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Anatomy & physiology of bone,
muscle & joints
Skeletal disorder & congenital
disorders by birth
Submitted by: Dr. Kanwarpal Singh Dhillon
M.V.SC (Medicine)
Bone Tissue and The Skeletal System
The Skeletal System
• Functions of the Skeletal System
– Support against gravity
– Leverage for muscle action - movement
– Protection of soft internal organs
– Blood cell production
– Storage - calcium, phosphorous & fat
The Skeletal System
• The skeletal system includes:
– Bones
– Cartilages
– Joints
– Ligaments
– Other connective tissues
Structure of Typical Long Bone
• Diaphysis - tubular shaft forming the axis of
long bones.
– Composed of compact bone
– Central medullary cavity
– Contains bone marrow
• Epiphysis – expanded end of long bones.
– Composed mostly of spongy bone
– Joint surface is covered with articular (hyaline)
cartilage
– Epiphyseal lines separate the diaphysis from
the epiphyses
• Metaphysis – where epiphysis and diaphysis
meet
Bone - Remodeling/Homeostasis
• Homeostasis and Mineral Storage
– Bones store calcium
• Contain 99% of body calcium
• Store up to 2 kg calcium
• Hormones control storage/release
– PTH, calcitriol release bone calcium
– Calcitonin stores bone calcium
• Blood levels kept constant
General Structure of Synovial Joints
• Articular cartilage
– Ends of opposing bones are
covered with hyaline cartilage
– Absorbs compression
• Joint cavity (synovial cavity)
– Unique to synovial joints
– Cavity is a potential space that
holds a small amount of synovial
fluid
Muscle Function
• Movement
– Depends on type of muscle tissue
– Depends on location of muscle tissue
• Thermogenesis
• Protection
• Posture Maintenance
• Joint Stabilization
Muscle Tissue Characteristics
All muscle tissues share basic characteristics
1.Excitability
2.Contractility
3.Elasticity
4.Extensibility
Muscle Tissue Types
Skeletal
Cardiac
Smooth
(I) CONGENITAL MUSCULOSKELETAL
DISEASES
• Congenital disease of bone, cartilage ( joint
deformity), & muscle (congenital myopathy)
may be identifiable at birth or shorty
thereafter & often have an inherited etiology.
Retarded growth
• Reduced growth in terms of skeletal
development or body wt. when compared
with
– normal littermates
– or a failure to attain the weight & height
standards characteristic of a given breed.
• Many diseases may result in retarded growth.
• 6-month-old dwarf
German shepherd
dog
Osteochondrodysplasia
• Most patients with
osteoochondrodysplasia
have reduced skeletal
growth, characterized by
abnormal endochondral
and intramembranous
ossification.
• They have long trunks &
short legs.
Dysostosis
• Occur in the skull, axial & appendicular
skeleton.
• Characterized by overrepresentation or a
partial or complete absence of one or more
bone elements.
Radial hemimelia Polydactyly
Joint malformation
• Severe joint malformation are rarely diagnosed.
• May ranges from complete absence of joints to
bony fusion of skeletal elements.
Congenital myopathies
• It is group of primary, inherited diseases of
skeletal muscle identified within the first
weeks to months after birth.
(II) ACQUIRED MUSCLUOSKELETAL
DISEASES
• Do not have a primarily genetic etiology & are
not identifiable at birth.
Traumatic injuries (fractures)
• Approximately 40-50% of all dogs presented
to referral centers with traumatic injuries are
less than 1 year of age.
• Traumatic growth plate injuries have been
classified by Salter & Harris in an effort to
relate mechanisms, characterized by a
separation through the growth plate
• A type I growth plate injury is
characterized by a separation through
the growth plat.
• A type II injury is a combined growth
plate separation-metaphyseal
fracture.
• A type III injury is a combined growth
plate separation-epiphyseal fracture.
• A type IV injury is characterized by a
combination of a growth plate
separation with an epiphyseal &
metaphyseal fracture.
• Type V injuries are caused by
crushing of the growth plate, which
results in premature closure &
reduced bone length growth.
Limb deformities
• Limb deformities with abnormally
shaped bones may be caused by
dysostoses,
osteochondrodysplasias,
nutritonal diseases & growth plate
injuries.
• Clinically this results in shortened
bones or asymmetrical growth
plate with subsequent angular
deformity & rotational deformities
of the affected bone.
