65 results on '"Schulz KS"'
Search Results
2. Inadvertent prostatectomy as a complication of cryptorchidectomy in four dogs
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Schulz, KS, primary, Waldron, DR, additional, Smith, MM, additional, Henderson, RA, additional, and Howe, LM, additional
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- 1996
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3. Positive Selection of a Serine Residue in Bat IRF3 Confers Enhanced Antiviral Protection.
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Banerjee A, Zhang X, Yip A, Schulz KS, Irving AT, Bowdish D, Golding B, Wang LF, and Mossman K
- Abstract
Compared with other mammals, bats harbor more zoonotic viruses per species and do not demonstrate signs of disease on infection with these viruses. To counteract infections with viruses, bats have evolved enhanced mechanisms to limit virus replication and immunopathology. However, molecular and cellular drivers of antiviral responses in bats largely remain an enigma. In this study, we demonstrate that a serine residue in IRF3 is positively selected for in multiple bat species. IRF3 is a central regulator of innate antiviral responses in mammals. Replacing the serine residue in bat IRF3 with the human leucine residue decreased antiviral protection in bat cells, whereas the addition of this serine residue in human IRF3 significantly enhanced antiviral protection in human cells. Our study provides genetic and functional evidence for enhanced IRF3-mediated antiviral responses in bats and adds support to speculations that bats have positively selected for multiple adaptations in their antiviral immune responses., Competing Interests: Declaration of Interests The authors declare no competing interests., (Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.)
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- 2020
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4. Clinical outcomes after common calcanean tendon rupture repair in dogs with a loop-suture tenorrhaphy technique and autogenous leukoreduced platelet-rich plasma.
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Schulz KS, Ash KJ, and Cook JL
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- Achilles Tendon injuries, Animals, Dogs, Quality of Life, Retrospective Studies, Rupture surgery, Sutures veterinary, Tendon Injuries surgery, Orthopedic Procedures veterinary, Platelet-Rich Plasma, Plastic Surgery Procedures veterinary, Rupture veterinary, Suture Techniques veterinary, Tendon Injuries veterinary
- Abstract
Objective: To report outcomes of dogs with common calcanean tendon (CCT) ruptures treated with a platelet-rich plasma (PRP) enhanced nonabsorbable loop-suture technique., Study Design: Retrospective case series., Animals: Client-owned dogs (n = 12)., Methods: Medical records (2015-2017) of dogs with CCT ruptures repaired with a loop-suture tenorrhaphy and autogenous leukoreduced PRP were reviewed for signalment, history, type of injury, treatment, and clinical follow-up. Outcomes were assessed by functional anatomic measurements and Canine Orthopedic Index (COI) scores transformed to percentages, with 100% representing no problems., Results: Twelve tendons were treated. Two dogs had major complications that were successfully revised. Follow-up was available in 11 of 12 dogs, with a median time of 12 months (range, 4-36), including COI for 11 dogs and anatomic measurements for 6 dogs. Anatomic measurements did not differ between treated and normal contralateral limbs (midthigh muscle mass P > .99, cranial tibial muscle mass P = .37, CCT diameter P = .08, tibiotarsal joint angle P > .99). Owners scored function (COI) as 96.4% (range, 93.3%-97.8%) and quality of life as 94.6% (range, 92%-98.2%)., Conclusion: Loop-suture tenorrhaphy with application of autogenous leukoreduced PRP at the repair site resulted in restoration of functional anatomic measurements, high COI, and client satisfaction., Clinical Significance: Loop-suture tenorrhaphy with local application of autogenous leukoreduced PRP appears to offer an acceptable option to treat CCT injuries in dogs., (© 2019 The American College of Veterinary Surgeons.)
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- 2019
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5. Towards global data products of Essential Biodiversity Variables on species traits.
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Kissling WD, Walls R, Bowser A, Jones MO, Kattge J, Agosti D, Amengual J, Basset A, van Bodegom PM, Cornelissen JHC, Denny EG, Deudero S, Egloff W, Elmendorf SC, Alonso García E, Jones KD, Jones OR, Lavorel S, Lear D, Navarro LM, Pawar S, Pirzl R, Rüger N, Sal S, Salguero-Gómez R, Schigel D, Schulz KS, Skidmore A, and Guralnick RP
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- Animals, Biodiversity, Conservation of Natural Resources methods, Invertebrates, Life History Traits, Plants, Vertebrates
- Abstract
Essential Biodiversity Variables (EBVs) allow observation and reporting of global biodiversity change, but a detailed framework for the empirical derivation of specific EBVs has yet to be developed. Here, we re-examine and refine the previous candidate set of species traits EBVs and show how traits related to phenology, morphology, reproduction, physiology and movement can contribute to EBV operationalization. The selected EBVs express intra-specific trait variation and allow monitoring of how organisms respond to global change. We evaluate the societal relevance of species traits EBVs for policy targets and demonstrate how open, interoperable and machine-readable trait data enable the building of EBV data products. We outline collection methods, meta(data) standardization, reproducible workflows, semantic tools and licence requirements for producing species traits EBVs. An operationalization is critical for assessing progress towards biodiversity conservation and sustainable development goals and has wide implications for data-intensive science in ecology, biogeography, conservation and Earth observation.
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- 2018
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6. Viral Evasion Strategies in Type I IFN Signaling - A Summary of Recent Developments.
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Schulz KS and Mossman KL
- Abstract
The immune system protects the organism against infections and the damage associated with them. The first line of defense against pathogens is the innate immune response. In the case of a viral infection, it induces the interferon (IFN) signaling cascade and eventually the expression of type I IFN, which then causes an antiviral state in the cells. However, many viruses have developed strategies to counteract this mechanism and prevent the production of IFN. In order to modulate or inhibit the IFN signaling cascade in their favor, viruses have found ways to interfere at every single step of the cascade, for example, by inducing protein degradation or cleavage, or by mediate protein polyubiquitination. In this article, we will review examples of viruses that modulate the IFN response and describe the mechanisms they use.
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- 2016
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7. The Effect of Sliding Humeral Osteotomy (SHO) on Frontal Plane Thoracic Limb Alignment: An Ex Vivo Canine Cadaveric Study.
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Breiteneicher AH, Norby B, Schulz KS, Kerwin SC, Hulse DA, Fox DB, and Saunders WB
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- Animals, Biomechanical Phenomena, Cadaver, Forelimb surgery, Dogs physiology, Dogs surgery, Forelimb physiology, Humerus surgery, Osteotomy veterinary, Posture
- Abstract
Objective: To determine the effect of sliding humeral osteotomy (SHO) on frontal plane thoracic limb alignment in standing and recumbent limb positions., Study Design: Canine cadaveric study., Sample Population: Canine thoracic limbs (n=15 limb pairs)., Methods: Limbs acquired from healthy Labrador Retrievers euthanatized for reasons unrelated to this study were mounted in a limb press and aligned in a standing position followed by axial loading at 30% body weight. Frontal plane radiography was performed in standing and recumbent positions pre- and post-SHO. In the standing position, lateralization of the foot was measured pre- and post-SHO using a textured grid secured to the limb press base plate. Twelve thoracic limb alignment values (mean ± SD and 95% CI) were determined using the center of rotation of angulation (CORA) method were compared using linear mixed models to determine if significant differences existed between limb alignment values pre- or post-SHO, controlling for dog, limb, and limb position., Results: Six of 12 standing or recumbent alignment values were significantly different pre- and post-SHO. SHO resulted in decreased mechanical lateral distal humeral angle and movement of the mechanical humeral radio-ulnar angle, radio-ulnar metacarpal angle, thoracic humeral angle, and elbow mechanical axis deviation toward coaxial limb alignment. In the standing position, the foot underwent significant lateralization post-SHO., Conclusion: SHO resulted in significant alteration in frontal plane thoracic limb alignment. Additional studies are necessary to determine if the changes reported using our ex vivo model occur following SHO in vivo., (© Copyright 2016 by The American College of Veterinary Surgeons.)
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- 2016
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8. Nuclear Egress of Herpesviruses: The Prototypic Vesicular Nucleocytoplasmic Transport.
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Hellberg T, Paßvogel L, Schulz KS, Klupp BG, and Mettenleiter TC
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- Active Transport, Cell Nucleus, Amino Acid Sequence, Animals, Capsid metabolism, Capsid Proteins metabolism, Cyclin-Dependent Kinases metabolism, DNA, Viral metabolism, Humans, Lamins metabolism, Molecular Sequence Data, Nuclear Pore Complex Proteins metabolism, Virus Assembly, Cell Nucleus metabolism, Cytoplasm virology, Herpesviridae physiology, Herpesviridae Infections virology, Virus Release
- Abstract
Herpesvirus particles mature in two different cellular compartments. While capsid assembly and packaging of the genomic linear double-stranded DNA occur in the nucleus, virion formation takes place in the cytoplasm by the addition of numerous tegument proteins as well as acquisition of the viral envelope by budding into cellular vesicles derived from the trans-Golgi network containing virally encoded glycoproteins. To gain access to the final maturation compartment, herpesvirus nucleocapsids have to cross a formidable barrier, the nuclear envelope (NE). Since the ca. 120 nm diameter capsids are unable to traverse via nuclear pores, herpesviruses employ a vesicular transport through both leaflets of the NE. This process involves proteins which support local dissolution of the nuclear lamina to allow access of capsids to the inner nuclear membrane (INM), drive vesicle formation from the INM and mediate inclusion of the capsid as well as scission of the capsid-containing vesicle (also designated as "primary virion"). Fusion of the vesicle membrane (i.e., the "primary envelope") with the outer nuclear membrane subsequently results in release of the nucleocapsid into the cytoplasm for continuing virion morphogenesis. While this process has long been thought to be unique for herpesviruses, a similar pathway for nuclear egress of macromolecular complexes has recently been observed in Drosophila. Thus, herpesviruses may have coopted a hitherto unrecognized cellular mechanism of vesicle-mediated nucleocytoplasmic transport. This could have far reaching consequences for our understanding of cellular functions as again unraveled by the study of viruses., (© 2016 Elsevier Inc. All rights reserved.)
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- 2016
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9. Herpesvirus nuclear egress: Pseudorabies Virus can simultaneously induce nuclear envelope breakdown and exit the nucleus via the envelopment-deenvelopment-pathway.
