Clinical relevance of the microvasculature of the equine proximal sesamoid bone

Troy N. Trumble From the Department of Large Animal Clinical Sciences (Trumble, Stick, Stickle), and the Laboratory for Comparative Orthopaedic Research (Arnoczky), College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

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Steven P. Amoczky From the Department of Large Animal Clinical Sciences (Trumble, Stick, Stickle), and the Laboratory for Comparative Orthopaedic Research (Arnoczky), College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

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John A. Stick From the Department of Large Animal Clinical Sciences (Trumble, Stick, Stickle), and the Laboratory for Comparative Orthopaedic Research (Arnoczky), College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

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Russ L. Stickle From the Department of Large Animal Clinical Sciences (Trumble, Stick, Stickle), and the Laboratory for Comparative Orthopaedic Research (Arnoczky), College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824.

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SUMMARY

The blood supply to the proximal sesamoid bone of the equine forelimb was examined in 18 cadaver limbs from adult horses, using x-ray computed tomography and a tissue-clearing (Spalteholz) technique. Results of the study indicated that the proximal sesamoid bones were supplied by multiple branches of the medial and lateral palmar digital arteries, which entered the proximal half of the bones on their non-articular, abaxial surface. After entering the bone, the vessels traverse dorsally, axially, and distally, arborizing into several smaller branches that appear to supply the entire bone. The major branches of these vessels reside in bony canals, the orientation and distribution of which parallel the radiographic lucencies seen in horses with sesamoiditis and correspond to the configuration of apical fracture patterns.

SUMMARY

The blood supply to the proximal sesamoid bone of the equine forelimb was examined in 18 cadaver limbs from adult horses, using x-ray computed tomography and a tissue-clearing (Spalteholz) technique. Results of the study indicated that the proximal sesamoid bones were supplied by multiple branches of the medial and lateral palmar digital arteries, which entered the proximal half of the bones on their non-articular, abaxial surface. After entering the bone, the vessels traverse dorsally, axially, and distally, arborizing into several smaller branches that appear to supply the entire bone. The major branches of these vessels reside in bony canals, the orientation and distribution of which parallel the radiographic lucencies seen in horses with sesamoiditis and correspond to the configuration of apical fracture patterns.

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