Nutritional diseases
• It includes nutritional secondary
hyperparathyroidism, hypovitaminosis D
(rickets), hypervitaminosis D, hypovitaminosis
A, hypervitaminosis A, hypovitaminosis E
Rickets
Developmental orthopedic bone
diseases (DODs)
• Craniomandibular osteopathy occurs in Terrier breeds.
• The bony formation along the mandible can be so
severe the affected dogs may not be able to prehend &
chew food.
• In young large or giant
breed dogs, diaphyseal
pain in one or multiple
bones may be an
indication of panosteitis.
• Hypertrophic
osteodystrophy is a
developmental disease
in immature, large, or
giant breed dogs in
which the metaphyseal
area of long bones
becomes swollen &
Joint disease
• Approximately 35% of dogs
younger than 1 yr of age
presented with a musculoskeletal
problems are diagnosed with an
arthropathy.
• Arthopathies may be classified as:
– Non inflammatory
– Inflammatory
• Infectious
• Non infectious
• About 95% of the arthopathies in
growing dogs are non-
inflammatory.
Canine polyarthropathy
Shoulder osteochondrosis
• Several breeds are
predisposed for
shoulder OC & 50-
70% heritability has
been estimated in
Labrador Retrivers.
Radiographic image of osteochondrosis
dissecans (OCD) lesions of the caudal
aspects of the humeral head
Elbow dysplasia
• Lameness localized to the
elbow of young growing dogs
with no history of trauma is
usually caused by the
syndrome called elbow
dysplasia.
• It includes ununinted
anconeal process, fragmented
medial coronoid process, OC
of the medial humeral
condyle, ununited medial
epicondyle & asynchronous
growth B/W radius & ulna.
Patellar luxation
• Medial patellar luxation occurs mainly in small
or miniature dog breeds.
• Lateral patellar luxation occurs mainly in large
dog breeds.
Hip dysplasia
• Canine hip dysplasia (CHD) is a developmental trait
primarily affecting medium & large breed dogs.
• It is characterized by faulty conformation & laxity of
the hip joint that usually affects both hips.
• Clinically, early synovitis & capsulitis caused by
subluxation is characterized by hindlimb lameness,
reduced exercise tolerance, reluctance to jump, a
“bunny hopping gait” & pain in hip joint.
• Affects all breeds of dogs, but more common in large
breeds.
REFERENCES…
• Small Animal Pediatrics by Michael E.
Peterson & Michelle Anne Kutzler
THANKS

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Muscloskeletal disease in small animals

  • 1. Anatomy & physiology of bone, muscle & joints Skeletal disorder & congenital disorders by birth Submitted by: Dr. Kanwarpal Singh Dhillon M.V.SC (Medicine)
  • 2. Bone Tissue and The Skeletal System
  • 3. The Skeletal System • Functions of the Skeletal System – Support against gravity – Leverage for muscle action - movement – Protection of soft internal organs – Blood cell production – Storage - calcium, phosphorous & fat
  • 4. The Skeletal System • The skeletal system includes: – Bones – Cartilages – Joints – Ligaments – Other connective tissues
  • 5. Structure of Typical Long Bone • Diaphysis - tubular shaft forming the axis of long bones. – Composed of compact bone – Central medullary cavity – Contains bone marrow • Epiphysis – expanded end of long bones. – Composed mostly of spongy bone – Joint surface is covered with articular (hyaline) cartilage – Epiphyseal lines separate the diaphysis from the epiphyses • Metaphysis – where epiphysis and diaphysis meet
  • 6. Bone - Remodeling/Homeostasis • Homeostasis and Mineral Storage – Bones store calcium • Contain 99% of body calcium • Store up to 2 kg calcium • Hormones control storage/release – PTH, calcitriol release bone calcium – Calcitonin stores bone calcium • Blood levels kept constant
  • 7. General Structure of Synovial Joints • Articular cartilage – Ends of opposing bones are covered with hyaline cartilage – Absorbs compression • Joint cavity (synovial cavity) – Unique to synovial joints – Cavity is a potential space that holds a small amount of synovial fluid
  • 8. Muscle Function • Movement – Depends on type of muscle tissue – Depends on location of muscle tissue • Thermogenesis • Protection • Posture Maintenance • Joint Stabilization
  • 9. Muscle Tissue Characteristics All muscle tissues share basic characteristics 1.Excitability 2.Contractility 3.Elasticity 4.Extensibility
  • 11. (I) CONGENITAL MUSCULOSKELETAL DISEASES • Congenital disease of bone, cartilage ( joint deformity), & muscle (congenital myopathy) may be identifiable at birth or shorty thereafter & often have an inherited etiology.
