AI Article Synopsis
- Focal hyperintense lesions in horses' navicular bursa, associated with lameness, can be identified through T1-weighted MRI and are treated by removing these lesions via navicular bursoscopy.
- Research aimed to link MRI and bursoscopy findings, hypothesizing that surgery outcomes would relate to the size of lesions in the deep digital flexor tendon (DDFT).
- Data from 59 horses over 15 years showed a strong correlation between MRI and bursoscopy findings, but the size of the lesions did not influence recovery outcomes, with only 30.5% returning to prior activity levels.
Article Abstract
Background: Focal hyperintense lesions within the navicular bursa emanating from the dorsal border of the deep digital flexor tendon (DDFT) can be recognised on T1-weighted magnetic resonance images (MRI) and have been attributed to lameness in horses. Removal of these lesions, also referred to as synovial masses, by navicular bursoscopy is currently recommended.
Objectives: To investigate the correlation between MRI and navicular bursoscopic findings. It is hypothesised that the prognosis following surgery is proportional to the size of the DDFT lesion.
Study Design: Retrospective analysis of clinical records.
Methods: Horses undergoing standing low-field MRI and navicular bursoscopy with >1 year follow-up were included. A grading system was developed to classify the size of synovial mass(es) and lesion(s) of the DDFT on MRI and at surgery. Generalised estimating equations were used to evaluate the association between MRI findings and surgery and between outcome and severity of the tendon injury.
Results: Fifty-nine horses presenting over a 15-year period (2006-2021) fulfilled inclusion criteria. Ninety navicular bursae were examined both on MRI and endoscopically. There was strong correlation between the size of synovial masses and tendon lesions on MRI and bursoscopy (p < 0.001, OR: 25.61, 95% CI 8.71-75.29 and p < 0.001, OR: 7.34, 95% CI 2.70-19.92, respectively). Size of tendon lesion and synovial mass had no impact on prognosis (p = 0.3, OR: 1, 95% CI 1-1 and p = 0.1, OR: 1, 95% CI 1-1, respectively), which was guarded (30.5% return to previous level of exercise).
Main Limitations: Performance data for conservatively treated horses with MRI-detected synovial masses was not considered, nor was the effect of navicular bursal effusion. Horses were not randomly assigned to treatment protocols.
Conclusion: There is good correlation between MRI and bursoscopic findings of DDFT lesions and synovial masses within the navicular bursa, with no false positives. Size of the synovial masses and DDFT lesions does not influence prognosis following navicular bursoscopy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/evj.14040 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Outcome of Soft Tissue Popliteal Sarcomas: 15 Years of Experience.
Indian J Orthop
January 2025
Department of Orthopedics and Traumatology, Abdurrahman Yurtaslan Training and Research Hospital, Ankara, Turkey.
Background: Soft-tissue sarcoma involving the popliteal fossa remains challenging because it is difficult to achieve wide margins with limb salvage in this location. Adjuvant therapy is frequently necessary, and limb function can be adversely affected. We reviewed our experience with these tumors.
View Article and Find Full Text PDFTemporomandibular joint ganglion-induced external auditory canal obstruction associated with osteoarthritis: a case report.
J Surg Case Rep
December 2024
Department of Oral and Maxillofacial Surgery, Yao Municipal Hospital, 1-3-1, Ryugecho, Yao-city, Oaka 581-0069, Japan.
Ganglions are pseudocysts that develop from part of the joint capsule or tendon sheath and are filled with synovial fluid. In this report, we describe a case of external auditory canal obstruction caused by a temporomandibular joint (TMJ) ganglion that was thought to be related to osteoarthritis. A 62-year-old man with the chief complaint of swelling of the anterior wall of the left external auditory canal underwent cystectomy at the Department of Otorhinolaryngology.
View Article and Find Full Text PDFTenosynovitis with psammomatous calcifications: Series of 18 cases and review of the literature emphasizing a common source of expert consultation and updated differential diagnosis.
Virchows Arch
December 2024
Department of Pathology, The Johns Hopkins University School of Medicine, 401 N Broadway, Weinberg Building 2245, Baltimore, MD, 21231, USA.
Article Synopsis
- - Tenosynovitis with psammomatous calcifications (TPC) is a rare, non-cancerous condition that often affects women and is thought to result from repetitive use or trauma, commonly appearing at sites like the hands, feet, and wrists.
- - In a study involving 18 new cases, most patients presented with painful masses, and imaging often showed benign characteristics, but many of these cases were misdiagnosed as more serious conditions like gout or tumors.
- - Follow-up on patients (mostly for around 30 months) showed no local recurrences after surgical removal, highlighting the necessity for greater awareness among medical professionals regarding TPC.
Arthroscopic Management of Pigmented Villonodular Synovitis of the Hip: A Systematic Review.
J Clin Med
October 2024
Department of Pediatric Orthopaedic Surgery, Ospedale Infantile Regina Margherita, University of Turin, Piazza Polonia, 94, 10126 Turin, Italy.
: Pigmented villonodular synovitis (PVNS) is a benign proliferation of synovial tissue that can cause joint damage. The hip, although less commonly affected than the knee, presents a challenging diagnosis and treatment, with magnetic resonance imaging (MRI) as the gold standard for detection. Surgical excision, arthroscopic or open, is the main treatment approach, but there is no consensus on the best strategy for the hip.
View Article and Find Full Text PDFCase Report: Primary cardiac synovial sarcoma invading the tricuspid valve in a pregnant woman.
Front Cardiovasc Med
October 2024
Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun, China.
Article Synopsis
- - Primary cardiac synovial sarcoma (PCSS) is a rare and aggressive heart tumor with high mortality, particularly affecting pregnant women, leading to unclear treatment guidelines.
- - A 36-year-old pregnant woman at 29 weeks was hospitalized due to chest tightness; an echocardiogram revealed a mass near her tricuspid valve, necessitating cardiac surgery to prevent blockage.
- - After the mass and tricuspid valve were surgically removed and replaced, she successfully delivered a healthy baby, and the diagnosis of synovial sarcoma was confirmed via genetic testing; the patient had a 30-month survival post-surgery, marking a notable case in medical literature.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!