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Schulz KS, Klupp BG, Granzow H, Passvogel L, and Mettenleiter TC
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- Animals, Models, Biological, Herpesvirus 1, Suid physiology, Nuclear Envelope metabolism, Virus Assembly, Virus Release
- Abstract
Herpesvirus replication takes place in the nucleus and in the cytosol. After entering the cell, nucleocapsids are transported to nuclear pores where viral DNA is released into the nucleus. After gene expression and DNA replication new nucleocapsids are assembled which have to exit the nucleus for virion formation in the cytosol. Since nuclear pores are not wide enough to allow passage of the nucleocapsid, nuclear egress occurs by vesicle-mediated transport through the nuclear envelope. To this end, nucleocapsids bud at the inner nuclear membrane (INM) recruiting a primary envelope which then fuses with the outer nuclear membrane (ONM). In the absence of this regulated nuclear egress, mutants of the alphaherpesvirus pseudorabies virus have been described that escape from the nucleus after virus-induced nuclear envelope breakdown. Here we review these exit pathways and demonstrate that both can occur simultaneously under appropriate conditions., (Copyright © 2015 Elsevier B.V. All rights reserved.)
- Published
- 2015
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10. Clinical outcomes associated with the initial use of the Canine Unicompartmental Elbow (CUE) Arthroplasty System(®).
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Cook JL, Schulz KS, Karnes GJ, Franklin SP, Canapp SO Jr, Lotsikas PJ, Fitzpatrick N, Wheeler JL, Stiffler KS, Gillick M, Cross AR, Walls CM, Albrecht MR, Williams N, Crouch DT, Lewis DD, Pozzi A, and Ridge P
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- Animals, Arthroplasty instrumentation, Cartilage, Articular surgery, Compartment Syndromes surgery, Dogs, Forelimb, Retrospective Studies, Arthroplasty veterinary, Compartment Syndromes veterinary, Dog Diseases surgery, Joint Diseases surgery, Prostheses and Implants veterinary
- Abstract
We evaluated mid- to long-term outcomes with respect to function and complications in dogs undergoing canine unicompartmental elbow (CUE) arthroplasty for treatment of medial compartment disease of the elbow. This prospective multicenter case series is the first group of clinical cases to receive CUE arthroplasty. Cases (each elbow that underwent CUE performed by a participating surgeon) were enrolled into an electronic database and prospectively followed to determine and record all associated complications, as well as functional outcomes. There were 103 cases from 18 surgeons. Final follow-up time ranged from 6 to 47 mo with a mean and median of 10 mo. Canine unicompartmental elbow was associated with 1 catastrophic (1%), 11 major (10.7%), and 28 minor (27.2%) complications. Outcomes following CUE were reported as full function in 49 cases (47.6%), acceptable function in 45 cases (43.7%), and unacceptable function in 9 cases (8.7%). We conclude that CUE arthroplasty is an appropriate consideration for treatment of medial compartment disease of the elbow in dogs.
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- 2015
11. Finding our way through phenotypes.
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Deans AR, Lewis SE, Huala E, Anzaldo SS, Ashburner M, Balhoff JP, Blackburn DC, Blake JA, Burleigh JG, Chanet B, Cooper LD, Courtot M, Csösz S, Cui H, Dahdul W, Das S, Dececchi TA, Dettai A, Diogo R, Druzinsky RE, Dumontier M, Franz NM, Friedrich F, Gkoutos GV, Haendel M, Harmon LJ, Hayamizu TF, He Y, Hines HM, Ibrahim N, Jackson LM, Jaiswal P, James-Zorn C, Köhler S, Lecointre G, Lapp H, Lawrence CJ, Le Novère N, Lundberg JG, Macklin J, Mast AR, Midford PE, Mikó I, Mungall CJ, Oellrich A, Osumi-Sutherland D, Parkinson H, Ramírez MJ, Richter S, Robinson PN, Ruttenberg A, Schulz KS, Segerdell E, Seltmann KC, Sharkey MJ, Smith AD, Smith B, Specht CD, Squires RB, Thacker RW, Thessen A, Fernandez-Triana J, Vihinen M, Vize PD, Vogt L, Wall CE, Walls RL, Westerfeld M, Wharton RA, Wirkner CS, Woolley JB, Yoder MJ, Zorn AM, and Mabee P
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- Animals, Computational Biology, Data Curation, Databases, Factual standards, Gene-Environment Interaction, Genomics, Humans, Phenotype, Reference Standards, Reproducibility of Results, Terminology as Topic, Genetic Association Studies
- Abstract
Despite a large and multifaceted effort to understand the vast landscape of phenotypic data, their current form inhibits productive data analysis. The lack of a community-wide, consensus-based, human- and machine-interpretable language for describing phenotypes and their genomic and environmental contexts is perhaps the most pressing scientific bottleneck to integration across many key fields in biology, including genomics, systems biology, development, medicine, evolution, ecology, and systematics. Here we survey the current phenomics landscape, including data resources and handling, and the progress that has been made to accurately capture relevant data descriptions for phenotypes. We present an example of the kind of integration across domains that computable phenotypes would enable, and we call upon the broader biology community, publishers, and relevant funding agencies to support efforts to surmount today's data barriers and facilitate analytical reproducibility.
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- 2015
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12. Theory and development of a unicompartmental resurfacing system for treatment of medial compartment disease of the canine elbow.
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Franklin SP, Schulz KS, Karnes J, and Cook JL
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- Animals, Cartilage, Articular surgery, Compartment Syndromes surgery, Dogs, Humerus surgery, Ulna surgery, Compartment Syndromes veterinary, Dog Diseases surgery, Elbow Joint surgery
- Abstract
Medial compartment disease (MCompD) of the canine elbow can be defined as clinical signs attributable to articular cartilage loss of the medial coronoid process (MCP) of the ulna and medial aspect of the humeral condyle without significant lateral compartment pathology. Whereas outcomes associated with treatment of defined cohorts of dogs with MCompD have not been published, the impressions of many surgeons are that non-surgical management or surgical treatment of the MCP alone does not result in long term highly functional outcomes. Thus, alternative surgical options for treatment of MCompD have been developed including various osteotomies and total elbow replacement (TER) with "successful" outcomes reported in case series. Results and data on safety have been reported for relatively few of these procedures and when reported, major complication rates have been >10% and catastrophic complications have been reported. Accordingly, we sought to develop a surgical technique with the objective of obtaining higher levels of safety and efficacy in the treatment of dogs with MCompD. This report describes the rationale for, and development of, a unicompartmental resurfacing system for treatment of MCompD in the canine elbow., (© Copyright 2014 by The American College of Veterinary Surgeons.)
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- 2014
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13. Hip toggle stabilization using the TightRope® system in 17 dogs: technique and long-term outcome.
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Kieves NR, Lotsikas PJ, Schulz KS, and Canapp SO
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- Animals, Coccyx surgery, Dogs surgery, Female, Femur surgery, Gait, Hip Dislocation diagnostic imaging, Hip Dislocation surgery, Male, Radiography, Range of Motion, Articular, Retrospective Studies, Treatment Outcome, Dogs injuries, External Fixators veterinary, Hip Dislocation veterinary
- Abstract
Objective: To describe the technique for, and long-term clinical outcome of, a modified hip toggle stabilization using the TightRope® system for coxofemoral luxation repair., Study Design: Retrospective case series., Methods: Medical records (July 2008-July 2010) including radiographs (17 limbs) of dogs that had coxofemoral luxation repaired with the TightRope system were reviewed. Follow-up (≥12 months) was obtained by telephone interview of owners. Six dogs were available for re-evaluation, radiographs, and objective gait analysis., Results: Follow-up (mean, 24 months; range, 12-43 months) by telephone interview was available for 17 dogs. Of these, 6 dogs were re-evaluated (mean, 7.5 months; median 12.5 months: range, 4-24 months) and had gait analysis. Mean duration of luxation before surgical intervention was 7.5 days (median, 7 days; range, 2-44 days). There was a single case of relaxation 27 months postoperatively. One dog died from non-surgical related circumstances. Objective gait analysis showed equal pelvic limb use in all 6 dogs available for re-evaluation. All owners of living dogs reported limb function as being good to excellent, and perceived that their dogs were pain free. Radiographs (mean, 7.5 months; median, 12.5 months; range, 4-24 months post surgery) of 6 dogs showed no progression of osteoarthritis in comparison to immediate postoperative radiographs., Conclusions: Hip toggle with the TightRope system as a prosthetic ligament of the head of the femur produces a favorable clinical outcome with high owner acceptance., (© Copyright 2014 by The American College of Veterinary Surgeons.)
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- 2014
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14. Pseudorabies virus pUL46 induces activation of ERK1/2 and regulates herpesvirus-induced nuclear envelope breakdown.
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Schulz KS, Liu X, Klupp BG, Granzow H, Cohen JI, and Mettenleiter TC
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- Active Transport, Cell Nucleus genetics, Analysis of Variance, Blotting, Western, Enzyme Activation genetics, Kinetics, Luciferases, Microscopy, Electron, Nuclear Envelope virology, Plasmids genetics, Active Transport, Cell Nucleus physiology, Antigens, Viral metabolism, Enzyme Activation physiology, Herpesvirus 1, Suid physiology, MAP Kinase Signaling System physiology, Nuclear Envelope metabolism, Viral Proteins metabolism
- Abstract
Unlabelled: Herpesvirus capsid morphogenesis occurs in the nucleus, while final maturation takes place in the cytosol, requiring translocation of capsids through the nuclear envelope. The nuclear egress complex, consisting of homologs of herpes simplex virus pUL31 and pUL34, is required for efficient nuclear egress via primary envelopment and de-envelopment. Recently, we described an alternative mode of nuclear escape by fragmentation of the nuclear envelope induced by replication-competent pUL31 and pUL34 deletion mutants of the alphaherpesvirus pseudorabies virus (PrV), which had been selected by serial passaging in cell culture. Both passaged viruses carry congruent mutations in seven genes, including UL46, which encodes one of the major tegument proteins. Herpesvirus pUL46 homologs have recently been shown to activate the PI3K-Akt and ERK1/2 signaling pathways, which are involved in regulation of mitosis and apoptosis. Since in uninfected cells fragmentation of the nuclear envelope occurs during mitosis and apoptosis, we analyzed whether pUL46 of PrV is involved in signaling events impairing the integrity of the nuclear envelope. We show here that PrV pUL46 is able to induce phosphorylation of ERK1/2 and, thus, expression of ERK1/2 target genes but fails to activate the PI3K-Akt pathway. Deletion of UL46 from PrV-ΔUL34Pass and PrV-ΔUL31Pass or replacement by wild-type UL46 resulted in enhanced nuclear envelope breakdown, indicating that the mutations in pUL46 may limit the extent of NEBD. Thus, although pUL46 induces ERK1/2 phosphorylation, controlling the integrity of the nuclear envelope is independent of the ERK1/2 signaling pathway., Importance: Herpesvirus nucleocapsids can leave the nucleus by regulated, vesicle-mediated transport through the nuclear envelope, designated nuclear egress, or by inducing nuclear envelope breakdown (NEBD). The viral proteins involved in NEBD are unknown. We show here that the pseudorabies virus tegument protein pUL46 induces the ERK1/2 signaling pathway and modulates NEBD. However, these two processes are independent and ERK1/2 signaling induced by pUL46 is not involved in herpesvirus-induced NEBD.
