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Musculoskeletal
  Pathology
    Brian Caserto
    March 1 2011
1.   Bovine, Mdx (3)
1.   Bovine, Mdx (3)


             • Meningo(encephalo)co
               ele

             • Hydranencephaly
             • Crania bifida/
               Craniaschisis
2.   Dog, MDx (3 possible)
2.   Mandibular Squamous cell
     carcinoma, with bone lysis
                      • Melanoma
                      • Acanthomatous
                        epulis

                      • Fibromatous
                        epulis of
                        periodontal
                        ligament origin

                      • Gingival
                        hyperplasia
3.   Dog, MDx
3. Hypertrophic
             Osteodystrophy/
    Metaphyseal Osteopathy
4.   Bovine, Mdx
4.   Septic Arthritis




Humerus,Multifocal to
coalescing ulcerative
arthritis with
subchondral bone
necrosis
5.   Dog, Mdx
5.   Humerus, Osteosarcoma
5.   Humerus, Osteosarcoma
6.   Foal
            • Bone, Multifocal
               necrotizing
               osteomyelitis
               and physitis
               with sequestra

            • E coli, Strep spp,
               Salmonella,
               Klebsiella,
               Rhodococcus
               equi,Arcanobact
               erium pyogenes,
               Actinobacillus
               equuli
6.   Foal

      • Sequestra- large necrotic
         bone separated from
         blood supply

      • Involucrum- Granulation
         tissue or reactivebone
         around the sequestra

      • Foals most commonly in
         secondary ossification
         centers, and can cause
         articular cartilage
         defects
7.   Dog, Mdx

            • Spine,
                intervertebral
                disc
                degeneration
                and prolapse
                with spinal
                cord
                compression

            • Vertebral
                osteosclerosis
8.   Horse, Mdx
8.   Rupture of the DDF
            tendon



 DDF
Tendon
Rupture




                  Normal
9.
     Rabbit, Osteofluorosis
                   • Tarsus and
                      metatarsus,
                      diffuse periosteal
                      hyperostosis

                   • Caused by
                      fluoride toxicity

                   • Accompanied by
                      gastric mucosal
                      hyperplasia

                   • Histo Periosetal
                      and endosteal
                      hyperostosis
10.   Rabbit

               • Atrophic
                 rhintis

               • Pasteurella
                 multocida 12A

               • Bronchopneum
                 onia, otitis
                 media
11.   Pig


            • Muscular
              cysticerciasis

            • Cysticercus
              cellulosae
              (taenia solium)

            • Measly pork
12.   Pig

  • Skeletal muscle (epaxial),
      myonecrosis (rhabdomyolysis),
      extensive, bilateral

  • Inherited defect in the
      Ryanodine receptor -->
      uncontrolled increase in
      sarcoplasmic calcium -->
      prolonged muscle contraction --
      > acute rhabdomyolsis
13.   Chicken
           • Tibial
                Dyschondroplasia

                • Osteochondrosis
                • Broiler chickens
                • Rapid growth diets
                • Genetics
                • High Phosphorus to
                   calcium ratio

                • Fusarium roseum
14.
      Rhesus Monkey



            • Skull, fibrous
              osteodystrophy

            • Vitamin D deficiency
15.   Corriedale Sheep



                  • Rickets
                  • Parathyroid
                    hyperplasia
Corriedale Sheep
Rickets/Osteomalacia
• Anything that         • Phosphorus
  interferes with         deficiency-
  mineralization          uncommon
                          (Cattle >Sheep >
   • Vit D Deficiency-     Horses)
     Sunlight,
     ingested ,         • Calcium
     depressed by         deficiency-
     carotenoids          rapidly corrected
                          serum calcium
                          not likely to be
                          cause of faulty
                          mineralization
Rickets
• Inherited errors of      • Type 2 - Vit D
   Vit D metabolism           Resistant
                              Rickets- Defect in
   • Type 1- Vit D            1,25
      Dependent               dihydroxycholeca
      Rickets- defect in      lciferol receptor
      renal alpha-1-
      hydroxylase             • cant use D2,
                                 and D3 is
      • treat with               present in
         1,25 (OH)2 D3           high amounts
                                 without
                                 hypercalcemi
Hypophosphatemic
         rickets
• Vit D resistant
  • hypophosphatemia
     (impaired renal
     resorption and
     intestinal
     absorption),
     normocalcemia,
     skeletal
     deformities
  • Plasma 1,25
     Dihydroxy D3
     levels are low
16.   Wallaby



