Caudal Joint Research Articles

Contrast arthrography of the equine temporomandibular joint.

Disorders of the equine temporomandibular joint (TMJ) cause clinical problems and detailed investigations of this joint are becoming more common. Specialist radiographic projections have the potential to highlight osseous abnormalities; however, the ability to assess the intra-articular soft tissue structures is currently limited to computed tomography (with, or without contrast enhancement) or magnetic resonance imaging. Both modalities are expensive and not readily accessible. To develop a technique of contrast arthrography of both compartments of the equine TMJ in cadavers and then perform the refined technique in three living horses as a proof-of-principle. A descriptive, experimental, study. Contrast arthrography of the discomandibular and discotemporal joint compartments of both TMJs was performed in 12 cadaveric equine heads using needles placed in the caudal pouches of the respective joint compartments. Radiographs were taken using previously published techniques, repeated with the mouth open and after air had been injected into the joints, to perform a double-contrast study. The TMJs of three healthy horses were subsequently examined to determine the validity of the procedure in live animals. Single and double-contrast arthrography allowed delineation of the dorsal and ventral surfaces of the intra-articular disc in addition to filling the rostral and caudal joint pouches of the independent joint compartments. Contrast extravasation was common, and in two instances iatrogenic disc penetration resulted in the false diagnosis of pathologic disc perforation. The techniques were well tolerated in all three live horses. Low number of horses. Contrast arthrography allows interpretation of intra-articular soft tissue structures, but caution is advised in diagnosing intra-articular disc perforation. Even with experience, accessing the discomandibular joint can be challenging.

Performance Optimization for Bionic Robotic Dolphin with Active Variable Stiffness Control.

Aquatic animals such as fish and cetaceans can actively modulate their body stiffness with muscle to achieve excellent swimming performance under different situations. However, it is still challenging for a robotic swimmer with bionic propulsion mode to dynamically adjust its body stiffness to improve the swimming speed due to the difficulties in designing an effective stiffness adjustment structure. In this paper, based on the special torque mode of a motor, we propose an active variable stiffness control method for a robotic dolphin to pursue better swimming speed. Different from a variable stiffness structure design, a torque control strategy for the caudal motor is employed to imitate the physical property of a torsion spring to act as the variable stiffness component. In addition, we also establish a dynamic model with the Lagrangian method to explore the variable stiffness mechanism. Extensive experiments have validated the dynamic model, and then the relationships between frequency and stiffness on swimming performance are presented. More importantly, through integrating the dynamic model and torque actuation mode-based variable stiffness mechanism, the online performance optimization scheme can be easily realized, providing valuable guidance in coordinating system parameters. Finally, experiments have demonstrated the stiffness adjustment capability of the caudal joint, validating the effectiveness of the proposed control method. The results also reveal that stiffness plays an essential role in swimming motion, and the active stiffness adjustment can significantly contribute to performance improvement in both speed and efficiency. Namely, with the adjustment of stiffness, the maximum speed of our robotic dolphin achieves up to 1.12 body length per second (BL/s) at 2.88 Hz increasing by 0.44 BL/s. Additionally, the efficiency is also improved by 37%. The conducted works will offer some new insights into the stiffness adjustment of robotic swimmers for better swimming performance.

Degenerative changes in the intervertebral joints of the cervical spine after anterior interbody fusion and intervertebral disc arthroplasty

Objective. To study the effect of arthroplasty and anterior interbody fusion in the cervical spine on degenerative changes in the adjacent intervertebral joints.Material and Methods. A retrospective cohort study included 46 patients (22 with cervical total disc arthroplasy – CTDA, and 24 with anterior cervical discectomy and fusion – ACDF) with symptoms of cervical spondylogenic compression myelopathy and/or radiculopathy. The degree of degeneration of facet joints adjacent to the operated segments was evaluated 12 months after surgical treatment. Degenerative changes in the cervical spine were assessed using CT according to the Okamoto classification. Vidar Dicom Viewer 3.2 software was used to view images and evaluate intervertebral joints. Statistical processing was performed using IBM SPSS Statistics 23. Data were presented as median and 25th and 75th percentiles – Me [Q1; Q3].Results. The mean age of patients in both groups was 47 [39; 52] years (Mann – Whitney U-test, p = 0.047). In the ACDF group it was 48 [42; 55] years and in the CTDA group – 42 [36; 52] years. Comparison of degenerative changes in the ACDF group before and after treatment (Wilcoxon analysis) showed a statistically significant difference in the cranial (p = 0.023), and caudal (p = 0.001) joints, with the progression of degeneration degree. In the CTDA group, no difference between pre- and post-treatment degeneration degree (Wilcoxon analysis) was found in either cranial joints (p = 0.157) or caudal joints (p = 0.161).Conclusion. Surgeries to stabilize spinal segments in degenerative diseases undeniably affect the development of the adjacent level syndrome. However, the use of endoprosthetic technology makes it possible to aggravate the degree of degenerative changes in the intervertebral joints of adjacent segments to a lesser extent.