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- 2014
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15. The Encyclopedia of Life v2: Providing Global Access to Knowledge About Life on Earth.
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Parr CS, Wilson N, Leary P, Schulz KS, Lans K, Walley L, Hammock JA, Goddard A, Rice J, Studer M, Holmes JT, and Corrigan RJ Jr
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The Encyclopedia of Life (EOL, http://eol.org) aims to provide unprecedented global access to a broad range of information about life on Earth. It currently contains 3.5 million distinct pages for taxa and provides content for 1.3 million of those pages. The content is primarily contributed by EOL content partners (providers) that have a more limited geographic, taxonomic or topical scope. EOL aggregates these data and automatically integrates them based on associated scientific names and other classification information. EOL also provides interfaces for curation and direct content addition. All materials in EOL are either in the public domain or licensed under a Creative Commons license. In addition to the web interface, EOL is also accessible through an Application Programming Interface. In this paper, we review recent developments added for Version 2 of the web site and subsequent releases through Version 2.2, which have made EOL more engaging, personal, accessible and internationalizable. We outline the core features and technical architecture of the system. We summarize milestones achieved so far by EOL to present results of the current system implementation and establish benchmarks upon which to judge future improvements. We have shown that it is possible to successfully integrate large amounts of descriptive biodiversity data from diverse sources into a robust, standards-based, dynamic, and scalable infrastructure. Increasing global participation and the emergence of EOL-powered applications demonstrate that EOL is becoming a significant resource for anyone interested in biological diversity.
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- 2014
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16. Glycoproteins gB and gH are required for syncytium formation but not for herpesvirus-induced nuclear envelope breakdown.
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Schulz KS, Klupp BG, Granzow H, and Mettenleiter TC
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- Animals, Cell Line, Gene Deletion, Genes, Viral, Giant Cells ultrastructure, Giant Cells virology, Herpesvirus 1, Suid genetics, Herpesvirus 1, Suid ultrastructure, Microscopy, Electron, Transmission, Nuclear Envelope virology, Rabbits, Viral Envelope Proteins genetics, Virus Assembly physiology, Virus Release physiology, Herpesvirus 1, Suid physiology, Viral Envelope Proteins physiology
- Abstract
Herpesvirus nucleocapsids are assembled in the nucleus, whereas maturation into infectious virions takes place in the cytosol. Since, due to their size, nucleocapsids cannot pass the nuclear pores, they traverse the nuclear envelope by vesicle-mediated transport. Nucleocapsids bud at the inner nuclear membrane into the perinuclear space, forming primary enveloped particles and are released into the cytosol after fusion of the primary envelope with the outer nuclear membrane. The nuclear egress complex (NEC), consisting of the conserved herpesvirus proteins (p)UL31 and pUL34, is required for this process, whereas the viral glycoproteins gB and gH, which are essential for fusion during penetration, are not. We recently described herpesvirus-induced nuclear envelope breakdown (NEBD) as an alternative egress pathway used in the absence of the NEC. However, the molecular details of this pathway are still unknown. It has been speculated that glycoproteins involved in fusion during entry might play a role in NEBD. By deleting genes encoding glycoproteins gB and gH from the genome of NEBD-inducing pseudorabies viruses, we demonstrate that these glycoproteins are not required for NEBD but are still necessary for syncytium formation, again emphasizing fundamental differences in herpesvirus-induced alterations at the nuclear envelopes and plasma membranes of infected cells.
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- 2013
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17. Modern application of the Skinner vertical movement stress director for distal extension partial removable dental prostheses: A clinical report.
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Schulz KS, Downs D, and Cagna DR
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- Centric Relation, Dental Abutments, Dental Clasps, Dental Marginal Adaptation, Denture Bases, Denture Retention, Female, Humans, Jaw, Edentulous, Partially classification, Middle Aged, Occlusal Adjustment, Stress, Mechanical, Denture Design, Denture, Partial, Removable, Jaw, Edentulous, Partially rehabilitation
- Abstract
This article describes the prosthetic rehabilitation of a partially edentulous patient with a partial removable dental prosthesis (PRDP) designed to dissipate stress transmission to the denture foundation and abutment teeth. The Skinner stress director is considered an alternative design for managing partially edentulous patients., (Copyright © 2013 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.)
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- 2013
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18. The effect of Cox-2 specific inhibition on direct fracture healing in the rabbit tibia.
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Hak DJ, Schulz KS, Khoie B, and Hazelwood SJ
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- Animals, Cyclooxygenase 2 drug effects, Cyclooxygenase 2 Inhibitors administration & dosage, Disease Models, Animal, Dose-Response Relationship, Drug, Male, Rabbits, Tibial Fractures pathology, Tibial Fractures therapy, Treatment Outcome, Cyclooxygenase 2 metabolism, Cyclooxygenase 2 Inhibitors therapeutic use, Fracture Healing drug effects, Osteotomy methods, Tibia enzymology, Tibial Fractures enzymology
- Abstract
Objective: The purpose of this study was to evaluate the effect of Cox-2 administration on direct (primary) fracture healing., Methods: A transverse tibial osteotomy was created in adult male rabbits and rigidly fixed in compression using a 2.7-mm dynamic compression plate. Animals were randomized to receive either rofecoxib (12.5 mg orally per day) or placebo. Animals were killed at 4 weeks and fracture healing assessed by mechanical testing., Results: There were no significant differences between the control and Cox-2 treated animals in terms of mechanical strength at 4 weeks. There was a high complication rate of peri-implant fractures during the daily medication administration., Conclusion: The immediate administration of a Cox-2 specific inhibitor did not impair primary (direct) bone healing at the dose administered in this rabbit tibial osteotomy model.
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- 2011
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19. Effect of positioning, scan plane, and arthrography on visibility of periarticular canine shoulder soft tissue structures on magnetic resonance images.
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Agnello KA, Puchalski SM, Wisner ER, Schulz KS, and Kapatkin AS
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- Animals, Arthrography methods, Ligaments, Articular diagnostic imaging, Ligaments, Articular pathology, Magnetic Resonance Imaging methods, Muscle, Skeletal diagnostic imaging, Muscle, Skeletal pathology, Range of Motion, Articular physiology, Shoulder anatomy & histology, Shoulder diagnostic imaging, Shoulder pathology, Shoulder Joint diagnostic imaging, Shoulder Joint pathology, Tendons anatomy & histology, Tendons diagnostic imaging, Tendons pathology, Arthrography veterinary, Dogs anatomy & histology, Ligaments, Articular anatomy & histology, Magnetic Resonance Imaging veterinary, Muscle, Skeletal anatomy & histology, Shoulder Joint anatomy & histology
- Abstract
This study was performed to determine the effect of shoulder extension and flexion, imaging plane, and intraarticular paramagnetic contrast medium administration on the visibility of soft tissue structures surrounding the canine shoulder joint using magnetic resonance (MR) imaging. Eight dogs without shoulder disease were imaged using a 1.5 T MR scanner. In all dogs, T1- and T2-weighted spin-echo sequences in sagittal, transverse, and dorsal planes, and a sagittal short tau inversion recovery (STIR) sequence were acquired with the shoulder joint in extension. In five dogs, postintravenous contrast medium T1-weighted images were obtained and in five dogs, MR arthrography was performed in flexion and extension. Each specific soft tissue structure was assigned a visual assessment score of 0-3 and descriptive statistics were calculated. The biceps brachii, supraspinatus, and teres minor muscles and tendons, and the biceps tendon sheath were best seen in the sagittal and transverse planes. The infraspinatus was well-visualized in all planes, the subscapularis was best seen in the transverse and dorsal planes, and the capsuloligmentous complexes were best seen in the transverse and dorsal planes. Limb extension improved conspicuousness of the medial capsuloligamentous stuctures. Arthrography resulted in greater conspicuousness of the biceps brachii tendon, biceps tendon sheath, infraspinatus, supraspinatus, subscapularis, medial joint capsule, medial glenohumeral ligament, and the lateral joint capsule-glenohumeral ligament complex. The major periarticular anatomic structures of the normal canine shoulder were consistently identified using the protocols described in this investigation, but arthrography with the joint in extension resulted in the best visualization of all structures.
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- 2008
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20. Mechanical comparison of 3.5 mm broad dynamic compression plate, broad limited-contact dynamic compression plate, and narrow locking compression plate systems using interfragmentary gap models.
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Uhl JM, Seguin B, Kapatkin AS, Schulz KS, Garcia TC, and Stover SM
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- Animals, Biomechanical Phenomena, Fracture Fixation, Internal methods, Fractures, Bone surgery, Materials Testing methods, Tensile Strength, Bone Plates veterinary, Bone Screws veterinary, Fracture Fixation, Internal veterinary, Fractures, Bone veterinary, Materials Testing veterinary
- Abstract
Objectives: To compare (1) pullout properties between 3.5 mm cortical and locking screws, and (2) mechanical properties and gap displacements between the 3.5 mm broad limited-contact dynamic compression plate (LC-DCP), broad dynamic compression plate (DCP), and narrow locking compression plate (LCP), during axial loading of plate-stabilized diaphyseal fragments with an interfragmentary gap., Study Design: In vitro mechanical testing of implanted polyurethane foam (PUF) hollow cylinders that simulated compact or osteopenic diaphyseal bone., Sample Population: (1) Five cortical and locking screws and (2) 4 PUF-plate constructs for each plate type; using high- and low-density (0.8 and 0.32 g/cm(3)) cylinders., Methods: (1) Screws were completely extracted at 5 mm/min. (2) Plated constructs were axially compressed at 300 N/s for 10 cycles from 5 to 355 N to determine gap displacement during physiologic loading, followed by single cycle increasing load to failure., Results: Pullout properties were not different between screw types. All plate constructs had yield loads over 3 times trotting loads. Gap closure occurred with LC-DCP and DCP constructs, but not LCP constructs. LCP construct properties were most similar to LC-DCP and DCP construct properties in the low-density model., Conclusion: All plate systems sustained physiologic limb loads. Only LCP constructs maintained some gap integrity, although LC-DCP and DCP screws were placed in neutral position., Clinical Relevance: The LCP system is more likely than LC-DCP and DCP systems, with neutrally positioned screws, to maintain a planned interfragmentary gap, although gap strains range from 0% to 15% across the 2 mm gap during a trot load.
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- 2008
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21. Measurement of humeroradial and humeroulnar transarticular joint forces in the canine elbow joint after humeral wedge and humeral slide osteotomies.
