First Year Anatomy Nicholas Urbanek, BVMS, MRCVS

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Presentation transcript:

First Year Anatomy Nicholas Urbanek, BVMS, MRCVS Stifle and Tarsus First Year Anatomy Nicholas Urbanek, BVMS, MRCVS

Stifle

The Stifle Limited views due to proximal location of joint Routinely obtain only TWO views Lateral (caudal 60 degree lateral-craniomedial oblique) Craniocaudal (caudoproximal-craniodistal oblique) Lateral view Craniocaudal view

Stifle – Lateral view Supracondylar fossa Femur Patella – Apex and Base Medial and lateral trochlea ridges Medial and lateral femoral condyle Intercondylar eminence of tibia Trochlear Grove Tibia Tibial tuberosity Fibula A C B E D G F I J H

Stifle – Craniocaudal view Lateral border of patella Femur Medial epicondyle Medial condyle Lateral epicondyle Lateral condyle Intercondylar fossa Medial and lateral intercondylar eminence Tibial tuberosity Tibia Fibula A B C E D G F H I J K

Bone Cyst

Stifle OCD

Tarsus

The Tarsus Same views, different joint! Lateral-Medial Dorsal-Plantar Dorsolateral-plantaromedial oblique (DLPMO) Highlights the plantarolateral and dorsomedial aspects Dorsomedial-plantarolateral oblique (DMPLO) Highlights the plantaromedial and dorsolateral aspects

Tarsus - Lateral view Bones: A: Tibia B: Calcaneous C: Central tarsal bone D: Third tarsal bone E: Sustentaculum tali F: Third metatarsal bone Joints: I: Tarsocrural joint J: Proximal intertarsal joint K: Distal intertarsal joint L: Tarsometarsal joint M: Talocalcaneal joint E

Tarsus – DP view Bones: A: Tibia B: Calcaneous C: Central tarsal bone D: Third tarsal bone E: Forth tarsal bone – “Two story bone” F: Third metatarsal bone 1: Medial trochlear ridge of talus 2: Medial malleolus 3: Lateral malleolus

Tarsus – DMPLO view A: Tibia B: Calcaneous C: Central tarsal bone D: Third tarsal bone F: Third metatarsal bone H: Second metatarsal N: Second tarsal bone 4: Lateral trochlear ridge – “Larry’s Nose” 5: Sustentaculum tali

Tarsus – DLPMO view A: Tibia B: Calcaneous C: Central tarsal bone D: Third tarsal bone E: Forth tarsal bone F: Third metatarsal bone G: Forth metatarsal bone 1: Medial trochlear ridge 2. Medial malleolus 6: Distal intermediate ridge

Tarsal Diseases OCD - three main locations Degenerative Joint Disease Lateral and medial malleoli Distal intermediate ridge of the tibia (DIRT) Lateral and medial trochlear ridges Degenerative Joint Disease Distal intertarsal joint Tarsometatarsal joint

Tarsal OCD

Tarsal DJD