Page 416 - Adams and Stashak's Lameness in Horses, 7th Edition
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382   Chapter 3




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            Figure 3.199.  MPR of a cyst‐like lesion of the distal   and a narrow communication with the joint through the abaxial
            tibia.Multiplanar reformatted CT images of the right tarsus of an   subchondral bone of the lateral cochlear groove (arrow). CT is the
            11‐year‐old Warmblood. There is a well‐defined round lucent area in   ideal modality to fully characterize the configuration of such a
            the lateral distal aspect of the tibia, with a minimal rim of sclerosis   lesion.



























            Figure 3.200.  CT MPR of osteoarthritis of the tarsometatarsal   periarticular osteoproliferation at the dorsomedial aspect of the
            joint.Multiplanar reformatted CT images of the left tarsus of an 8‐  proximal third metatarsal bone. There is enthesophytosis of the
            year‐old Quarter Horse gelding. Medial is to the left. There is marked   intertarsal ligament attachments on the third tarsal and metatarsal
            narrowing of the plantar joint space of the tarsometatarsal joint   bones (arrowheads). CT allows a very specific characterization of
            (arrow), with adjacent sclerosis of the subchondral bone. There is   the findings associated with osteoarthritis of the tarsometatarsal joint.



            detect cartilage defects,  whereas recent studies with higher   multiplanar reformatting is very helpful in identifying
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            spatial  resolution  (voxel  size  0.2 × 0.2 × 0.3 mm)  found   cartilage abnormalities (Figure 3.203).
            an 82% sensitivity.  This latter study actually demon­  CT arthrography of the carpus allows assessment of
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            strated that the sensitivity for identification of cartilage   the intercarpal ligaments, particularly the lateral and
            defects with CT arthrography (82%) was higher than   medial palmar intercarpal ligaments.  CT imaging of the
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            the sensitivity using a 3T MRI system (41%). This can   stifle remains limited due to size considerations, and
            be attributed to the difference in spatial resolution   typically larger gantries are needed. CT stifle arthrogra­
            between the two systems (3T MRI, 0.4‐mm pixel; CT,   phy has shown promising results for the evaluation of
            0.2‐mm pixel).  With high‐resolution images, the use of   the cruciate ligaments. 5,16,25  Superficial lesions of the
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