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Osteochondrosis (OC) is a focal disturbance of endochondral ossification due to a failure of blood supply to the epiphyseal growth cartilage. In dogs, OC most commonly affects the shoulder joint, followed by the elbow, tarsal, and stifle joints. The condition is associated with clinical signs such as lameness and pain and the prognosis varies depending on the affected joint. Most epidemiologic studies of OC in dogs were performed over 20 years ago, and updated estimates of disease incidence are lacking. Therefore, the objectives of this study were to provide population-based estimates of the incidence rate, cause-specific mortality rate, and age at diagnosis of appendicular OC (AOC, including OC of the shoulder, elbow, stifle, and tarsal joints) and stifle and tarsal OC separately, using data from Agria Djurförsäkring in Sweden (2011-2016). Further, the study aimed to evaluate the risk of OC in subgroups divided by breed and sex and describe previous, concurrent, and subsequent diagnoses of the affected joint in dogs with stifle or tarsal joint OC. The study population included just over 600,000 dogs, of which 685 were affected by AOC. Stifle joint OC (n = 113) was more common than tarsal joint OC (n = 80). The incidence rate of AOC was 3.77 (95% confidence interval (CI): 3.49-4.07) cases per 10,000 dog-years at risk, while the incidence rate of stifle and joint tarsal OC was 0.64 (95% CI: 0.53-0.77) and 0.43 (95% CI: 0.34-0.54) cases per 10,000 dog-years at risk, respectively. All breeds at increased risk of AOC were large or giant, and male dogs had an increased risk of AOC compared to female dogs (RR 1.76, 95% CI: 1.50-2.07, p < 0.001). The median age at first diagnosis during the study period was 0.74 (0.32-11.5) years for AOC, 2.62 (0.45-8.82) years for stifle joint OC, and 0.73 (0.35-7.35) years for tarsal joint OC. Of the dogs with stifle or tarsal joint OC, 30.2% and 15.0% had a previous diagnosis of stifle/tarsal joint pain or other unspecific clinical signs, respectively, and 13.8% of the dogs with stifle joint OC suffered subsequent cruciate ligament rupture. Osteochondrosis was the most common reason for euthanasia in the affected dogs. In total, 77 dogs were euthanised due to AOC during the study period.

BACKGROUND: Osgood-Schlatter disease (OSD) is the most common knee pain complaint among adolescents playing sports. Despite this, there remains controversy over the pathophysiology and whether specific anatomical characteristics are associated with OSD.
OBJECTIVE: This study aimed to systematically and comprehensively characterize adolescents with OSD using magnetic resonance imaging (MRI) compared to pain-free controls, including both tissue abnormalities that may be associated with OSD, as well as anatomical characteristics. A secondary objective was to identify potential imaging biomarkers associated with pain.
METHODS: Cross-sectional study.
METHODS: Adolescents with OSD and controls were recruited from 2020 to 2022. Following a clinical exam, demographics, pain, sports participation, and Tanner stage were collected. Knee MRI was conducted on the participants\' most symptomatic knee (OSD) or the dominant leg (controls).
RESULTS: Sixty-seven adolescents (46 with OSD and 30 controls) were included. 80% of participants with OSD had at least one tissue alteration compared to 54% of controls. Compared to controls, OSD had 36.3 (95%CI 4.5 to 289.7) higher odds of bony oedema at the tibial tuberosity, and 32.7 (95%CI 4.1 to 260.6) and 5.3 (95%CI 0.6 to 46.2) higher odds of bony oedema at the  tibial epiphysis and metaphysis respectively. Participants with OSD also had higher odds of fluid/oedema at the patellar tendon (12.3 95%CI 3.3 to 46.6), and superficial infrapatellar bursitis (7.2).  Participants with OSD had a more proximal tendon attachment (mean tibial attachment portion difference, -0.05, 95% CI: -0.1 to 0.0, p = 0.02), tendon thickness (proximal mean difference, -0.09, 95% CI: -0.4 to 0.2, p = 0.04; distal mean difference, -0.6, 95% CI: -0.9 to -0.2, p = 0.01). Those with bony/tendon oedema had 1.8 points (95% CI: 0.3 to 3.2) higher pain on palpation than those without (t = -2.5, df = 26.6, p = 0.019), but there was no difference between these groups in a functional single leg pain provocation.