- Author
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Mason DR, Schulz KS, Fujita Y, Kass PH, and Stover SM
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- Animals, Biomechanical Phenomena, Cadaver, Humerus physiology, Humerus surgery, Osteotomy methods, Radius physiology, Radius surgery, Stress, Mechanical, Ulna physiology, Ulna surgery, Dogs physiology, Dogs surgery, Forelimb surgery, Joints surgery, Osteotomy veterinary
- Abstract
Objective: To determine the effect of humeral wedge and humeral slide osteotomies on force distribution between the articular surfaces of the humerus and the radius and ulna in normal canine thoracic limbs., Study Design: In vitro mechanical testing., Sample Population: Cadaveric canine right thoracic limbs (n=12)., Methods: Transarticular elbow force maps were measured using a tactile array pressure sensor in elbow joints of axially aligned limbs under 200 N axial load before and after humeral wedge and humeral slide osteotomies., Results: Loading induced 2 distinct areas of high forces that corresponded with the proximal articular surfaces of the radius and ulna. Mean force on the proximal articular surface of the ulna was reduced by 25% and 28% after 4 and 8 mm sliding osteotomies, respectively. Statistically significant differences were not observed for the wedge osteotomies., Conclusion: Humeral slide osteotomy significantly decreases force on the proximal articular surface of the ulna., Clinical Relevance: The proximal articular surface of the ulna contributes significantly to load transfer through the canine elbow joint. Abnormalities that significantly increase this force might contribute to canine elbow dysplasia, specifically fragmentation of the medial coronoid process and osteochondritis dissecans of the medial aspect of the humeral condyle. Under the conditions studied, the overall reduction in mean joint surface force across the proximal articular surface of the ulna after humeral slide osteotomy indicates that this technique merits further investigation for potential use in medial compartmental osteoarthritis of the canine elbow joint.
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- 2008
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22. The Outcomes Measures Program: what's in it for you?
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Schulz KS
- Subjects
- Animals, Evidence-Based Medicine, Humans, Practice Guidelines as Topic, Quality of Life, Surveys and Questionnaires, Outcome Assessment, Health Care, Patient Satisfaction, Surgery, Veterinary standards
- Published
- 2007
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- View/download PDF
23. Evidence-based surgery: time for change.
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Schulz KS, Cook JL, Kapatkin AS, and Brown DC
- Subjects
- Animals, Cost-Benefit Analysis, Decision Making, Evidence-Based Medicine, Humans, Surgery, Veterinary economics, Treatment Outcome, Surgery, Veterinary standards, Surgery, Veterinary trends
- Published
- 2006
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- View/download PDF
24. Proinflammatory cytokine activities, matrix metalloproteinase-3 activity, and sulfated glycosaminoglycan content in synovial fluid of dogs with naturally acquired cranial cruciate ligament rupture.
- Author
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Fujita Y, Hara Y, Nezu Y, Schulz KS, and Tagawa M
- Subjects
- Animals, Biomarkers metabolism, Case-Control Studies, Cytokines metabolism, Dogs surgery, Female, Glycosaminoglycans metabolism, Injury Severity Score, Interleukin-1 metabolism, Interleukin-6 metabolism, Knee Injuries diagnostic imaging, Knee Injuries metabolism, Knee Injuries surgery, Male, Matrix Metalloproteinase 3 metabolism, Prospective Studies, Radiography, Tumor Necrosis Factor-alpha metabolism, Anterior Cruciate Ligament Injuries, Dogs injuries, Knee Injuries veterinary, Synovial Fluid metabolism
- Abstract
Objective: To measure and compare activities of interleukin-1beta (IL-1beta), interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha), and matrix metalloproteinase-3 (MMP-3); as well as sulfated glycosaminoglycan (S-GAG) content in synovial fluid from dogs with cranial cruciate ligament rupture (CCLR) and dogs with clinically normal stifles. To determine whether correlations exist between demographic and disease-related variables and these synovial markers., Study Design: Prospective clinical study., Animals: Dogs with CCLR (n=23) and Beagles with normal stifle joints (n=21)., Methods: Synovial fluid activities of proinflammatory cytokines (IL-1beta, IL-6, and TNF-alpha) were determined by bioassay. MMP-3 activity was measured using fluorogenic substrate. S-GAG contents were determined by dimethylmethylene blue dye-binding assay. Mann-Whitney U-test was used to compare results from CCLR joints with normal controls. Spearman's rank correlation test was used to evaluate associations between demographic and disease-related markers and synovial markers., Results: Mean values for synovial markers were significantly higher in CCLR joints compared with controls. IL-1beta and MMP-3 were positively correlated with lameness duration., Conclusions: Activities of proinflammatory cytokines, MMP-3 activity and S-GAG contents were significantly elevated in synovial fluid from canine stifle joints with naturally acquired CCLR. These results indicate that there is joint inflammation and increased release of GAGs into synovial fluid, suggesting that these inflammatory changes are associated with depletion of proteoglycan from articular cartilage., Clinical Relevance: Medical and surgical treatments designed to decrease joint inflammation and breakdown of proteoglycans may be of value in the management of CCLR in the dog.
- Published
- 2006
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- View/download PDF
25. Computed tomographic evaluation of canine radioulnar incongruence in vivo.
- Author
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Kramer A, Holsworth IG, Wisner ER, Kass PH, and Schulz KS
- Subjects
- Analysis of Variance, Animals, Arthroscopy veterinary, Dog Diseases surgery, Dogs, Elbow Joint surgery, Joint Dislocations diagnostic imaging, Joint Dislocations surgery, Osteoarthritis diagnostic imaging, Osteoarthritis surgery, Osteoarthritis veterinary, Prospective Studies, Radius diagnostic imaging, Radius surgery, Range of Motion, Articular, Sensitivity and Specificity, Tomography, X-Ray Computed methods, Ulna diagnostic imaging, Ulna surgery, Dog Diseases diagnostic imaging, Elbow Joint diagnostic imaging, Joint Dislocations veterinary, Tomography, X-Ray Computed veterinary
- Abstract
Objective: To compare radioulnar incongruence (RUI) of normal canine elbows and elbows with arthroscopically confirmed medial compartment disease in vivo using systematic computed tomography (CT) measurements., Study Design: Prospective comparison of RUI measurements in normal and dysplastic canine elbows., Sample Population: Right elbows of 25 medium-large breed, adult dogs with medial compartment disease and 9 medium-large breed, adult dogs with no elbow disease., Methods: Transverse CT images of proximal radioulnar articulation were reformatted to dorsal and sagittal planes. RUI in 3 locations of the forelimb's medial coronoid was measured. Arthroscopy confirmed diagnosis of medial compartment disease in the diseased group. RUI measurements of the diseased and normal elbows were compared., Results: Cumulative statistical analysis of RUI in all planes revealed no significant difference between the normal and abnormal elbows (P = .61). The abnormal elbows had negative mean RUI at the mid (P = .56) and cranial (P = .24) coronoid regions that were not significantly different from normal elbows and mean positive RUI at the base coronoid that was significantly greater than in normal elbows (P = .00082)., Conclusion: Canine elbows with established medial compartment disease do not have significant RUI at the medial coronoid region at the time of diagnosis when compared with normal elbows., Clinical Relevance: If RUI is a significant factor in the pathophysiology of medial compartment elbow disease in the dog, it does not appear to be present at the time of diagnosis of disease. Ulnar or radial osteotomies do not appear to be indicated for restoration of normal radioulnar articular surface alignment.
- Published
- 2006
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26. Direct and indirect markers of cartilage metabolism in synovial fluid obtained from dogs with hip dysplasia and correlation with clinical and radiographic variables.
- Author
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Fujita Y, Hara Y, Nezu Y, Yamaguchi S, Schulz KS, and Tagawa M
- Subjects
- Age Factors, Animals, Biological Assay veterinary, Biomarkers metabolism, Cell Line, Tumor, Dogs, Glycosaminoglycans metabolism, Hip Dysplasia, Canine diagnostic imaging, Hip Dysplasia, Canine pathology, Humans, Interleukin-1 metabolism, Interleukin-6 metabolism, Matrix Metalloproteinase 3 metabolism, Mice, Radiography, Statistics, Nonparametric, Tumor Necrosis Factor-alpha metabolism, Cartilage metabolism, Hip Dysplasia, Canine metabolism, Synovial Fluid metabolism
- Abstract
Objective: To compare activities of interleukin (IL)-1beta, IL-6, tumor necrosis factor (TNF)-alpha, and matrix metalloproteinase (MMP)-3 and contents of sulfated glycosaminoglycan (S-GAG) in joint fluid obtained from dogs with hip dysplasia (HD) and clinically normal dogs, evaluate correlations among these markers in joint fluid obtained from dogs with HD, and evaluate correlations between each marker and clinical and radiographic variables. Animals-26 dogs with HD (clinical group) and 43 clinically normal Beagles (control group)., Procedure: Joint fluid was aseptically collected from the hip joints of all dogs. For each dog in the clinical group, age, duration of lameness, radiographic osteoarthritis (OA) score, and Norberg angle in each affected joint were recorded. Activities of IL-1beta, IL-6, TNF-alpha, and MMP-3 and S-GAG contents were measured. Values were compared between groups by use of Mann-Whitney U tests, and the Spearman rank correlation test was used to evaluate correlations among markers and between each marker and clinical or radiographic variables., Results: Values of all markers were significantly higher for the clinical group, compared with values for the control group. There was a moderate positive correlation between lameness duration and IL-6 activity and a strong negative correlation between the Norberg angle and IL-1beta activity., Conclusions and Clinical Relevance: Analysis of our results indicated that there was a significant increase in markers of OA in dogs with HD. Activities of IL-1beta and IL-6 in joint fluid of dogs with HD may be influenced by the severity of laxity in the hip joint and lameness duration, respectively.
- Published
- 2005
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27. Comparison of arthroscopic and radiographic abnormalities in the hip joints of juvenile dogs with hip dysplasia.