Experimentally dissociating the overuse mechanisms of endplate fracture lesions and Schmorl's node injuries using the porcine cervical spine model

BackgroundCompared to the documented overuse mechanisms of endplate fracture lesions, the cause of Schmorl's node injuries remains unknown, despite existing hypotheses. Therefore, this study aimed to examine and dissociate the overuse injury mechanisms of these spinal pathologies. MethodsForty-eight porcine cervical spinal units were included. Spinal units were randomly assigned to groups that differed by initial condition (control, sham, chemical fragility, structural void) and loading posture (flexed, neutral). Chemical fragility and structural void groups involved a verified 49% reduction in localized infra-endplate trabecular bone strength and removal of central trabecular bone, respectively. All experimental groups were exposed to cyclic compression loading that was normalized to 30% of the predicted tolerance until failure occurred. The cycles to failure were examined using a general linear model and the distribution of injury types were examined using chi-squared statistics. FindingsThe incidence of fracture lesions and Schmorl's nodes was 31(65%) and 17(35%), respectively. Schmorl's nodes were exclusive to chemical fragility and structural void groups and 88% occurred in the caudal joint endplate (p = 0.004). In contrast, 100% of control and sham spinal units sustained fracture lesions, with 100% occurring in the cranial joint endplate (p < 0.001). Spinal units tolerated 665 fewer cycles when cyclically loaded in flexed postures compared to neutral (p = 0.015). Furthermore, the chemical fragility and structural void groups tolerated 5318 fewer cycles compared to the control and sham groups (p < 0.001). InterpretationThese findings demonstrate that Schmorl's node and fracture lesion injuries can result from pre-existing differences in the structural integrity of trabecular bone supporting the central endplate.

217. Improved outcomes with concurrent instrumentation and fusion of the sacroiliac joint in patients with long lumbosacral constructs

217. Improved outcomes with concurrent instrumentation and fusion of the sacroiliac joint in patients with long lumbosacral constructs

Diagnostic imaging of the equine cervical spine – Are radiographs enough?

Diagnostic imaging of the equine cervical spine – Are radiographs enough?

Effection of monoplanar pedicle screw on facet joint degeneration in thoracolumbar vertebral fractures

BackgroundThis study aimed to compare the clinical outcomes and effect on instrument-related facet joints between fixed-axis pedicle screw (FAPS) and monoplanar pedicle screw (MPPS).Methods816 pedicle screws of 204 patients with thoracolumbar vertebral fractures (TLVF) who underwent internal fixation surgery were analyzed in this retrospective study. All patients were divided into two groups (FAPS and MPPS). Preoperative, immediate postoperative, and 12–18-months postoperative CT and X-ray, and clinical data, including demographics, preoperative and immediate postoperative Visual Analogue Scale (VAS), blood loss (BL), operation time (OT) and hospital stay time (HST), were collected. Facet joint violation and degeneration grade were evaluated by CT according to Babu’s criteria and Weishaupt’s criteria respectively, and preoperative, immediate postoperative and 12–18-months postoperative anterior body compression index (ABCI) were measured by X-ray.ResultsPostoperative VAS of two groups was lower than preoperative VAS (p < 0.05). BL, OT, and HST were less in MPPS than FAPS, and the difference was statistically significant in BL and HST (p < 0.05) but no in OT (p > 0.05). Immediate postoperative and 12–18-months postoperative ABCI were significantly higher than preoperative (p < 0.05), and the difference of ABCI between immediate postoperative and 12–18-months postoperative were not significant in two groups (p > 0.05). Total violation rate (VR) was about 1.35% (11/816) and FAPS had a lower VR than MPPS, but no significant (p > 0.05). Weishaupt’s criteria revealed that average class (AC) was 0.69 in FAPS and 0.67 in MPPS, and the distribution of degenerated facet joints in two groups did not differ preoperatively (p > 0.05). In 12–18 months postoperatively, AC was significantly higher in FAPS than in MPPS, and the distribution of degenerated facet joints in two groups was significantly different (p < 0.05). The comparison of cranial to caudal joints in two groups revealed that cranial joints had more severe degeneration than caudal joints.ConclusionsThe findings suggested that both MPPS and FAPS were effective for patients with TLVF, but MPPS by percutaneous may be a better choice to avoid adjacent segment degeneration, especially the surgery-involved facet joints degeneration.