          • Mandibular
            pyogranulomatous
            osteomyelitis (Lumpy
            Jaw)
17.   Aborted calf


           • Thought this might be a
             growth retardation lattice
             (BVD), but histolgically
             normal primary and
             secondary spongiosa with
             local band of reduced
             hematopoiesis
18.   Bovine

         • Synovial fossae in the
            elbow joint, normal non-
            weighbearing surfaces
            develop as a
            consequence of joint
            modeling

         • found in horses, cows,
            and pigs
Bone Growth
More Bones!
Bovine DJD
DJD


• Osteophyte
• Enthesophyte
• Synovial chondromatosis
Goat
Chicken
Crane
Bovine, calf. MDx,
Associated condition
Posterior Arthrogryposis




Spina bifida
  cystica
Posterior Arthrogryposis




Spina bifida
  cystica
Terms
• Spina bifida- absence of the        • Spinal dysraphism (raphe=
   dorsal portions of the               suture)- term applies to the
   vertebrae (secondary to              neural tube- Applies to spinal
   failure of the neural tube to        cord and may have vertebral
   close completely)                    abnormalities

    • occulta- skin overlying        • Myeloshisis (“marrow”=
       the defect is normal, and        fatty=spinal cord/bone
       spinal cord may be grossly       marrow+ cleft)-same as
       normal                           dysraphism

    • cystica- a cystic swelling     • Dermoid sinus- congenital in
       protrudes through the            Rhodesian ridgebacks-
       vertebral defect                 incomplete separation of the
                                        neural tube from the overlying
        • Meningomyelocele-             dorsal midline ectoderm
            spinal cord is missing
            segments
Arthrogryposis

• AM- Arthrogryposis multiplex- Angus
   cattle, AR- Front and rear legs affected

• BVD/Akabane virus infection in utero
• Toxic- Lupins (crooked calf disease),
   Veratrum californicum (day 29
   gestation), Conium maculatum (pigs,
   cows), Jimsonweed, Wild black cherry,
   locoweed (Astragalus and Oxytropis),
   Hybrid sorghum and Sudan grass in foals
Spina bifida
Spina bifida
Dog, Mdx
Palato-cheiloschisis
Fish, Disease name, Cause
Cat, Mdx, Cause
12.   Cat


       • Feline
            hypervitaminosis
            A

       • Spondylosis,
            Osteoarthropathy
Cat

 • Feline
      Osteochondromatosis

 • FeLV FSV particles
 • Affects long bones as
      well as
      intramembranous
      bones
Dog uap
Dog
Foal
Chicken


    • Rickets
     •Similar to
     osteochondrosis
     •Cysts often present
     in long standing cases
Chicken
Nutritional Disorders
Rickets (bending of the tibiotarsus, distortion of the ribs and enlargement of the costocondral junctions)

Manganese deficiency Tibial chondrodystrophy, displacement of gastrocnemius tendon (Perosis)
Riboflavin (B2) deficiency  Curly toe paralysis

Nutritional Etiology
• Calcium or phosphorus deficiency or an imbalance in these nutrients
    will result in rickets in immature birds or osteomalacia in mature
    breeders and commercial egg-production flocks.
• Vitamin D3 (cholecalciferol) deficiency results in rickets in immature
    flocks housed in controlled environment units.
• Thiamine (vitamin B1) deficiency results in an abnormal gait
    progressing to recumbency and paralysis with hyperextension of the
    neck.
• Riboflavin (vitamin B2) deficiency results in a deformity of the feet
    termed “curled toe paralysis”.
• Pyridoxine (vitamin B6) deficiency results in abnormal gait and
   convulsions. This condition can also occur following administration
   of toxic levels of nitrofurans to immature flocks.
• Manganese deficiency results in chondrodystrophy. This occurs in
   growing chicks due to decreased formation of bone below the growth
   plates of the tibiotarsus and tarsometatarsus. Mildly affected chickens
   show stunting and enlargement of the hock joint with reduction in the
  length of the leg bones. The lesion progresses to severe deformation of
  the hock joint culminating in displacement of the gastrocnemius
  (Achilles) tendon (perosis). Chondrodystrophy is characterized by a
   high prevalence in the flock, bilateral involvement of the hock joints
  and reduction in length of the long bones. Confirmation of the diagnosis
  requires analysis of feed to determine manganese content. Dietary level
  should range from 80 to 120 ppm for optimal growth.
• Choline and pyridoxine deficiency may result in bilateral enlargement
    of hock joints, sometimes with displacement of the gastrocnemius
   tendon.
• Chondrodystrophy should be differentiated from valgus-varus
   abnormality of genetic origin.
Slipped Gastrocnemius
        Tendon
Bovine
Layer chicken
        •   Cage Layer Fatigue