- Author
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Holsworth IG, Schulz KS, Kass PH, Scherrer WE, Beale BS, Cook JL, and Hornof WJ
- Subjects
- Animals, Animals, Newborn, Arthroscopy methods, Cartilage Diseases diagnostic imaging, Cartilage Diseases pathology, Cartilage Diseases surgery, Dogs, Hip Dysplasia, Canine surgery, Lameness, Animal, Predictive Value of Tests, Prognosis, Radiography, Sensitivity and Specificity, Severity of Illness Index, Arthroscopy veterinary, Cartilage Diseases veterinary, Cartilage, Articular pathology, Hip Dysplasia, Canine diagnostic imaging, Hip Dysplasia, Canine pathology
- Abstract
Objective: To compare radiographic and arthroscopic abnormalities in juvenile dogs with clinically apparent hip dysplasia., Design: Case series., Animals: 52 dogs (70 hip joints) with clinical signs of hip dysplasia scheduled to undergo triple pelvic osteotomy., Procedure: A ventrodorsal radiographic projection of the pelvis was evaluated by a radiologist unaware of clinical and arthroscopic findings, and radiographic osteoarthritic abnormalities were judged and scored as absent (0), mild (1), moderate (2), or severe (3). Arthroscopy was performed by a surgeon unaware of clinical and radiographic findings, and arthroscopic abnormalities were graded from 0 (normal) to 5 (exposed, eburnated subchondral bone)., Results: In 30 of the 70 (43%) hip joints, no radiographic osteoarthritic abnormalities were seen. Severe, full-thickness articular cartilage lesions (grade 4) of the femoral head or acetabulum were seen arthroscopically in 14 (20%) joints. Lesions > or = grade 2 were seen in 60 (86%) joints. Partial tearing of the ligament of the femoral head was present in 57 (81%) joints, and complete rupture was seen in 5 (7%). Radiographic abnormalities were seen in 13 of the 14 (93%; 95% confidence interval, 66% to 99.8%) joints with grade 4 arthroscopic abnormalities but in only 23 of the 46 (50%; 95% confidence interval, 35% to 65%) joints with grade 2 or 3 arthroscopic abnormalities., Conclusions and Clinical Relevance: Results suggest that radiography is not a sensitive method for identifying moderate cartilage lesions in juvenile dogs with hip dysplasia. If moderate cartilage lesions are an important prognostic indicator for the success of triple pelvic osteotomy, then methods other than radiography should be used to detect these lesions.
- Published
- 2005
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28. Effect of a ventral slot procedure and of smooth or positive-profile threaded pins with polymethylmethacrylate fixation on intervertebral biomechanics at treated and adjacent canine cervical vertebral motion units.
- Author
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Koehler CL, Stover SM, LeCouteur RA, Schulz KS, and Hawkins DA
- Subjects
- Animals, Biomechanical Phenomena, Dog Diseases physiopathology, Dogs, Range of Motion, Articular physiology, Spinal Diseases physiopathology, Spinal Diseases surgery, Bone Cements, Bone Nails veterinary, Cervical Vertebrae physiology, Cervical Vertebrae surgery, Dog Diseases surgery, Internal Fixators veterinary, Polymethyl Methacrylate, Spinal Diseases veterinary
- Abstract
Objective: To investigate the biomechanics of cervical vertebral motion units (VMUs) before and after a ventral slot procedure and after subsequent pin-poly-methylmethacrylate (pin-PMMA) fixation and to assess the use of smooth and positive-profile threaded (PPT) pins in pin-PMMA fixation and intravertebral pin placement., Sample Population: Cervical portions (C3 through C6 vertebrae) of 14 cadaveric canine vertebral columns., Procedure: Flexion and extension bending moments were applied to specimens before and after creation of a ventral slot across the C4-C5 intervertebral space and after subsequent smooth or PPT pin-PMMA fixation at that site. Data for the C3-C4, C4-C5, and C5-C6 VMUs were compared among treatments and between pin types, and pin protrusion was compared between pin types., Results: Compared with values in intact specimens, ventral slot treatment increased neutral zone range of motion (NZ-ROM) by 98% at the treated VMUs and appeared to decrease overall ROM at adjacent VMUs; pin-PMMA fixation decreased NZ-ROM by 92% at the treated VMUs and increased overall NZ-ROM by 19% to 24% at adjacentVMUs. Specimens fixed with PPT pins were 82% (flexion) and 80% (extension) stiffer than smooth-pin-fixed specimens. Overall, 41% of pins protruded into foramina; PPT pins were more likely to protrude into transverse foramina., Conclusions and Clinical Relevance: Results indicated that fixation of a cervical VMU alters the biomechanics of adjacent VMUs and may contribute to intervertebral degeneration of adjacent intervertebral disks. Use of threaded pins may lower the incidence of pin loosening and implant failure but enhances the likelihood of transverse foramina penetration.
- Published
- 2005
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29. Accuracy of computerized tomographic evaluation of canine radio-ulnar incongruence in vitro.
- Author
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Holsworth IG, Wisner ER, Scherrer WE, Filipowitz D, Kass PH, Pooya H, Larson RF, and Schulz KS
- Subjects
- Animals, Cadaver, Dog Diseases etiology, Dogs, External Fixators veterinary, Forelimb diagnostic imaging, Joint Dislocations complications, Joint Dislocations diagnostic imaging, Osteoarthritis etiology, Osteoarthritis veterinary, Sensitivity and Specificity, Tomography, X-Ray Computed methods, Tomography, X-Ray Computed standards, Dog Diseases diagnostic imaging, Joint Dislocations veterinary, Radius diagnostic imaging, Tomography, X-Ray Computed veterinary, Ulna diagnostic imaging
- Abstract
Objective: To evaluate the accuracy of linear measurements obtained from computer tomography (CT) images of staged radio-ulnar incongruence in a canine cadaver forelimb model., Study Design: CT evaluation of induced progressive radio-ulnar incongruence in canine cadaveric forelimbs., Sample Population: Eight cadaveric canine left forelimbs., Procedure: A type 2 external skeletal fixator (ESF) with linear motors was attached to the radius in 8 cadaveric left canine forelimbs. Contiguous incremental and helical CT images of the proximal radio-ulnar articulation were acquired in the transverse, sagittal and dorsal planes. The radius was shortened by 1, 2, and 4 mm increments and scanning protocols were repeated at each increment. Digital caliper and CT image analysis measured the progressive change in distance between 2 marking spheres and the epiphyseal bone surfaces of the radio-ulnar articulation. Statistical analysis of measurements from incremental and helical CT acquisitions, and direct and reformatted images were compared with inter-sphere distance using Pearson product moment correlation coefficients., Results: The reformatted incremental acquisition series at the mid-coronoid in the oblique plane had the highest correlation coefficient (r-value) at 0.908. The mid-coronoid in the dorsal plane had the second highest r-value (0.856). The coronoid incisure in the sagittal plane had an r-value of 0.826. The reformatted incremental acquisition series at the coronoid incisure in the oblique plane had the lowest r-value, 0.592., Conclusion: Measurement of radioulnar incongruence may be best performed using reformatted incremental acquisition CT in the mid-coronoid region in an oblique plane., Clinical Relevance: Use of the technique reported in this study may enable determination of the association, if any, between radioulnar incongruence and developmental diseases of the canine elbow.
- Published
- 2005
- Full Text
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30. In vitro force mapping of normal canine humeroradial and humeroulnar joints.
- Author
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Mason DR, Schulz KS, Fujita Y, Kass PH, and Stover SM
- Subjects
- Animals, Biomechanical Phenomena, In Vitro Techniques, Stress, Mechanical, Weight-Bearing physiology, Dogs physiology, Forelimb physiology, Joints physiology
- Abstract
Objective: To determine the distribution of force between the articular surfaces of the humerus and radius and between the humerus and ulna in normal canine forelimbs., Sample Population: 12 cadaveric canine right forelimbs., Procedure: Transarticular force maps were created by placing a tactile array pressure sensor into the elbow joint cavity and loading cadaveric forelimbs in a materials testing system. Mean joint forces were determined at loads of 50, 100, 150, and 200 N., Results: All tests produced 2 distinct areas of high load that corresponded with the proximal articular surfaces of the radius and ulna. Mean forces for the radial proximal articular surface were slightly but significantly greater than for the ulna, averaging 51% to 52% of total force for all applied loads., Conclusions and Clinical Relevance: The proximal articular surface of the ulna contributes substantially to load transfer through the canine elbow joint. Abnormalities, which increase this load, might contribute to canine elbow joint dysplasia, specifically fragmentation of the medial coronoid process and osteochondritis dissecans of the medial aspect of the humeral condyle. In the treatment of these conditions, the normal force distribution within the canine elbow joint should be taken into consideration.
- Published
- 2005
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31. The effect of stem length on femoral component positioning in canine total hip arthroplasty.
- Author
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Dearmin MG and Schulz KS
- Subjects
- Animals, Arthroplasty, Replacement, Hip methods, Dogs, Femur Head diagnostic imaging, Radiography, Arthroplasty, Replacement, Hip veterinary, Femur Head surgery, Hip Dysplasia, Canine surgery, Hip Prosthesis veterinary
- Abstract
Objective: To determine the effects of femoral prosthesis stem length on positioning of the femoral component within the canine femur., Study Design: An in vitro experimental study., Sample Population: Eleven adult, mixed breed, canine cadaver femurs., Methods: Polymethylmethacrylate centralized Biomedtrix size 5, 6, and 7 standard and 1cm shortened implants were placed in specimens, manipulated to achieve maximal displacements of the implant tip in each plane, and radiographed. Measurements of the implant angle, tip offset, and minimal tip to endosteal surface distance were obtained with image processing software. The effects of implant length and size on implant positioning were evaluated with the use of Student's t, chi(2) exact, and 2-way ANOVA testing., Results: Statistically significant increases were noted in tip to caudal cortex distance in the sagittal plane, and available angle variability and tip offset variability in the transverse plane for shortened size 6 and 7 stems relative to the standard stems. No significant differences were noted in size 5 stems. Statistically significant increases in tip to caudal cortex distance and transverse plane available angle variability for standard 6 compared to standard 7 stems were noted., Conclusions: Shortened stems result in statistical improvement of several variables of femoral component positioning. However, the improvement appears to be clinically negligible., Clinical Relevance: Alteration of current stem lengths is not recommended. The use of undersized standard implants may improve femoral component positioning in total hip arthroplasty.
- Published
- 2004
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32. Unusual urethral calculi in two male dogs.
- Author
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Reimer SB, Kyles AE, Schulz KS, Bernsteen L, Wooldridge JD, and Ling GV
- Subjects
- Animals, Dog Diseases surgery, Dogs, Male, Radiography, Time Factors, Treatment Outcome, Ureteral Calculi diagnostic imaging, Ureteral Calculi surgery, Urethral Diseases diagnostic imaging, Urethral Diseases surgery, Dog Diseases diagnostic imaging, Ureteral Calculi veterinary, Urethral Diseases veterinary
- Abstract
The clinical presentation and advanced size of the two calculi described in this report are both atypical and noteworthy. Both dogs were presented initially with signs of hematuria, stranguria, and perineal discomfort. Each calculus was visible on survey abdominal radiographs and was present in the region of the ischial arch. Both dogs underwent a perineal urethrotomy to retrieve the calculus. Resolution of clinical signs was obtained in one case, which was referred within 2 months of the onset of clinical signs. The second dog was medically managed for approximately 2.5 years before referral. Surgical intervention failed to restore urinary continence in this second dog. Early detection of similar cases may be important in optimizing clinical outcome following appropriate treatment.