Measurement of Patellar Proximodistal Positioning with Limited Joint-Angle Sensitivity.

Patellar luxation can be associated with abnormal proximodistal positioning of the patella. The current gold standard index (Insall-Salvati) for referencing this position is poorly suited to postoperative use, if the tibial tuberosity is moved surgically, but has the advantage of changing minimally with altered joint angles. The aim of this study was to identify an alternative index, which was simple to use, joint-angle insensitive and suitable for postoperative use. Candidate indices based on the angle between stifle joint landmarks were screened across a wide range of joint angles for insensitivity to joint angle changes using vulpine and canine stifle radiographs. Intraobserver and interobserver agreements were assessed for a single candidate index using canine radiographs. An angular index based on the caudal aspect of the femoral and tibial condyles and the apex of the patella was largely insensitive to joint angle variation. Intra- and interobserver agreements appeared suitable for clinical use, with low within-subject standard deviations (<1.3°) and coefficients of variations (<2.2%), and high intraclass correlation coefficients (>0.89). Patellar proximodistal position can be acceptably assessed at a variety of caudal joint angles using the described angular index. Further work is required to define reference intervals across a range of canine breeds.

Features of the Femoral Proximocaudal Joint Capsule Insertion Among Canids.

This observational study was conducted to evaluate the anatomic relationship between the proximocaudal femoral joint capsule insertion and the femoral caudolateral curvilinear osteophyte (CCO), across ancient and modern domestic and non-domestic canids. Museum specimens of proximal femora were screened for presence of remnant enthesophytes of the caudal joint capsule insertion (first inclusion criterion) and then for the CCO (second inclusion criterion). The initially screened population included 267 dry bone specimens: Six Canis species, hybrid coyote × domestic dog, and five vulpines (three Vulpes species, one Urocyon, and one Nyctereutes). Proximocaudal joint capsule insertion remnant enthesophytes were limiting at n = 19 specimens: Seven ancient domestic dogs, four modern coyotes, two ancient coyotes, two modern hybrid coyote × dog, two modern red foxes, and two modern raccoon dogs. The joint capsule enthesophytes are associated with inflammation, but are observed far less frequently than the CCO. The CCO is seen radiographically but is visible more frequently by direct inspection. The primary inclusion criterion necessarily was a visible caudal joint capsule insertion; spatial relationships of the CCO can be assigned with confidence only when a capsule insertion line can be recognized clearly. We demonstrate that the anatomic CCO associates with the joint capsule insertion being nonspecific and species-independent. A joint capsule insertion-CCO spatial relationship across species is an important new observation, strongly indicating that both are pathological features. Our data indicate need for new research to characterize the canid coxofemoral joint and its overt and incipient pathology in a phylogenetic context. Anat Rec, 302:2164-2170, 2019. © 2019 American Association for Anatomy.

Vertebral lesions in a titanosaurian dinosaur from the Lower-Upper Cretaceous of Brazil

In this paper we describe macroscopically two types of bone lesions on a caudal vertebra of an indeterminate titanosaur recovered from the Lower-Upper Cretaceous (Albian-Cenomanian) Açu Formation in the Potiguar Basin, Brazil. The first type of lesion corresponds to cystic lesions on cranial and caudal joint surfaces of the vertebral body, which are identified as subchondral cysts. The second type of lesion corresponds to an irregular bone overgrowth located on longitudinal ligament insertion points. This ossification can be associated with an axial spondyloarthropathy or diffuse idiopathic skeletal hyperostosis (DISH). Bone overgrowth on vertebrae is well documented in the dinosaur fossil record, whereas this is only the second case recorded of subchondral cysts.