            •   Osteoporosis-fractures
                of limbs, with
                osteomalacia
                histologically

            •   Muscle weakness also
                a feature

            •   Occurs in animals in
                cages, but resolves if
                on the ground

            •   Relative calcium
                deficiency (below 2:1
                ratio)
Cage Layer Fatigue
Horse
Bovine
Osteopetrosis
Horse
Ox
Bovine
OX
Ox
Ox, Associated finding
Ox
Ox, Pathogenesis
Dog
Dog
Horse
Horse
Cynomolgus Monkey
Rhesus Monkey,
Condition, Cause
Squirrel Monkey
European Pond turtle
Monitor Lizard
Cane toad
Iguana
Goat
Suffolk Sheep
Hereditary
chondrodysplasia
       •   Multiple irregular ossification
           centers in long bones- hypertrophic
           cartilage forms nodules thatf ail to
           develop normally, lack of
           subchondral bone predisposes to
           degenerative arthropathy- bone
           growth in utero is normal

       •   Suffolk and Hampshire sheep

       •   Long limbs, necks, kyphosis/
           scoliosis, sternal deformity, valgus
           deformities below the carpus,
           roman nose, deviated nasal
           septum, shortening of maxilla,
           elongation of the occipital
           condyles- affects all endochondral
           bones and
Sheep
Holoprosencephaly
• Failure of the rostral   • V.
   cerebrum to divide        californicum-
   normally                  antagonism of
                             sonic
   • Arhinencephaly-         hedgehog
      aplasia of the         gene- involves
      olfactory bulbs        the rostral
      and tracts             extremity of
                             the notochord
   • craniofacial            and the
      abnormalities-         surrouding
      cyclopia               mesenchyme
      (synophthalmus)
Caribou
Deer
Sea Lion
Elk
Dog
Arthritis




Actinobacillus suis (Pig),
                             E coli (All), Erysipelas, Strep, Haemophilus, Mycoplasma
   Arcanobacterium
                                           hyorhinis (pig), Mycoplasma (ox)
     pyogenes (Ox)
Bovine Fluoride Toxicity
Bovine Lymphoma
Camel
Dog
Horse
Dog, MCE
Sheep
Elk
WT DEER
Pig
Hole in the Head disease
Foal
Horse
Foal
Osteogenesis imperfecta
     presumptive
OGIMp Presumed
Alpaca Osteomyelitis
Horse
Aborted bovine calf
Bovine, Synovial fossa
      (normal)

