimed to evaluate the radiographical and biochemical changes during postnatal bone development of forelimbs in Nigerian indigenous puppies from 2-week-old to 24-week-old. Six (6) Nigerian indigenous puppies were chemically restrained using chlorpromazine at 2 mg/kg I.M. and positioned using ropes and sandbags for mediolateral and craniocaudal views of bones of the forelimbs. At 2-week-old, radiographic evaluation of bones of the forelimbs were undertaken and continued bi-weekly up to 24-week-old. Serum samples were analysed from 4-week-old to 24-week-old at four weeks’ interval for mineral (electrolytes) using colometric method for calcium and phosphorus and flame photometry method for sodium and potassium. At 2-week-old, there was an ill-defined radiopaque secondary ossification centre at the proximal epiphysis and a small ovoid radiopaque structure at the distal epiphysis of the humerus. There was not any sign of secondary ossification centre at proximal and distal epiphyses of both radius and ulna. There was the presence of a small radiopaque (ill-defined) accessory carpal. 1st to 5th metacarpals were present together with the proximal, middle and distal phalanges of all digits except the 1st digit that has proximal and distal phalanges. From 20-week-old, fully developed carpals and bony structures were observed through 24-week-old where the commencement of fusion of apophyses of olecranon (proximal epiphysis of ulna) at the centre and acrophyses of metacarpals and phalanges. The mean values (mean ± SEM) from serum biochemistry of calcium, phosphate, sodium and potassium in mmol/L from this study were within the normal limits throughout the study. Conclusively, the complementary information from calcium, phosphate, sodium and potassium in this study showed that these elements are within the normal limit that suggests normal bone development during the study period, which stressed the importance of the knowledge on serial changes of bone development which could be useful in clinical practice.

Sonographic Correlation Between Distal Femoral Epiphysis Ossification Centre And Gestational Age From 28 Weeks To 40 Weeks In Population Of Faisalabad City

Gestational age assessment is one of the most important tool used for estimation of perinatal morbidity and mortality. Age estimation of fetus can be recorded with the help of various parameters such as biparietal diameter, abdominal circumference, head circumference, length of the kidneys, crown rump length, length of the long bones and ossification centers.

Medical management of a penile fracture with presumed pyelonephritis in a juvenile dog

A three-month-old male entire Bouvier des Flandres was presented for acute onset dysuria, haematuria, lethargy and severe pain on palpation of the penis. Further investigation revealed a parcellar fracture of the cranial separate ossification centre of the os penis and associated urinary tract infection with presumed pyelonephritis. Fluoroscopic retrograde urethrography was performed revealing intermittent urethral obstruction caused by displacement of the cranial bone fragment of the separate ossification centre of the os penis. The urethra was catheterised to realign the fragments and to permit urination and antibiotic treatment was started. The urinary catheter was kept in place for five days. After its removal, normal urination was observed with complete resolution of the clinical signs. Follow-up radiographs and ultrasound examination confirmed resolution of mechanical obstruction with fusion of part of the separate ossification centre and realignment of the displaced bony fragment.

Intra-articular displacement of an avulsed medial (internal) epicondyle ossification centre in the paediatric elbow: a radiographic finding not to be missed

We present the case of an 11-year-old girl who was presented to the Emergency Department with right elbow pain and swelling following a fall. Radiography demonstrated intra-articular displacement of an avulsed medial epicondyle ossification centre, which was not readily identified at presentation. She proceeded to an uncomplicated open reduction and internal fixation.

Ununited accessory caudal glenoid ossification centre and associated joint mouse as a cause of lameness in a cat

Case summary A 16-year-old neutered female domestic shorthair cat was evaluated for chronic lameness of the right thoracic limb. On clinical examination, pain was localised to the right glenohumeral joint. Radiography and arthrography of the right glenohumeral joint revealed an ununited accessory caudal glenoid ossification centre, abbreviated here to ununited caudal glenoid (UCG), and a joint mouse. The UCG and attached joint mouse were removed via arthroscopy and this resulted in complete resolution of the clinical signs. The cat was euthanased 3 years later, for an unrelated cause, having shown no recurrence of lameness. Relevance and novel information UCG should be considered as a differential diagnosis for cats with lameness of the thoracic limb. The clinical implications of a UCG have been described in dogs, but to our knowledge have not yet been described in cats. Excision of the UCG, as described in dogs, may be an effective treatment for this condition.

Displacement of an Ununited Medial Humeral Condylar Ossification Centre in the Cat

A 2-year-old cat was presented with the complaint of acute-onset non–weight-bearing lameness of the right forelimb. When examined, the cat was of short stature and had multiple joint and cartilaginous abnormalities suggestive of chondrodysplasia. The cause of the acute lameness was radiographically identified as a displaced osseous fragment from the medial portion of the right humeral condyle. The features of the osseous fragment were consistent with an ununited medial condylar ossification centre of the distal humerus. Furthermore, a nondisplaced ununited ossified fragment of similar appearance and size was present in the contralateral elbow. Surgical treatment by excision of the displaced fragment resulted in a preinjury level of limb function in the long-term outcome evaluation.

Binary and analogue markers of skeletal maturity: clinical utility of the thenar and plantar sesamoids

Purpose We investigate the thenar and plantar sesamoids as markers of skeletal maturity, and grade appearance using two scales, a binary system (absent or present), and an analogue system that relies upon judging regular changes in morphological appearance. Methods We studied 94 healthy children (49 female and 45 male patients) between ages three and 18 years who had approximately 700 serially acquired sets of radiographs and physical examinations. The children had at least annual radiographs taken of the left hand and left foot. Velocity of growth was calculated and curves were fit to a cubic spline model to determine age of maximum height velocity, or peak height velocity (PHV). Appearance of the plantar and thenar sesamoids was recorded using a binary system classifying the sesamoids as absent or present and an analogue system classifying the sesamoid as absent, present as a small ossification centre or larger than a small ossification centre. Results The plantar sesamoids appear 1.67 years before PHV and reach mature size 1.02 years after PHV. The thenar sesamoids appear 0.32 years before PHV and reach mature size 2.25 years after PHV. The plantar sesamoids are present and thenar sesamoids are absent at a mean 1.5 years prior to PHV. No patients had the thenar sesamoids present while the plantar sesamoids were absent. Conclusion As binary markers, when the plantar and thenar sesamoids are considered together it is possible to localize maturity. As analogue markers, they offer more information. The sesamoids also allow clarification of the calcaneal and Sanders stages. Level of Evidence Not Applicable.