Page 459 - Adams and Stashak's Lameness in Horses, 7th Edition
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Diagnostic Imaging   425




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                              A                                 B
             Figure 3.250.  Dorsal proton density image with fat saturation   in the medial femoral condyle and the axial margin of the medial
             (A) and dorsal short tau inversion recovery (STIR) image (B) of the   tibial plateau suggestive of abnormal bone fluid (black arrows).
             left stifle of a horse with a tear of the cranial horn of the medial   Source: Courtesy of Dr. Carter Judy.
             meniscus (white arrow). There is intraosseous signal hyperintensity




             Moreover, the cranial cruciate ligament is supposed to   Cartilage Lesions
             be heavily subjected to magic angle artifact in closed   Cartilage erosions are readily visible in the stifle
             high‐field  magnets  with  the  patient  in  lateral  recum­  thanks to the innately thicker cartilage than in distal limb
                  87
             bency.  Magic angle effect was also consistently seen in   joints. Focal cartilage erosions are more easily recognized
             the cranial cruciate ligament with the horse in dorsal   than generalized thinning of degenerative cartilage.
             recumbency and the stifle positioned in extension in an   Invariably cartilage erosions are accompanied by an
             open low‐field 0.25‐T magnet. Therefore, the internal   increase in subchondral fluid and STIR signal intensity. 87
             signal of the ligament should never be assessed on T1
             images only,  but evaluation should also include short
                        87
             TE sequences. Thickening of the cranial cruciate liga­  References
             ment with internal signal changes in T1 and PD images
             has been described as the most consistent finding in cra­  1.  Aarsvold S, Solano M, Garcia‐Lopez J. Magnetic resonance imag­
             nial cruciate ligament injury.  Increased STIR or T2 sig­  ing following regional limb perfusion of gadolinium contrast
                                     87
                                                                    medium in 26 horses. Equine Vet J 2018;50:649–657.
             nal was rarely present, possibly because of the chronic   2.  Adrian AM, Koene M, Roberts S, et al. The influence of tempera­
             course of the lameness in such patients before MRI was   ture and age on the T1 relaxation time of the equine distal limb.
             undertaken.  Other MRI findings associated with cru­   Vet Radiol Ultrasound 2012;53:296–303.
                       87
             ciate ligament injury include joint effusion and osseous   3.  Arble JB, Mattoon JS, Drost WT, et al. Magnetic resonance imag­
             fluid at the femoral origin and/or tibial insertion of the   ing of the initial active stage of equine laminitis at 4.7 T. Vet
                                                                    Radiol Ultrasound 2009;50:3–12.
             affected cruciate ligament. 87,111  Although one low‐field   4.  Barber MJ, Sampson SN, Schneider RK, et al. Use of magnetic
             study almost always found concurrent meniscal abnor­   resonance imaging to diagnose distal sesamoid bone injury in a
             malities in horses with cruciate ligament injury,  others   horse. J Am Vet Med Assoc 2006;229:717–720.
                                                     187
             have not shared this observation using high‐field MRI.    5.  Barrett MF, Manchon PT, Hersman J, Kawcak CE. Magnetic reso­
                                                            87
                                                                    nance imaging findings of the proximal metacarpus in Quarter
             Caudal cruciate ligament injuries are generally consid­  Horses used for cutting: retrospective analysis of 32 horses 2009–
             ered to be rare. 87                                    2012. Equine Vet J 2018;50:172–178.
                                                                  6.  Barrett MF, Selberg KT, Johnson SA, et al. High field magnetic
                                                                    resonance imaging contributes to diagnosis of equine distal tarsus
             Bone Contusions                                        and proximal metatarsus lesions: 103 horses.  Vet Radiol
                                                                    Ultrasound 2018;59:587–596.
               Bone contusion, bone edema, or bone marrow lesions   7.  Bathe A. The foot and pastern. In Equine MRI. R.C. Murray, ed.
             are a common finding in the femoral and tibial epiphy­  Wiley Blackwell, Oxford, UK, 2011;491–512.
             ses, either as a primary abnormality or in association   8.  Biggi M, Dyson S. Comparison between radiological and mag­
             with other injuries of the stifle (cruciate or meniscal   netic resonance imaging lesions in the distal border of the navicu­
                                                                    lar bone with particular reference to distal border fragments and
             injuries, osteochondritis dissecans, cartilage erosions,   osseous cyst‐like lesions. Equine Vet J 2010;42:707–712.
             and osseous cyst‐like lesions). 111,187,188  Primary bone con­  9.  Biggi M, Dyson S. High‐field magnetic resonance imaging investi­
             tusion generally develops as a consequence of subchon­  gation of distal border fragments of the navicular bone in horses
                                                                    with foot pain. Equine Vet J 2011;43:302–308.
             dral bone trauma, and osseous fluid signal   typically   10.  Biggi M, Dyson S. Distal border fragments and shape of the navic­
             begins in the subchondral region and radiates into the   ular bone: radiological evaluation in lame horses and horses free
             trabecular bone of the medullary cavity.               from lameness. Equine Vet J 2012;44:325–331.
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