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Bone rounds 3 1-11

  • 1. Musculoskeletal Pathology Brian Caserto March 1 2011
  • 2. 1. Bovine, Mdx (3)
  • 3. 1. Bovine, Mdx (3) • Meningo(encephalo)co ele • Hydranencephaly • Crania bifida/ Craniaschisis
  • 4. 2. Dog, MDx (3 possible)
  • 5. 2. Mandibular Squamous cell carcinoma, with bone lysis • Melanoma • Acanthomatous epulis • Fibromatous epulis of periodontal ligament origin • Gingival hyperplasia
  • 6. 3. Dog, MDx
  • 7. 3. Hypertrophic Osteodystrophy/ Metaphyseal Osteopathy
  • 8. 4. Bovine, Mdx
  • 9. 4. Septic Arthritis Humerus,Multifocal to coalescing ulcerative arthritis with subchondral bone necrosis
  • 10. 5. Dog, Mdx
  • 11. 5. Humerus, Osteosarcoma
  • 12. 5. Humerus, Osteosarcoma
  • 13. 6. Foal • Bone, Multifocal necrotizing osteomyelitis and physitis with sequestra • E coli, Strep spp, Salmonella, Klebsiella, Rhodococcus equi,Arcanobact erium pyogenes, Actinobacillus equuli
  • 14. 6. Foal • Sequestra- large necrotic bone separated from blood supply • Involucrum- Granulation tissue or reactivebone around the sequestra • Foals most commonly in secondary ossification centers, and can cause articular cartilage defects
  • 15. 7. Dog, Mdx • Spine, intervertebral disc degeneration and prolapse with spinal cord compression • Vertebral osteosclerosis
  • 16. 8. Horse, Mdx
  • 17. 8. Rupture of the DDF tendon DDF Tendon Rupture Normal
  • 18. 9. Rabbit, Osteofluorosis • Tarsus and metatarsus, diffuse periosteal hyperostosis • Caused by fluoride toxicity • Accompanied by gastric mucosal hyperplasia • Histo Periosetal and endosteal hyperostosis
  • 19. 10. Rabbit • Atrophic rhintis • Pasteurella multocida 12A • Bronchopneum onia, otitis media
  • 20. 11. Pig • Muscular cysticerciasis • Cysticercus cellulosae (taenia solium) • Measly pork
  • 21. 12. Pig • Skeletal muscle (epaxial), myonecrosis (rhabdomyolysis), extensive, bilateral • Inherited defect in the Ryanodine receptor --> uncontrolled increase in sarcoplasmic calcium --> prolonged muscle contraction -- > acute rhabdomyolsis
  • 22. 13. Chicken • Tibial Dyschondroplasia • Osteochondrosis • Broiler chickens • Rapid growth diets • Genetics • High Phosphorus to calcium ratio • Fusarium roseum
  • 23. 14. Rhesus Monkey • Skull, fibrous osteodystrophy • Vitamin D deficiency
  • 24. 15. Corriedale Sheep • Rickets • Parathyroid hyperplasia
  • 26. Rickets/Osteomalacia • Anything that • Phosphorus interferes with deficiency- mineralization uncommon (Cattle >Sheep > • Vit D Deficiency- Horses) Sunlight, ingested , • Calcium depressed by deficiency- carotenoids rapidly corrected serum calcium not likely to be cause of faulty mineralization
  • 27. Rickets • Inherited errors of • Type 2 - Vit D Vit D metabolism Resistant Rickets- Defect in • Type 1- Vit D 1,25 Dependent dihydroxycholeca Rickets- defect in lciferol receptor renal alpha-1- hydroxylase • cant use D2, and D3 is • treat with present in 1,25 (OH)2 D3 high amounts without hypercalcemi
  • 28. Hypophosphatemic rickets • Vit D resistant • hypophosphatemia (impaired renal resorption and intestinal absorption), normocalcemia, skeletal deformities • Plasma 1,25 Dihydroxy D3 levels are low
  • 29. 16. Wallaby • Mandibular pyogranulomatous osteomyelitis (Lumpy Jaw)
  • 30. 17. Aborted calf • Thought this might be a growth retardation lattice (BVD), but histolgically normal primary and secondary spongiosa with local band of reduced hematopoiesis
  • 31. 18. Bovine • Synovial fossae in the elbow joint, normal non- weighbearing surfaces develop as a consequence of joint modeling • found in horses, cows, and pigs
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 43. DJD • Osteophyte • Enthesophyte • Synovial chondromatosis
  • 44. Goat
  • 46. Crane
  • 50. Terms • Spina bifida- absence of the • Spinal dysraphism (raphe= dorsal portions of the suture)- term applies to the vertebrae (secondary to neural tube- Applies to spinal failure of the neural tube to cord and may have vertebral close completely) abnormalities • occulta- skin overlying • Myeloshisis (“marrow”= the defect is normal, and fatty=spinal cord/bone spinal cord may be grossly marrow+ cleft)-same as normal dysraphism • cystica- a cystic swelling • Dermoid sinus- congenital in protrudes through the Rhodesian ridgebacks- vertebral defect incomplete separation of the neural tube from the overlying • Meningomyelocele- dorsal midline ectoderm spinal cord is missing segments