Experimental determination of three-dimensional cervical joint mobility in the avian neck

BackgroundBirds have highly mobile necks, but neither the details of how they realize complex poses nor the evolution of this complex musculoskeletal system is well-understood. Most previous work on avian neck function has focused on dorsoventral flexion, with few studies quantifying lateroflexion or axial rotation. Such data are critical for understanding joint function, as musculoskeletal movements incorporate motion around multiple degrees of freedom simultaneously. Here we use biplanar X-rays on wild turkeys to quantify three-dimensional cervical joint range of motion in an avian neck to determine patterns of mobility along the cranial-caudal axis.ResultsRange of motion can be generalized to a three-region model: cranial joints are ventroflexed with high axial and lateral mobility, caudal joints are dorsiflexed with little axial rotation but high lateroflexion, and middle joints show varying amounts axial rotation and a low degree of lateroflexion. Nonetheless, variation within and between regions is high. To attain complex poses, substantial axial rotation can occur at joints caudal to the atlas/axis complex and zygapophyseal joints can reduce their overlap almost to osteological disarticulation. Degrees of freedom interact at cervical joints; maximum lateroflexion occurs at different dorsoventral flexion angles at different joints, and axial rotation and lateroflexion are strongly coupled. Further, patterns of joint mobility are strongly predicted by cervical morphology.ConclusionBirds attain complex neck poses through a combination of mobile intervertebral joints, coupled rotations, and highly flexible zygapophyseal joints. Cranial-caudal patterns of joint mobility are tightly linked to cervical morphology, such that function can be predicted by form. The technique employed here provides a repeatable protocol for studying neck function in a broad array of taxa that will be directly comparable. It also serves as a foundation for future work on the evolution of neck mobility along the line from non-avian theropod dinosaurs to birds.

Arthroscopic resection of the acromioclavicular joint

Arthroscopic resection of the painful and degenerative altered acromioclavicular (AC) joint without destabilization of the joint and therefore pain relief and improvement in function. Conservative failed therapy of painful AC joint osteoarthritis. Impingement caused by caudal AC joint osteophytes. Lateral clavicular osteolysis. General contraindications (infection, local tumor, coagulation disorders), higher grade instability of the AC joint (resection only together with stabilization). Diagnostic glenohumeral arthroscopy. Treatment of accompanying lesions (subacromial impingement, rotator cuff, long head of biceps). Subacromial arthroscopy with bursectomy (partial) and visualization of the AC joint. Resection of caudal osteophytes. Localization of the anterior portal using a spinal needle in the outside-in technique. Resection of 2-3 mm of the acromial side and the 3-4 mm of the clavicular side with shaver/acromionizer. An isolated open AC joint resection was performed in 9 studies and an arthroscopic resection in 6 studies. Good and very good results were obtained in 79% (range 54-100%) in open resection and 91% (range 85-100%) in arthroscopic resections. Patients were able to return to activities of daily life more quickly after arthroscopic resections than after open surgery.

X-ray motion analysis of the vertebral column during the startle response in striped bass,Morone saxatilis

Whole-body stiffness has a substantial impact on propulsive wave speed during axial undulatory locomotion in fishes. The connective tissues of the vertebral column may contribute to body stiffness, but without mechanical and kinematic analysis it is unclear whether the in vivo range of motion of intervertebral joints (IVJs) is great enough to stress IVJ tissues, thus generating stiffness. The present study used 2D videoradiography and 3D X-ray reconstruction of moving morphology (XROMM) to quantify vertebral kinematics during the startle response in striped bass (Morone saxatilis). X-ray video revealed two distinct patterns of bending: pattern I begins in the abdominal region and then proceeds to maximum IVJ angles in the caudal region, whereas pattern II begins in the cervical region and proceeds to maximum IVJ angles in the abdominal and then the caudal joints. In pattern II bends, the cervical joints exhibit a greater in vivo range of motion than previously reported in other species. XROMM analysis of caudal IVJs suggests primarily lateral bending: mean axial and dorsoventral rotations were less than 2 deg and inconsistent across 51 sequences analyzed from five individuals, whereas mean maximum lateral bending angles were 10.4±3.57 deg. These angles, combined with previous investigations of mechanical properties, reveal that the maximum angles all occur within the neutral zone of bending, indicating that little stress is experienced about the joint. This suggests that the IVJs of striped bass are quite compliant and likely do not contribute significantly to whole-body stiffness or elastic recoil during swimming in vivo.