- Published
- 2004
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33. Self-retaining braces for canine arthroscopy.
- Author
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Schulz KS, Holsworth IG, and Hornof WJ
- Subjects
- Animals, Biocompatible Materials, Dogs, Elbow Joint, Equipment Design, Hip Joint, Joint Diseases surgery, Shoulder Joint, Stifle, Arthroscopy veterinary, Braces veterinary, Dog Diseases surgery, Joint Diseases veterinary
- Abstract
Objective: To describe self-retaining braces for canine shoulder, elbow, hip, and stifle arthroscopy., Study Design: Clinical design and application., Sample Population: Clinical patients admitted for elective arthroscopy., Methods: Self-retaining braces were designed and constructed from commercially available products, steel tubing, and upholstery. The design efficacy was determined by clinical use., Results: A shoulder/hip retraction device was constructed from a heavy-duty Mayo stand and a steel T frame. An elbow brace and a stifle brace were constructed from a commercially available positioning arm and steel tubing. These devices were used successfully in clinical canine arthroscopy and provided consistent stability for arthroscopic surgery without the need of a surgical assistant., Conclusions: Arthroscopic self-retaining braces can be constructed from commercially available products and other simple materials to provide reliable patient positioning without the need for a surgical assistant., Clinical Relevance: Self-retaining braces may provide improved patient stabilization and eliminate the need for a surgical assistant in most cases of canine arthroscopy.
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- 2004
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34. Effects of a whole-body spandex garment on rectal temperature and oxygen consumption in healthy dogs.
- Author
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Reimer SB, Schulz KS, Mason DR, and Jones JH
- Subjects
- Animals, Calorimetry, Indirect veterinary, Cross-Over Studies, Polyurethanes adverse effects, Prospective Studies, Random Allocation, Rectum, Temperature, Time Factors, Body Temperature physiology, Body Temperature Regulation physiology, Clothing adverse effects, Dogs physiology, Oxygen Consumption physiology
- Abstract
Objective: To determine whether a full-body spandex garment would alter rectal temperatures of healthy dogs at rest in cool and warm environments., Design: Prospective study., Animals: 10 healthy dogs., Procedures: Each dog was evaluated at a low (20 degrees to 25 degrees C [68 degrees to 77 degrees F]) or high (30 degrees to 35 degrees C [86 degrees to 95 degrees F]) ambient temperature while wearing or not wearing a commercially available whole-body spandex garment designed for dogs. Oxygen consumption was measured by placing dogs in a flow-through indirect calorimeter for 90 to 120 minutes. Rectal temperature was measured before dogs were placed in the calorimeter and after they were removed., Results: Rectal temperature increased significantly more at the higher ambient temperature than at the lower temperature and when dogs were not wearing the garment than when they were wearing it. The specific rate of oxygen consumption was significantly higher at the lower ambient temperature than at the higher temperature., Conclusions and Clinical Relevance: Results suggest that wearing a snug spandex body garment does not increase the possibility that dogs will overheat while in moderate ambient temperatures. Instead, wearing such a garment may enable dogs to better maintain body temperature during moderate heat loading. These results suggest that such garments might be used for purposes such as wound or suture protection without causing dogs to overheat.
- Published
- 2004
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35. Two-dimensional link-segment model of the forelimb of dogs at a walk.
- Author
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Nielsen C, Stover SM, Schulz KS, Hubbard M, and Hawkins DA
- Subjects
- Animals, Biomechanical Phenomena, Female, Gait physiology, Joints physiology, Male, Physical Exertion physiology, Reference Values, Dogs physiology, Forelimb anatomy & histology, Forelimb physiology, Walking physiology
- Abstract
Objective: To calculate normative joint angle, intersegmental forces, moment of force, and mechanical power at elbow, antebrachiocarpal, and metacarpophalangeal joints of dogs at a walk., Animals: 6 clinically normal mixed-breed dogs., Procedure: Kinetic data were collected via a force platform, and kinematic data were collected from forelimbs by use of 3-dimensional videography. Length, location of the center of mass, total mass, and mass moment of inertia about the center of mass were determined for each of 4 segments of the forelimb. Kinematic data and inertial properties were combined with vertical and craniocaudal ground reaction forces to calculate sagittal plane forces and moments across joints of interest throughout stance phase. Mechanical power was calculated as the product of net joint moment and the angular velocity. Joint angles were calculated directly from kinematic data., Results: All joint intersegmental forces were similar to ground reaction forces, with a decrease in magnitude the more proximal the location of each joint. Flexor moments were observed at metacarpophalangeal and antebrachiocarpal joints, and extensor moments were observed at elbow and shoulder joints, which provided a net extensor support moment for the forelimb. Typical profiles of work existed for each joint., Conclusions and Clinical Relevance: For clinically normal dogs of a similar size at a walk, inverse dynamic calculation of intersegmental forces, moments of force, and mechanical power for forelimb joints yielded values of consistent patterns and magnitudes. These values may be used for comparison in evaluations of gait in other studies and in treatment of dogs with forelimb musculoskeletal disease.
- Published
- 2003
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36. Retrospective analysis of canine miniature total hip prostheses.
- Author
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Warnock JJ, Dyce J, Pooya H, and Schulz KS
- Subjects
- Animals, Arthroplasty, Replacement, Hip statistics & numerical data, California epidemiology, Dogs, Equipment Design, Female, Hip Dysplasia, Canine diagnostic imaging, Intraoperative Complications epidemiology, Male, Ohio epidemiology, Osteoarthritis epidemiology, Osteoarthritis surgery, Osteoarthritis veterinary, Postoperative Complications epidemiology, Radiography, Records veterinary, Retrospective Studies, Treatment Outcome, Virginia epidemiology, Arthroplasty, Replacement, Hip veterinary, Hip Dysplasia, Canine epidemiology, Hip Dysplasia, Canine surgery, Hip Prosthesis veterinary
- Abstract
Objective: To determine the practicality and clinical outcome of miniature total hip replacement (THR) in dogs., Study Design: Retrospective study. Sample Population- Seventeen client-owned dogs that had miniature THR., Methods: Patient data surveyed included signalment, body weight, diagnosis, implant size, surgical technique, and intraoperative and postoperative complications. Radiographic evaluation included angle of lateral opening of the acetabular component, implant positioning, cement mantle quality, and femoral displacement measurement and ratio. Client questionnaire and orthopedic examination were used to obtain long-term follow-up information., Results: Miniature THR was performed to address hip dysplasia and secondary osteoarthritis. In 1 dog, a staged bilateral procedure was performed. Mean body weight was 19 kg (range, 12 to 25 kg). Penetration or fissure of the femoral cortex was the most common intraoperative complication and occurred in 3 dogs. In 3 dogs, there was excessive coxofemoral laxity after reduction of the prosthesis. This instability was addressed specifically in 2 dogs by capsulorrhaphy or capsular prosthesis. Postoperative convalescent complications (craniodorsal luxation, 2 dogs; acetabular cup displacement, 1 dog) were related to surgical errors. Aseptic loosening of the femoral implant was diagnosed in 1 dog at 18 months. Mean follow-up time was 17 months (range, 4 to 42 months). Fifteen of 18 (83%) miniature THRs had good or excellent outcomes., Conclusions: Miniature THR should be considered a satisfactory alternative to femoral head and neck ostectomy in medium-size dogs affected by hip dysplasia and secondary osteoarthritis. The population of medium-size dogs that might derive more benefit from THR than FHO has yet to be defined., Clinical Relevance: Miniature THR is a viable treatment option in medium-size dogs with hip dysplasia., (Copyright 2003 by The American College of Veterinary Surgeons)
- Published
- 2003
- Full Text
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37. Effect of humeral osteotomy on joint surface contact in canine elbow joints.
- Author
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Fujita Y, Schulz KS, Mason DR, Kass PH, and Stover SM
- Subjects
- Animals, Cadaver, Dogs, Female, Male, Forelimb physiology, Humerus surgery, Joints physiology, Osteotomy
- Abstract
Objective: To determine the effect of sliding and wedge osteotomies of the humerus on the joint surface contact areas in anatomically normal elbow joints of dogs., Sample Population: Left thoracic limbs from 5 skeletally mature mixed-breed canine cadavers., Procedure: Joint casting was performed by placement of colored polymethylmethacrylate in the elbow joint cavity followed by loading in a materials testing system at physiologic angle and load. Joint casting was performed in unaltered specimens, after 10 degrees medial opening wedge osteotomy, and after lateral sliding osteotomy of the proximal portion of the humerus. Computer-aided analysis of photographs of proximal radial and ulnar articular surfaces after each casting procedure was performed., Results: The lateral sliding humeral osteotomy and 10 degrees medial opening wedge osteotomy significantly altered joint surface contact regions of the canine elbow joint. Osteotomies resulted in a reduction in the size of the radial, ulnar, and combined radioulnar contact areas. Both osteotomies also resulted in craniolateral migration of the radial contact area and craniomedial recession of the ulnar contact area. Although the reduction in ulnar contact area with these treatments is consistent with our hypotheses, the reduction in radial contact area was not anticipated., Conclusions and Clinical Relevance: Humeral osteotomies alter joint surface contact areas of the canine elbow joint in vitro. Humeral osteotomies may decrease contact areas on the diseased region of the joint in dogs with elbow dysplasia; however, the overall decrease in joint surface contact area suggests that these procedures may induce focal increases in pressure that may cause iatrogenic cartilage damage when applied in vivo.
