OBJECTIVE: To evaluate quantitative ultrasonography for objective monitoring of the healing process and prognostication of repair quality in equine superficial digital flexor (SDF) tendons. ANIMALS: 6 horses with standardized surgical lesions in SDF tendons of both forelimbs. PROCEDURES: Healing was monitored for 20 weeks after surgery by use of computerized ultrasonography. Pixels were categorized as C (intact fasciculi), B (incomplete fasciculi), E (accumulations of cells and fibrils), or N (homogenous fluid or cells). Four scars with the best quality of repair (repair group) and 4 scars with the lowest quality (inferior repair group) were identified histologically. Ratios for C, B, E, and N in both groups were compared. RESULTS: During 4 weeks after surgery, lesions increased 2- to 4-fold in length and 10-fold in volume. Until week 3 or 4, structure-related C and B ratios decreased sharply, whereas E and N ratios increased. After week 4, C and B ratios increased with gradually decreasing E and N ratios. At week 12, C and B ratios were equivalent. After week 12, C ratio increased slowly, but B ratio more rapidly. At week 20, C ratio remained constant, B ratio was substantially increased, and E and N ratios decreased. Values for the inferior repair group were most aberrant from normal. Ratios for C differed significantly between repair and inferior repair groups at weeks 16 and 18 and for B beginning at 14 weeks. CONCLUSIONS AND CLINICAL RELEVANCE: Computerized ultrasonography provided an excellent tool for objective monitoring of healing tendons in horses and reliable prognostication of repair quality.
OBJECTIVE: To evaluate quantitative ultrasonography for objective monitoring of the healing process and prognostication of repair quality in equine superficial digital flexor (SDF) tendons. ANIMALS: 6 horses with standardized surgical lesions in SDF tendons of both forelimbs. PROCEDURES: Healing was monitored for 20 weeks after surgery by use of computerized ultrasonography. Pixels were categorized as C (intact fasciculi), B (incomplete fasciculi), E (accumulations of cells and fibrils), or N (homogenous fluid or cells). Four scars with the best quality of repair (repair group) and 4 scars with the lowest quality (inferior repair group) were identified histologically. Ratios for C, B, E, and N in both groups were compared. RESULTS: During 4 weeks after surgery, lesions increased 2- to 4-fold in length and 10-fold in volume. Until week 3 or 4, structure-related C and B ratios decreased sharply, whereas E and N ratios increased. After week 4, C and B ratios increased with gradually decreasing E and N ratios. At week 12, C and B ratios were equivalent. After week 12, C ratio increased slowly, but B ratio more rapidly. At week 20, C ratio remained constant, B ratio was substantially increased, and E and N ratios decreased. Values for the inferior repair group were most aberrant from normal. Ratios for C differed significantly between repair and inferior repair groups at weeks 16 and 18 and for B beginning at 14 weeks. CONCLUSIONS AND CLINICAL RELEVANCE: Computerized ultrasonography provided an excellent tool for objective monitoring of healing tendons in horses and reliable prognostication of repair quality.
Authors: John R Wagner; Takashi Taguchi; Jane Y Cho; Chandrashekhar Charavaryamath; Dominique J Griffon Journal: J Vis Exp Date: 2018-03-30 Impact factor: 1.355
Authors: Ashlee E Watts; Neal L Millar; Josh Platt; Susan M Kitson; Moeed Akbar; Raquel Rech; Jay Griffin; Roy Pool; Tom Hughes; Iain B McInnes; Derek S Gilchrist Journal: Mol Ther Date: 2017-07-28 Impact factor: 11.454
Authors: Florian Geburek; Florian Roggel; Hans T M van Schie; Andreas Beineke; Roberto Estrada; Kathrin Weber; Maren Hellige; Karl Rohn; Michael Jagodzinski; Bastian Welke; Christof Hurschler; Sabine Conrad; Thomas Skutella; Chris van de Lest; René van Weeren; Peter M Stadler Journal: Stem Cell Res Ther Date: 2017-06-05 Impact factor: 6.832