CONCLUSIONS: Adolescents with OSD present with tissue and structural abnormalities on MRI that differed from age-matched controls. The majority had findings in the patellar tendon and bone, which often co-occurred. However, a small proportion of OSD also presents without alterations. It appears these findings may be associated with clinical OSD-related pain on palpation of the tibial tuberosity.
CONCLUSIONS: Our highlight the pathophysiology on imaging, which has implications for understanding the mechanism and treatment of OSD.

Tibial tubercle avulsion fractures (TTAFs) are rare but typical in children and adolescents and Osgood-Schlatter disease (OSD) may be involved in their pathogenesis. However, few publications have reported the relationship between OSD and TTAF. A 16-year-old healthy male adolescent presented with pain, swelling and limited range of motion of the right knee following sudden acceleration while running. Based on the radiographic evidence, the patient was diagnosed with an avulsion fracture of the right tibial tubercle and OSD. Open reduction and internal fixation were performed using two cannulated screws and two Kirschner wires. The patient returned to preinjury activity levels at the 12-month follow-up postoperatively. This case report aimed to highlight this unique injury pattern. For patients with TTAFs, not only should the fracture be treated, but the cause of the fracture, such as OSD, should also be given appropriate treatment.

Subchondral cystic lesions (SCL) in the medial femoral condyle are a usual finding in Thoroughbred survey and auction repository radiographs. Several treatments with different outcomes have been studied over the years to improve soundness and racing prognosis. Our objective was to report the racing prognosis in Thoroughbred yearlings intended for racing that were diagnosed with SCL in the medial femoral condyle and were treated using four current and different techniques: intralesional injection of corticosteroids, SCL debridement through the joint with a drill bit, translesional cortical screw placement, and absorbable hydroxyapatite implant placement. Data from 182 Thoroughbred yearlings treated for SCL in the medial femoral condyle were collected from 2014 to 2020. Limb affected, age at surgery, sex, and radiographic measurements of the SCL were recorded. Auction price and racing performance were collected for treated horses and compared to 154 maternal siblings free of medial femoral condyle SCL. Analyses were conducted to assess if racing prognosis was affected by SCL size, to detect differences in auction price and selected flat racing outcome parameters between cases and controls, and to compare racing prognosis between the studied treatments. Mares and lesions located in the right stifle were significantly overrepresented. The auction price of treated horses was significantly lower than that of their siblings. Horses treated for SCL had significantly lower chances to start in a race than controls (59% vs. 74% respectively). Wider SCL negatively affected the chances to start at least in one race, and negatively affected the earnings made in the 2-year-olds\' racing year. Horses with SCL treated using a bioabsorbable implant had a significantly higher median in starts as 3-year-olds (seven starts) than horses that had the SCL debrided with a drill bit (three starts). In conclusion, Thoroughbred yearlings treated for a medial femoral condyle SCL had lower auction prices and decreased ability to start a race compared to siblings\' wider cysts had worse prognosis to start a race and might affect earnings as 2-year-olds; and horses treated with bioabsorbable composite implant placement had more starts as 3-year-olds than with other techniques.

BACKGROUND: Madelung\'s deformity is a congenital or acquired growth disorder of the forearm that can lead to significant impairments in the quality of life of affected patients. Various surgical treatment options for the condition have been described in the literature. This study aimed to investigate whether physiolysis with resection of the Vickers ligament can successfully halt the progression of the disease in a cohort of young patients, as would be expected based on existing literature on this topic.
METHODS: An analysis was performed on the records of all patients with Madelung\'s deformity who were primarily treated with physiolysis with resection of the Vickers ligament between January 2001 and June 2017. Patients were invited for follow-up examinations, and surgical outcome was assessed. Parameters evaluated included pain at rest and under load, range of motion of the wrists, and activity level. Additionally, standard X-rays and radiological measurements were performed for each operated wrist. The collected data was compared with the preoperative data from patient records.
RESULTS: Nine wrists were included in the study. The average age at the time of surgery was 13.2 years, and the average follow-up period was five years. Extension and ulnar abduction showed a slight decrease from preoperative to follow-up, while flexion improved minimally, and radial abduction and forearm rotation showed noticeable improvement. The visual analogue scale score for pain at rest increased from preoperative 0.25 points to 1.88 points at follow-up. Under load, the average pain score increased from 2.00 to 4.25 points. The mean DASH score increased from 6.04 points before the surgical procedure to 12.20 points at follow-up. The average values of two out of the five measured McCarroll parameters increased, the increase being statistically significant for lunate subsidence. A follow-up procedure was required in one wrist.