  • 51. Arthrogryposis • AM- Arthrogryposis multiplex- Angus cattle, AR- Front and rear legs affected • BVD/Akabane virus infection in utero • Toxic- Lupins (crooked calf disease), Veratrum californicum (day 29 gestation), Conium maculatum (pigs, cows), Jimsonweed, Wild black cherry, locoweed (Astragalus and Oxytropis), Hybrid sorghum and Sudan grass in foals
  • 58. 12. Cat • Feline hypervitaminosis A • Spondylosis, Osteoarthropathy
  • 59. Cat • Feline Osteochondromatosis • FeLV FSV particles • Affects long bones as well as intramembranous bones
  • 60.
  • 62. Dog
  • 63. Foal
  • 64. Chicken • Rickets •Similar to osteochondrosis •Cysts often present in long standing cases
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71. Nutritional Disorders Rickets (bending of the tibiotarsus, distortion of the ribs and enlargement of the costocondral junctions) Manganese deficiency Tibial chondrodystrophy, displacement of gastrocnemius tendon (Perosis) Riboflavin (B2) deficiency  Curly toe paralysis Nutritional Etiology • Calcium or phosphorus deficiency or an imbalance in these nutrients will result in rickets in immature birds or osteomalacia in mature breeders and commercial egg-production flocks. • Vitamin D3 (cholecalciferol) deficiency results in rickets in immature flocks housed in controlled environment units. • Thiamine (vitamin B1) deficiency results in an abnormal gait progressing to recumbency and paralysis with hyperextension of the neck. • Riboflavin (vitamin B2) deficiency results in a deformity of the feet termed “curled toe paralysis”. • Pyridoxine (vitamin B6) deficiency results in abnormal gait and convulsions. This condition can also occur following administration of toxic levels of nitrofurans to immature flocks. • Manganese deficiency results in chondrodystrophy. This occurs in growing chicks due to decreased formation of bone below the growth plates of the tibiotarsus and tarsometatarsus. Mildly affected chickens show stunting and enlargement of the hock joint with reduction in the length of the leg bones. The lesion progresses to severe deformation of the hock joint culminating in displacement of the gastrocnemius (Achilles) tendon (perosis). Chondrodystrophy is characterized by a high prevalence in the flock, bilateral involvement of the hock joints and reduction in length of the long bones. Confirmation of the diagnosis requires analysis of feed to determine manganese content. Dietary level should range from 80 to 120 ppm for optimal growth. • Choline and pyridoxine deficiency may result in bilateral enlargement of hock joints, sometimes with displacement of the gastrocnemius tendon. • Chondrodystrophy should be differentiated from valgus-varus abnormality of genetic origin.
  • 72.
  • 73.
  • 76. Layer chicken • Cage Layer Fatigue • Osteoporosis-fractures of limbs, with osteomalacia histologically • Muscle weakness also a feature • Occurs in animals in cages, but resolves if on the ground • Relative calcium deficiency (below 2:1 ratio)
  • 78. Horse
  • 81. Horse
  • 82. Ox
  • 84. OX
  • 85. Ox
  • 87. Ox
  • 89. Dog
  • 90. Dog
  • 91. Horse
  • 92. Horse
  • 93.
  • 96.
  • 101. Iguana
  • 102. Goat
  • 104. Hereditary chondrodysplasia • Multiple irregular ossification centers in long bones- hypertrophic cartilage forms nodules thatf ail to develop normally, lack of subchondral bone predisposes to degenerative arthropathy- bone growth in utero is normal • Suffolk and Hampshire sheep • Long limbs, necks, kyphosis/ scoliosis, sternal deformity, valgus deformities below the carpus, roman nose, deviated nasal septum, shortening of maxilla, elongation of the occipital condyles- affects all endochondral bones and
  • 105. Sheep
  • 106. Holoprosencephaly • Failure of the rostral • V. cerebrum to divide californicum- normally antagonism of sonic • Arhinencephaly- hedgehog aplasia of the gene- involves olfactory bulbs the rostral and tracts extremity of the notochord • craniofacial and the abnormalities- surrouding cyclopia mesenchyme (synophthalmus)
  • 108. Deer
  • 110. Elk
  • 111. Dog
  • 112. Arthritis Actinobacillus suis (Pig), E coli (All), Erysipelas, Strep, Haemophilus, Mycoplasma Arcanobacterium hyorhinis (pig), Mycoplasma (ox) pyogenes (Ox)
  • 115. Camel
  • 116.
  • 117.
  • 118. Dog
  • 119. Horse
  • 120.
  • 122. Sheep
  • 123. Elk
  • 125.
  • 126. Pig
  • 127. Hole in the Head disease
  • 128. Foal
  • 129. Horse
  • 130. Foal
  • 131. Osteogenesis imperfecta presumptive
  • 134. Horse