Effects of transection of the cranial arm of the medial glenohumeral ligament on shoulder stability in adult Beagles

To assess the effects of arthroscopic transection of the cranial arm of the medial glenohumeral ligament on shoulder stability. Six adult Beagles. After transection, the effects were compared with baseline values by orthopaedic and radiographic examinations, by synovial fluid analysis at two, four, and six weeks, and by arthroscopic evaluation at six weeks. The articular surfaces of the glenoid cavity and humeral head were evaluated radiographically and arthroscopically for evidence of arthritis, and five intra-articular regions were examined arthroscopically for villus reactions and vascularisation. According to orthopaedic examinations (including measurement of the abduction angle), radiography, and synovial fluid analyses, there were no abnormal findings. Arthroscopically, the articular surfaces of the glenoid cavity and humeral head showed no signs of degeneration, but the craniomedial and caudal joint capsules had significant villus reactions and the subscapularis tendon and medial glenohumeral ligament had significant vascularisation. The biceps tendon was unchanged. Transection of the cranial arm of the medial glenohumeral ligament in normal Beagles did not appear to affect shoulder stability. However, villus reactions and vascularisation in the medial compartment suggest that damage to the medial glenohumeral ligament may trigger a process in which inflammation can lead to enzymatic breakdown of cartilage. Exacerbated by weight bearing and repetitive motion, this may result in shoulder instability over time.

Clinical application of combined fixation in the cervical spine using posterior transfacet screws and pedicle screws

The aim of the present study was to describe the clinical application of combined fixation in the cervical spine using posterior transfacet and pedicle screws. Ten patients with cervical disorders requiring stabilization were treated from May 2006 to December 2008. The operative details varied depending on indication, the need for decompression, and the number of levels to be included in the spinal construct. Radiographic analysis of the fusion was performed after surgery. A total of 23 transfacet screws were inserted at or caudal to the C4/5 facet. A total of 21 pedicle screws were placed. All patients underwent operative treatment without neurovascular complications. Fusion was achieved in all patients. When performed appropriately, the method of using posterior transfacet screws in the caudal cervical joints combined with pedicle screw fixation in the cephalic cervical spine is reliable and deserves more widespread use.

Functional Synergies Underlying Control of Upright Posture during Changes in Head Orientation

BackgroundStudies of human upright posture typically have stressed the need to control ankle and hip joints to achieve postural stability. Recent studies, however, suggest that postural stability involves multi degree-of-freedom (DOF) coordination, especially when performing supra-postural tasks. This study investigated kinematic synergies related to control of the body’s position in space (two, four and six DOF models) and changes in the head’s orientation (six DOF model).Methodology/Principal FindingsSubjects either tracked a vertically moving target with a head-mounted laser pointer or fixated a stationary point during 4-min trials. Uncontrolled manifold (UCM) analysis was performed across tracking cycles at each point in time to determine the structure of joint configuration variance related to postural stability or tracking consistency. The effect of simulated removal of covariance among joints on that structure was investigated to further determine the role of multijoint coordination. Results indicated that cervical joint motion was poorly coordinated with other joints to stabilize the position of the body center of mass (CM). However, cervical joints were coordinated in a flexible manner with more caudal joints to achieve consistent changes in head orientation.Conclusions/SignificanceAn understanding of multijoint coordination requires reference to the stability/control of important performance variables. The nature of that coordination differs depending on the reference variable. Stability of upright posture primarily involved multijoint coordination of lower extremity and lower trunk joints. Consistent changes in the orientation of the head, however, required flexible coordination of those joints with motion of the cervical spine. A two-segment model of postural control was unable to account for the observed stability of the CM position during the tracking task, further supporting the need to consider multijoint coordination to understand postural stability.