- Published
- 2003
- Full Text
- View/download PDF
38. Short-term evaluation of dorsal acetabular augmentation in 10 canine total hip replacements.
- Author
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Pooya HA, Schulz KS, Wisner ER, Montavon P, and Jackson J
- Subjects
- Acetabulum diagnostic imaging, Animals, Breeding, Dogs, Female, Male, Osseointegration, Osteoarthritis, Hip surgery, Radiography, Retrospective Studies, Treatment Outcome, Acetabulum surgery, Arthroplasty, Replacement, Hip veterinary, Dog Diseases surgery, Hip Prosthesis veterinary, Osteoarthritis, Hip veterinary
- Abstract
Objective: To report the use of dorsal acetabular augmentation (DAA) in canine total hip arthroplasty (THA) and to evaluate the clinical and radiographic outcome after a minimum of 1 year follow-up., Study Design: Clinical study., Animals: Nine dogs that had THA., Methods: Ten hips requiring acetabular augmentation for optimum acetabular cup implantation for THA were evaluated retrospectively. The excised femoral head and neck was used as the corticocancellous bone graft for index THA surgeries, and the dorsal crest of the ipsilateral ilial wing was used as the bone graft in 1 dog that had a revision surgery. Clinical and radiographic follow-up examinations were performed at approximately 8 weeks and 1 year postoperatively. Long-term radiographic examinations included use of a standing dorsal acetabular rim (DAR) projection for assessment of graft-recipient boundary. Functional clinical outcome was assessed using direct patient evaluation and telephone interview., Results: One dog failed to regain limb function after surgery. Suspected aseptic loosening of the acetabular cup was observed on radiographs approximately 12 weeks postoperatively. Excluding this single explantation, follow-up physical and radiographic examinations indicated good implant and graft positioning and normal function for all dogs., Conclusions: Acetabular augmentation permitted implantation of an appropriately sized acetabular cup while maintaining complete DAR coverage of the prosthesis. Nine out of 10 hips had a successful outcome with minimal radiographic and no functional abnormalities. Further follow-up is necessary to determine the long-term outcome of DAR augmentation in canine THA., Clinical Relevance: Acetabular augmentation with an autogenous corticocancellous bone graft constructed from the femoral head and neck can provide complete DAR coverage to permit use of an appropriately sized acetabular cup in THA., (Copyright 2003 by The American College of Veterinary Surgeons)
- Published
- 2003
- Full Text
- View/download PDF
39. The effects of femoral stem and neck length on cement strains in a canine total hip replacement model.
- Author
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Dassler CL, Schulz KS, Kass P, and Stover SM
- Subjects
- Animals, Biomechanical Phenomena, Dogs, Models, Anatomic, Polymethyl Methacrylate, Prosthesis Design veterinary, Stress, Mechanical, Bone Cements, Hip Dysplasia, Canine surgery, Hip Prosthesis veterinary
- Abstract
Objective: To determine the effects of femoral prosthesis stem length and head size on cement strains in a canine hip replacement system., Study Design: An in vitro experimental model., Sample Population: (1) Three standard and 3 1-cm shortened femoral implants with +3 femoral heads. (2) Two standard implants with +0, +3, and +6 femoral heads., Methods: Femoral stems were embedded in polymethylmethacrylate cement. A uniaxial proximodistal-oriented strain gauge was applied to the cement on the medial and lateral aspects of the construct 1.5 cm, 6.0 cm and 7.0 cm distal to the collar. Each construct with a +3 femoral head was mounted in a materials testing system. An axial compressive load (0-200 N) was applied to the femoral head and cement strains were recorded. Additionally, 2 standard length constructs were also tested with +0 and +6 femoral heads. The effects of stem length and neck length on cement strains were assessed with analysis of variance., Results: Strains increased at all locations with increasing loads for all constructs. Shorter implants had higher strains by 152% and 171%, lateral (P =.003) and medial (P =.0025) to the stem tip. No significant strain differences were noted, at any strain gauge location, between different neck lengths (P values ranged from.20 to.67)., Conclusions: Although a shorter implant stem has a potential to improve implant fit, it led to significantly higher cement strains that may increase the risk for aseptic loosening. Changes in femoral neck length did not significantly affect cement strains under the conditions tested., Clinical Relevance: Shortening of the femoral stem currently cannot be recommended in canine total hip replacement. The existing use of variable neck lengths likely does not increase the risk of failure of the femoral stem., (Copyright 2003 by The American College of Veterinary Surgeons)
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- 2003
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40. In vitro biomechanical study of rotational stabilizers of the canine elbow joint.
- Author
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Talcott KW, Schulz KS, Kass PH, Mason DR, and Stover SM
- Subjects
- Animals, Biomechanical Phenomena, Collateral Ligaments physiology, Pronation physiology, Supination physiology, Dogs physiology, Forelimb physiology, Joints physiology
- Abstract
Objective: To develop a model for measuring rotary stability of the canine elbow joint and to evaluate the relative contribution of the anconeal process (AN), lateral collateral ligament (LCL), and medial collateral ligament (MCL)., Sample Population: 18 forelimbs from 12 canine cadavers., Procedure: Forelimbs were allocated to 3 experimental groups (6 forelimbs/group). Each intact forelimb was placed in extension at an angle of 135 degrees and cycled 50 times from -16 degrees (pronation) to +28 degrees (supination) in a continuous manner at 2.0 Hz. Cycling was repeated following sectioning of the structure of interest (group 1, AN; group 2, LCL; and group 3, MCL). Torque at -12 degrees (pronation) and +18 degrees (supination) was measured for each intact and experimentally sectioned limb. A Student t test was performed to compare torque values obtained from intact verses experimentally sectioned limbs and for comparison with established criteria for differentiation of primary (> or = 33%), secondary (10 to 33%), and tertiary rotational stabilizers (< 10%)., Results: In pronation, the AN was the only primary stabilizer (65%). For supination, the LCL was a primary stabilizer (48%), AN was a secondary stabilizer (24%), and MCL was a tertiary stabilizer (7%)., Conclusions and Clinical Relevance: With the elbow joint in extension at an angle of 135 degrees, the AN is a primary rotational stabilizer in pronation, and the LCL is a primary stabilizer in supination. Disruption of the AN or LCL may affect rotary range of motion or compromise stability of the elbow joint in dogs.
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- 2002
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41. Computed tomographic osteoabsorptiometry of the elbow joint in clinically normal dogs.
- Author
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Samii VF, Les Clifford M, Schulz KS, Keyak JH, and Stover SM
- Subjects
- Animals, Dogs anatomy & histology, Female, Forelimb anatomy & histology, Joints anatomy & histology, Male, Tomography, X-Ray Computed veterinary, Bone Density physiology, Dogs physiology, Forelimb physiology, Joints physiology
- Abstract
Objective: To evaluate subchondral bone density patterns in elbow joints of clinically normal dogs by use of computed tomographic (CT) osteoabsorptiometry., Sample Population: 20 cadaver forelimbs from 10 clinically normal dogs., Procedure: Each elbow joint was imaged in parasagittal and transverse planes of 1.5-mm thickness. Slice data were converted to dipotassium phosphate equivalent density (PPED) values. Sagittal, parasagittal, and transverse medial coronoid process topographic maps were constructed. Defined zones were created for each of the 3 CT planes, and confluence and peak PPED values were determined., Results: The lowest PPED value was 340 mg/ml (articular and subchondral confluence), and the highest was 1780 mg/ml (peak subchondral density). Detectable effects of joint laterality were not found in the confluence or peak PPED measurements or in the peak-to-confluence PPED ratio for all 3 CT planes. Significant differences were found among zones in all 3 planes for confluence and peak PPED measurements and between sagittal and transverse planes for peak-to-confluence PPED ratios. Subjectively, the pattern of density distribution among dogs was fairly consistent for the sagittal and parasagittal slices. Three specific patterns of density distribution were apparent on the transverse topographic maps of the medial coronoid process that corresponded to conformational differences., Conclusions and Clinical Relevance: The use of CT osteoabsorptiometry provides a repeatable technique that can be used to noninvasively examine bone density and the effects of stress acting on joints in vivo. Variability in density values for any of the CT planes was not identified among clinically normal dogs.
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- 2002
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42. The effects of acetabular cup temperature and duration of cement pressurization on cement porosity in a canine total hip replacement model.
- Author
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Shields SL, Schulz KS, Hagan CE, and Kass P
- Subjects
- Animals, Arthroplasty, Replacement, Hip veterinary, Biomechanical Phenomena, Models, Animal, Temperature, Acetabulum, Bone Cements, Cementation instrumentation, Dogs surgery, Hip Prosthesis veterinary
- Abstract
Objective: To determine the effect of acetabular cup temperature and duration of cement pressurization on porosity of the acetabular cement mantel., Study Design: In vitro study., Methods: Twenty-four polyurethane foam blocks prepared for acetabular prosthetic implantation were implanted with polyethylene acetabular cups using four combinations and variations of temperature and pressure: (1) high temperature/short-term pressurization; (2) high temperature/long-term pressurization; (3) low temperature/long-term pressurization; and (4) low temperature short-term pressurization. Five 1-mm-thick slices were taken from the center of each block using a tissue processing system. The slices were scanned into a personal computer using a photo slide scanner. Imaging software was used to determine cement surface area and size, number, and distribution of pores. The quality of the cement-implant interface was subjectively evaluated. Statistical analysis of relative cement porosity was performed by a Kruskal-Wallis analysis of variance comparing the four groups individually and combining the short-term pressurization groups versus the long-term pressurization groups., Results: There were no significant differences in cement porosity between the four test groups (P =.11). There were no significant differences in porosity between the combined groups (P =.48)., Conclusions: There is no benefit in prewarming acetabular cups before implantation. There are no deleterious effects of short-term pressurization of the cement during implantation., (Copyright 2002 by The American College of Veterinary Surgeons)
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- 2002
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43. Sensitivity of radiographic evaluation of radio-ulnar incongruence in the dog in vitro.
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Mason DR, Schulz KS, Samii VF, Fujita Y, Hornof WJ, Herrgesell EJ, Long CD, Morgan JP, and Kass PH
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- Animals, Dogs, Joint Dislocations diagnostic imaging, Observer Variation, Radiography, Radius diagnostic imaging, Sensitivity and Specificity, Ulna diagnostic imaging, Dog Diseases diagnostic imaging, Forelimb diagnostic imaging, Joint Dislocations veterinary
- Abstract
Objective: To determine the sensitivity and specificity of radiographic evaluation of radio-ulnar incongruence in canine elbow joints in vitro., Study Design: Radiographic evaluation of induced radio-ulnar incongruence in canine cadaveric forelimbs by radiologists blinded to study design., Sample Population: Six cadaveric canine left forelimbs., Methods: Extended lateral, 90 degrees flexed lateral, and cranio-caudal projections were taken of the elbow joint of six cadaveric canine forelimbs. A four-pin, type I external skeletal fixator (ESF) with a linear motor side bar was attached to the medial aspect of the radius, and a 2-cm segment of bone was removed from the mid-diaphysis. A 3.5-mm cortical bone screw placed from the medial to lateral styloid processes prevented relative movement between the distal radius and ulna during radial shortening. The ESF was used to progressively shorten the radius in increments of 0.5 mm to a total of 4 mm. The three radiographic projections were repeated after each incremental change of length. After the study, each elbow joint was disarticulated to confirm the presence of a step defect. The original radiographs and three copies were randomized and then evaluated by four radiologists blinded to the study design. Radiologists were asked to evaluate whether the joint was normal or abnormal and if there was evidence of radio-ulnar incongruence. The ability of each radiologist to correctly identify congruent elbows (specificity) and incongruent elbows (sensitivity) was calculated., Results: The median specificity was 86% using the lateral projection and 82% using the cranio-caudal projection. The median sensitivities using the lateral and cranio-caudal radiographic projections were 78% and 79%, respectively. The degree of radial shortening required for individual radiologists to achieve a sensitivity of 90% ranged from 1.5 mm to greater than 4 mm., Clinical Relevance: Standard radiographic evaluation for radio-ulnar incongruence in the dog may be associated with relatively poor sensitivity and specificity. Invasive surgical procedures and screening programs that rely on radiographic diagnosis of radio-ulnar incongruence should be discouraged until a more reliable method of diagnosis of this type of elbow joint incongruence is available., (Copyright 2002 by The American College of Veterinary Surgeons)
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- 2002
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44. In vitro experimental study of the effect of radial shortening and ulnar ostectomy on contact patterns in the elbow joint of dogs.