CONCLUSIONS: In our cohort, the progression of Madelung\'s deformity was only partially halted by physiolysis with resection of the Vickers ligament, and a significant increase in pain symptoms during the study period could not be avoided. Therefore, this procedure should be used cautiously in skeletally immature patients.
UNASSIGNED: Die Madelung-Deformität ist eine angeborene oder erworbene Wachstumsstörung des Unterarmes, die für betroffene Patienten mit erheblichen Einschränkungen der Lebensqualität einhergehen kann. In der Literatur wurden verschiedene Möglichkeiten der operativen Therapie der Erkrankung beschrieben. Mit der vorliegenden Studie sollte der Frage nachgegangen werden, ob die Physiolyse mit Resektion des Vickers-Bandes die Progredienz der Erkrankung in einem eigenen jungen Patientenkollektiv erfolgreich aufhalten konnte, wie es anhand der bisherigen Literatur zu diesem Thema zu erwarten wäre.
METHODS: Die Akten aller Patienten mit Madelung-Deformität, die zwischen Januar 2001 und Juni 2017 primär mit einer Physiolyse mit Resektion des Vickers-Bandes behandelt worden sind, wurden retrospektiv ausgewertet. Die Patienten wurden zu einer Nachuntersuchung eingeladen und bezüglich des OP-Outcomes untersucht. Erhoben wurden Schmerzen in Ruhe und unter Belastung, der Bewegungsumfang der Handgelenke und das Aktivitätsniveau. Zudem wurden von jedem operierten Handgelenk Röntgenbilder in zwei Ebenen angefertigt und radiologische Messungen durchgeführt. Die so erhobenen Daten wurden mit den Daten aus den Patientenakten verglichen.
UNASSIGNED: 9 Handgelenke wurden eingeschlossen. Das Durchschnittsalter zum Zeitpunkt der Operation lag bei 13,2 Jahren, der durchschnittliche Nachbeobachtungszeitraum betrug 5,0 Jahre. Die Extension und Ulnarduktion nahmen von präoperativ bis zur Nachuntersuchung leicht ab, während sich die Beugung minimal sowie die Radialduktion und die Unterarmdrehung erkennbar verbesserten. Der Punktwert für Ruheschmerzen auf der visuellen Analogskala stieg von präoperativ 0,25 Punkten auf 1,88 Punkte zum Zeitpunkt der Nachuntersuchung. Unter Belastung stieg der durchschnittliche Punktwert für Schmerzen von 2,00 auf 4,25 Punkte. Der mittlere DASH-Score stieg von 6,04 Punkten vor der Operation auf 12,20 Punkte zum Zeitpunkt der Nachuntersuchung. Die Durchschnittswerte von zwei der fünf gemessenen McCarroll-Parameter stiegen an, im Fall der Absenkung des Os Lunatum statistisch signifikant. Bei einem Handgelenk war ein Folgeeingriffe erforderlich.
UNASSIGNED: Die Progredienz der Madelung-Deformität konnte in unserem Kollektiv durch die Physiolyse mit Resektion des Vickers-Bandes nur teilweise aufgehalten und eine signifikante Zunahme der Schmerzsymptomatik im Untersuchungszeitraum nicht vermieden werden. Bei Patienten, die vor Abschluss ihres Längenwachstums stehen, sollte dieses Verfahren daher mit Zurückhaltung eingesetzt werden.

BACKGROUND: The neuro-central synchondrosis (NCS) is a physis responsible for the growth of the dorsal third of the vertebral body and neural arches. When the NCS of pigs is tethered to model scoliosis, stenosis also ensues. It is necessary to describe the NCS for future evaluation of its potential role in equine spinal cord compression and ataxia (wobbler syndrome).
OBJECTIVE: To describe the NCS, including when it and other physes closed in computed tomographic (CT) scans of the cervical spine of foals, due to its potential role in vertebral stenosis.
METHODS: Post-mortem cohort study.
METHODS: The cervical spine of 35 cases, comprising both sexes and miscellaneous breeds from 153 gestational days to 438 days old, was examined with CT and physes scored from 6: fully open to 0: fully closed. The dorsal physis, physis of the dens and mid-NCS were scored separately, whereas the cranial and caudal NCS portions were scored together with the respective cranial and caudal vertebral body physes.