A cranial intercondylar arthroscopic approach to the caudal medial femorotibial joint of the horse

Current noninvasive techniques for imaging the soft tissue structures of the stifle have limitations. Arthroscopy is commonly used for the investigation and treatment of stifle pain. Cranial and caudal arthroscopic approaches to the femorotibial joints are used. However, complete examination of the axial aspect of the medial femorotibial joint (MFTJ) is not possible currently. To develop a cranial approach to the caudal pouch of the MFTJ and to assess whether it would allow a more complete examination of the compartment and facilitate the caudomedial approach. The regional anatomy was reviewed and the technique developed on cadavers. A series of nonrecovery surgeries were performed to evaluate the procedure, which was then used in 7 clinical cases. Advantages compared to existing techniques and complications encountered were recorded. Successful entry into the caudal pouch of the MFTJ was achieved in 20 of 22 cadaver legs, 8 of 8 joints of nonrecovery surgery horses and 6 of 7 clinical cases operated. The caudal ligament of the medial meniscus could be visualised, along with other axial structures of the caudal joint pouch. The technique was used to facilitate a caudomedial approach and allowed better triangulation within the joint space. Complications were minor and included puncture of the caudal joint capsule and scoring of the axial medial femoral condyle. It is possible to access the caudal pouch of the MFTJ arthroscopically using a cranial intercondylar approach. The technique has advantages when compared to existing techniques and is associated with few significant complications. A cranial approach to the caudal pouch of the MFTJ could complement existing techniques and be useful clinically.

POWER REDUCTION BY CONTROLLING JOINT COMPLIANCE FOR THE PROPULSION OF A BIOMIMETIC UNDERWATER VEHICLE

The work describes a compliance control scheme for the caudal joint motion of a biomimetic autonomous underwater vehicle (BAUV). The purpose of the control method is to use the motor power more effectively for propulsion. A symmetric foil executing large-amplitude sway and yaw motions in a flow imitates a flapping tail fin which is used as the propulsive device of BAUV. Motions of the oscillating foil are then actuated by motors through springs. A control method was derived for the determination of the spring compliance for better use of the motors’ driving power. It is verified that the compliance control method can reduce the amount of energy for the foil propulsion and is beneficial for the energy saving design for future BAUVs.

Duas abordagens artroscópicas para a articulação escapulo umeral no cão

O objetivo deste trabalho foi estudar em cadáveres de cães a exeqüibilidade do exame das estruturas intra-articulares através de duas diferentes abordagens artroscópicas da articulação escápulo-umeral. As articulações constituíram dois grupos: (A) o portal artroscópico foi estabelecido cranial e o portal instrumental caudal ao processo acromial; (B) o portal artroscópico foi confeccionado caudal e o portal instrumental cranial ao processo acromial. Durante o exame, procurou-se avaliar a possibilidade de visibilização concomitante com o toque através de sonda nas estruturas intra-articulares: cartilagem da cabeça do úmero (cranial, media e caudal), cavidade glenóide, tendão do músculo bíceps braquial, tendão do músculo subescapular, ligamento glenoumeral medial e lateral e bolsa articular caudal. As estruturas localizadas na porção cranial e média da articulação foram mais bem examinadas pela abordagem artroscópica realizada no grupo B, enquanto que aquelas estruturas situadas na porção média e caudal da articulação foram mais bem acessadas pela técnica utilizada no grupo A. Em nenhuma das abordagens, o ligamento glenoumeral lateral foi satisfatoriamente examinado.

Intra-articular analgesia of the elbow joint

be used to medicate the elbow joint with, for example, intra-articular corticosteroids and hyaluronan. ANATOMY The elbow joint is formed between the distal humerus and proximal aspects of the radius and ulna. The eccentrically placed collateral ligaments along with the concentric articulation between the trochlea and trochlear notch restrict movement to the sagittal plane1.The olecranon extends proximally a considerable distance above the elbow joint itself. The cranial joint pouch of the elbow extends from the supracondylar fossa of the humerus to the proximal radius. The caudal joint pouch extends caudal to the humeral condyle thinning as it extends proximal to the olecranon process. The ulnaris lateralis bursa forms a synovial space between the ulnaris lateralis muscle and the lateral coronoid process of the ulna. The ulnaris lateralis bursa has been shown to communicate with the elbow joint in 47.5% of joints in a cadaver study2 in which 40 joints were injected with methyl methacrylate. Therefore the approach to the caudal joint pouch through this bursa is not recommended.