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Preston CA, Schulz KS, Taylor KT, Kass PH, Hagan CE, and Stover SM
- Subjects
- Animals, Dog Diseases surgery, Dogs, Forelimb anatomy & histology, Forelimb pathology, Image Processing, Computer-Assisted, Joint Diseases pathology, Joint Diseases surgery, Photography veterinary, Radius anatomy & histology, Radius pathology, Ulna pathology, Ulna surgery, Dog Diseases pathology, Joint Diseases veterinary
- Abstract
Objective: To determine effects of incremental radial shortening and subsequent ulnar ostectomies on joint surface contact patterns in a canine elbow joint model., Sample Population: Paired forelimbs from 9 adult dogs., Procedure: Joint casting was performed by placement of colored polymethylmethacrylate in the elbow joint cavity and loading in a materials testing system at physiologic angle and load. Joint casting was performed in unaltered specimens, after radial shortening, and after subsequent distal ulnar ostectomy, proximal ulnar ostectomy, and proximal ulnar ostectomy with intramedullary pinning. Computer-aided analysis of photographs of proximal radial and ulnar articular surfaces without joint casts was performed before and after each casting procedure., Results: All increments of radial shortening changed the size and location of radial and ulnar contact areas. The radial contact area became smaller, the anconeal contact area disappeared, the medial coronoid contact area migrated craniolaterally, and the lateral projection of the coronoid process became a contact area. A proximal ulnar ostectomy stabilized with an intramedullary pin restored normal contact area size and location and restored continuity of the radial and coronoid contact areas across the radioulnar articulation in 6 of 10 specimens. A midshaft ulnar ostectomy, distal to the level of the radioulnar ligament, had no effect on contact patterns. A proximal ulnar ostectomy without stabilization resulted in varus deformity during loading., Conclusions and Clinical Relevance: Proximal radial shortening, which creates articular step incongruity, changes the location and size of the radioulnar contact areas. Dynamically stabilized ulnar ostectomies proximal to the radioulnar ligament restore contact patterns in vitro.
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- 2001
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45. Biomechanical analysis of suture anchors and suture materials used for toggle pin stabilization of hip joint luxation in dogs.
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Baltzer WI, Schulz KS, Stover SM, Taylor KT, and Kass PH
- Subjects
- Animals, Biomechanical Phenomena, Bone Nails, Dogs, Hip Dislocation surgery, Nylons chemistry, Polyesters chemistry, Polyesters standards, Random Allocation, Tensile Strength, Dog Diseases surgery, Hip Dislocation veterinary, Sutures standards
- Abstract
Objective: To compare in vitro mechanical properties of toggle pins and toggle rods used as suture anchors and of 3 suture materials (50-lb monofilament polybutester, No. 5 braided polyester, and 5-mm woven polyester) commonly used as prosthetic ligaments in the repair of hip joint luxation in dogs., Sample Population: Femoropelvic specimens from the cadavers of 18 dogs., Procedure: Suture anchors were compared by use of pullout tests. Suture materials were compared by use of monotonic and cyclic tensile tests; cyclic tensile tests were performed with the suture placed over the edge of an aluminum bar to simulate the edge of the femoral bone tunnel. In vitro mechanical properties of the ligament of the femoral head were determined by use of monotonic tensile tests, using bone-ligament-bone cadaveric specimens. The in vitro mechanical properties of the acetabulum-ligament-femur complex and of this complex following rupture of the ligament and stabilization with a toggle rod and 5-mm woven polyester were determined by use of compression tests that simulated weight-bearing., Results: Mechanical properties of the toggle rod were not significantly different from those of the toggle pin. Woven polyester had the longest fatigue life in cyclic testing. Hip joints stabilized with a toggle rod and woven polyester had less than half the strength in vitro of intact joints., Conclusions and Clinical Relevance: Results suggested that a toggle rod or toggle pin can be used for stabilization of hip joint luxations in dogs. Of the materials tested, braided polyester had the best in vitro mechanical properties.
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- 2001
- Full Text
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46. Forelimb lameness in the adult patient.
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Schulz KS
- Subjects
- Animals, Cats injuries, Dogs injuries, Forelimb injuries, Joint Diseases complications, Joint Diseases pathology, Lameness, Animal etiology, Wounds and Injuries complications, Wounds and Injuries pathology, Cat Diseases pathology, Dog Diseases pathology, Joint Diseases veterinary, Lameness, Animal pathology, Physical Examination veterinary, Wounds and Injuries veterinary
- Abstract
Lameness of the forelimb may be one of the more frustrating problems in small animal orthopedics. It is likely that numerous causes of forelimb lameness are not yet defined or well understood. The common and some less common causes of forelimb lameness are discussed as well as their means of diagnosis. The application of new diagnostic tools including arthroscopy and ultrasound are also discussed.
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- 2001
- Full Text
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47. Application of arthroplasty principles to canine cemented total hip replacement.
- Author
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Schulz KS
- Subjects
- Animals, Cementation, Dogs, Arthroplasty, Replacement, Hip veterinary, Dog Diseases surgery
- Published
- 2000
- Full Text
- View/download PDF
48. In vitro determination of contact areas in the normal elbow joint of dogs.
- Author
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Preston CA, Schulz KS, and Kass PH
- Subjects
- Animals, Bone Cements, In Vitro Techniques, Joints anatomy & histology, Polymethyl Methacrylate, Reproducibility of Results, Stress, Mechanical, Weight-Bearing physiology, Dogs anatomy & histology, Forelimb anatomy & histology
- Abstract
Objective: To evaluate areas of articular contact of the proximal portions of the radius and ulna in normal elbow joints of dogs and the effects of axial load on size and location of these areas., Sample Population: Forelimbs obtained from cadavers of 5 adult mixed-breed dogs., Procedure: After forelimbs were removed, liquid-phase polymethyl methacrylate was applied to articular surfaces of the elbow joint, and limbs were axially loaded. Articular regions void of casting material were stained with water-soluble paint. Relative articular contact areas were determined by computer-assisted image analyses of stained specimens. Repeatability of the technique was evaluated by analyses of casts from bilateral forelimbs of 1 cadaver. Incremental axial loads were applied to left forelimbs from 4 cadavers to determine effects of load on articular contact., Results: Specific areas of articular contact were identified on the radius, the craniolateral aspect of the anconeus, and the medial coronoid process. The medial coronoid and radial contact areas were continuous across the radioulnar articulation. There was no articular contact of the medial aspect of the anconeus with the central trochlear notch. Coefficients of variation of contact areas between repeated tests and between contralateral limbs was < 20%. Significant overall effects of axial load on contact area or location were not identified., Conclusions: Three distinct contact areas were evident in the elbow joint of dogs. Two ulnar contact areas were detected, suggesting there may be physiologic incongruity of the humeroulnar joint. There was no evidence of surface incongruity between the medial edge of the radial head and the lateral edge of the medial coronoid process.
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- 2000
- Full Text
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49. Comparison of the fit and geometry of reconstruction of femoral components of four cemented canine total hip replacement implants.
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Schulz KS, Nielsen C, Stover SM, and Kass PH
- Subjects
- Animals, Arthroplasty, Replacement, Hip instrumentation, Biocompatible Materials, Dog Diseases pathology, Dogs, Arthroplasty, Replacement, Hip veterinary, Dog Diseases surgery, Femur, Hip Prosthesis veterinary
- Abstract
Objective: To compare fit and geometry of reconstruction of femoral components of 4 canine cemented total hip replacement implants and determine which implants are most compatible with current principles of cemented arthroplasty., Sample Population: Paired femurs from 16 adult mixed-breed dogs., Procedure: Femurs were prepared for femoral stem implantation of either the Bardet, BioMedtrix, Mathys, or Richards II implant. Mediolateral and craniocaudal radiographs were obtained with femoral components in situ. Cross-sectional analysis of implant fit was performed on transected cemented specimens. Computer-aided analyses of digitized images were performed., Results: The Bardet and Richards II implants reconstructed the original femoral head position significantly better than the other 2 implants. None of the implants allowed neutralization of the implant axis in the sagittal plane or were routinely centralized in the femoral canal. The Bardet implant had the smallest minimum distal tip offset in the sagittal plane. Greatest tip to cortex distance was provided by the Richards II implant in the transverse plane and the Mathys implant in the sagittal plane. The thinnest cement mantle regions for all implants were in the central longitudinal third of the femoral stem., Conclusions and Clinical Relevance: The Bardet and BioMedtrix implants had stem design characteristics that were most compatible with principles of cemented stem fixation. None of the implants completely satisfied the theoretically optimal conditions of centralization and neutralization of the femoral stem. Innovative design modifications, therefore, may be needed if these conditions are important to the long-term success of canine total hip replacement.
- Published
- 2000
- Full Text
- View/download PDF
50. Canine elbow dysplasia. The early radiographic detection of fragmentation of the coronoid process.
- Author
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Hornof WJ, Wind AP, Wallack ST, and Schulz KS
- Subjects
- Animals, Dog Diseases pathology, Forelimb diagnostic imaging, Forelimb pathology, Joint Diseases diagnostic imaging, Joint Diseases pathology, Joint Dislocations diagnostic imaging, Joint Dislocations pathology, Joint Dislocations veterinary, Osteochondritis diagnostic imaging, Osteochondritis pathology, Radiography, Ulna diagnostic imaging, Ulna pathology, Dog Diseases diagnostic imaging, Dogs injuries, Forelimb injuries, Joint Diseases veterinary, Osteochondritis veterinary, Ulna injuries
- Abstract
Ununited anconeal process, osteochondrosis, and fragmentation of the coronoid process (FCP), separately or together, comprise canine elbow dysplasia. Radiographic detection of ununited anconeal process or osteochondrosis is common, whereas identification of an FCP is often inferred by finding joint incongruity and secondary changes. Early identification of FCP can be improved by evaluating the elbow joint for subtle changes visible early in the course of this disease. Proper radiographic technique and positioning are essential in optimizing identification of the changes associated with mild or early FCP.
- Published
- 2000
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