RESULTS: The NCS was a pair of thin physes located in a predominantly dorsal plane between the vertebral body and neural arches. The mid-NCS was closed in C1 from 115 days of age, and in C2-C7 from 38 days of age. The dorsal physis closed later than the NCS in C1, and earlier than the NCS in C2-C7. The dens physis was closed from 227 days of age. The cranial and caudal physes were closing, but not closed from different ages in the different vertebrae of the oldest cases.
CONCLUSIONS: Hospital population.
CONCLUSIONS: The NCS was a thin physis that contributed mainly to height-wise growth, but also width- and length-wise growth of the vertebral body and neural arches. The mid-NCS was closed in all cervical vertebrae from 115 days of age. The NCS warrants further investigation in the pathogenesis of vertebral stenosis.
UNASSIGNED: La sincondrosis neuro‐central (NCS) es la fisis responsable del crecimiento del tercio dorsal del cuerpo vertebral y de los arcos neurales. Cuando la NCS en cerdos se asocia a un modelo de escoliosis, también se produce estenosis. Es necesario describir la NCS para la futura evaluación de su rol potencial en la comprensión de la medula espinal equina y ataxia (síndrome de Wobbler).
OBJECTIVE: Describir la NCS incluyendo cuando ella y otras fisis se cierran, por tomografía computarizada (CT) de la columna cervical de potrillos, debido a su rol potencial en la estenosis vertebral. DISEÑO DEL ESTUDIO: Estudio de cohorte post‐mortem. MÉTODOS: La columna cervical de 35 casos, incluyendo ambos sexos y diferentes razas, desde 153 días gestacionales hasta 438 días de edad, fueron examinadas por CT y las fisis fueron dadas un puntaje de, 6: completamente abiertas a, 0: completamente cerradas. La fisis dorsal, la fisis del hueso odontoides y NCS media fueron evaluadas en forma separada, mientras las porciones de NCS craneal y caudal fueron evaluadas juntas con las respectiva fisis del cuerpo vertebral craneal y caudal.
RESULTS: La NCS es un par de fisis delgadas localizadas predominantemente en el plano dorsal entre el cuerpo vertebral y los arcos vertebrales. La NCS media estaba cerrada en C1 desde los días 115 de edad, y en C2‐C7 a partir de los 38 días de edad. La fisis dorsal se cerró más tarde que la NCS en C1, y antes que la NCS en C2‐C7. La fisis del hueso odontoides estaba cerradas a partir de los 227 días de edad. Las fisis craneal y caudal estaban cerrándose, pero no estaban cerradas a distintas edades en las diferentes vertebras en los casos mayores de edad.
UNASSIGNED: Población de hospital CONCLUSIONES: La NCS es una fisis delgada que contribuye principalmente al crecimiento en altura, pero también en ancho y largo del cuerpo vertebral y arcos vertebrales. La NCS media estaba cerrada en todas las vértebras cervicales a partir de los 115 días de edad. La NCS merece ser investigada más en la patogénesis de la estenosis vertebral. Palabras Clave: ataxia, tomografía computarizada, caballo, osteocondrosis, estenosis, crecimiento vertebral.

BACKGROUND: The etiology of osteochondrosis dissecans (OCD), a chondropathy associated with detachment of the subchondral bone and the overlaying cartilage, is not yet fully understood. While repetitive physical exercise-related stress is usually assumed to be the main risk factor for the occurrence of OCD, genetic predisposition could have an underestimated influence on the development of the disease.
METHODS: We report a case of monozygotic twins with almost identical stages of bilateral osteochondrosis dissecans of the knee joint. In both patients, initially, a unilateral lesion occurred; despite restricted physical exercise, in the further course of the disease a lesion also developed on the contralateral side. While the lesion found most recently demonstrated an ongoing healing process at a 6-month follow-up, the other three lesions showed a natural course of healing under conservative treatment with significant clinical as well as radiological improvements after one year and complete consolidation in magnetic resonance imaging (MRI) after 2 years.
CONCLUSIONS: There could be a genetic component to the development of OCD, although this has not yet been proven. Based on a two-year MRI follow-up, we were able to show the self-limiting characteristics of juvenile osteochondrosis dissecans.