  • 12. Retarded growth • Reduced growth in terms of skeletal development or body wt. when compared with – normal littermates – or a failure to attain the weight & height standards characteristic of a given breed. • Many diseases may result in retarded growth.
  • 14. Osteochondrodysplasia • Most patients with osteoochondrodysplasia have reduced skeletal growth, characterized by abnormal endochondral and intramembranous ossification. • They have long trunks & short legs.
  • 15. Dysostosis • Occur in the skull, axial & appendicular skeleton. • Characterized by overrepresentation or a partial or complete absence of one or more bone elements.
  • 17. Joint malformation • Severe joint malformation are rarely diagnosed. • May ranges from complete absence of joints to bony fusion of skeletal elements.
  • 18. Congenital myopathies • It is group of primary, inherited diseases of skeletal muscle identified within the first weeks to months after birth.
  • 19. (II) ACQUIRED MUSCLUOSKELETAL DISEASES • Do not have a primarily genetic etiology & are not identifiable at birth.
  • 20. Traumatic injuries (fractures) • Approximately 40-50% of all dogs presented to referral centers with traumatic injuries are less than 1 year of age. • Traumatic growth plate injuries have been classified by Salter & Harris in an effort to relate mechanisms, characterized by a separation through the growth plate
  • 21. • A type I growth plate injury is characterized by a separation through the growth plat. • A type II injury is a combined growth plate separation-metaphyseal fracture. • A type III injury is a combined growth plate separation-epiphyseal fracture. • A type IV injury is characterized by a combination of a growth plate separation with an epiphyseal & metaphyseal fracture. • Type V injuries are caused by crushing of the growth plate, which results in premature closure & reduced bone length growth.
  • 22. Limb deformities • Limb deformities with abnormally shaped bones may be caused by dysostoses, osteochondrodysplasias, nutritonal diseases & growth plate injuries. • Clinically this results in shortened bones or asymmetrical growth plate with subsequent angular deformity & rotational deformities of the affected bone.
  • 23. Nutritional diseases • It includes nutritional secondary hyperparathyroidism, hypovitaminosis D (rickets), hypervitaminosis D, hypovitaminosis A, hypervitaminosis A, hypovitaminosis E Rickets
  • 24. Developmental orthopedic bone diseases (DODs) • Craniomandibular osteopathy occurs in Terrier breeds. • The bony formation along the mandible can be so severe the affected dogs may not be able to prehend & chew food.
  • 25. • In young large or giant breed dogs, diaphyseal pain in one or multiple bones may be an indication of panosteitis. • Hypertrophic osteodystrophy is a developmental disease in immature, large, or giant breed dogs in which the metaphyseal area of long bones becomes swollen &
  • 26. Joint disease • Approximately 35% of dogs younger than 1 yr of age presented with a musculoskeletal problems are diagnosed with an arthropathy. • Arthopathies may be classified as: – Non inflammatory – Inflammatory • Infectious • Non infectious • About 95% of the arthopathies in growing dogs are non- inflammatory. Canine polyarthropathy
  • 27. Shoulder osteochondrosis • Several breeds are predisposed for shoulder OC & 50- 70% heritability has been estimated in Labrador Retrivers. Radiographic image of osteochondrosis dissecans (OCD) lesions of the caudal aspects of the humeral head
  • 28. Elbow dysplasia • Lameness localized to the elbow of young growing dogs with no history of trauma is usually caused by the syndrome called elbow dysplasia. • It includes ununinted anconeal process, fragmented medial coronoid process, OC of the medial humeral condyle, ununited medial epicondyle & asynchronous growth B/W radius & ulna.
  • 29. Patellar luxation • Medial patellar luxation occurs mainly in small or miniature dog breeds. • Lateral patellar luxation occurs mainly in large dog breeds.
  • 30. Hip dysplasia • Canine hip dysplasia (CHD) is a developmental trait primarily affecting medium & large breed dogs. • It is characterized by faulty conformation & laxity of the hip joint that usually affects both hips. • Clinically, early synovitis & capsulitis caused by subluxation is characterized by hindlimb lameness, reduced exercise tolerance, reluctance to jump, a “bunny hopping gait” & pain in hip joint. • Affects all breeds of dogs, but more common in large breeds.
  • 31.
  • 32. REFERENCES… • Small Animal Pediatrics by Michael E. Peterson & Michelle Anne Kutzler THANKS