TY - JOUR
T1 - Novel arthrocentesis approaches to the carpal joint of the Dromedary Camel (Camelus dromedarius)
AU - King, Fransina Christina
AU - Aldarwich, Adnan
AU - Hammoud, Maha
AU - Barigye, Robert
AU - Shawaf, Turke
AU - Al Aiyan, Ahmad
N1 - Funding Information:
We gratefully acknowledge the support of the Al Khazna Camel Slaughterhouse, Abu Dhabi Food Control Authority (ADFCA) and the Slaughterhouses Section, Department of Public Health, Al Ain Municipality in sample collection. Special thanks to Mr. Hazzam Abdulla Al Dhaheri and Mr. Hasan Mohammed Al Kaabi for facilitating the sample collection process. We also acknowledge the support of the Dubai Equine Hospital team for facilitating the CT scans.
Funding Information:
This study was funded by a project grant from the United Arab Emirates University, UAE (Grant Code 31F126).
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - The knowledge gap regarding the topography and anatomy of the dromedary’s carpal joint must be bridged to improve diagnostic and treatment procedures such as ultrasonography, arthrocentesis, and arthroscopy. Thirty-five distal forelimbs were harvested from 21 dromedaries and studied through gross dissection, casting, ultrasonography, and computerized tomography. Representative three-dimensional models of the joint cavities, recesses, and pouches were obtained using various casting agents. The safety and feasibility of different arthrocentesis approaches were evaluated. This study provides a detailed description of dorsally located joint recesses and palmarly located joint pouches. The dorsomedial and dorsolateral approach is recommended for arthroscopy and arthrocentesis of the radiocarpal and intercarpal joint when the carpus is flexed. However, caution must be exercised during these approaches to prevent needle injury to the articulating cartilage. Caution is necessary to prevent the formation of inadvertent communication between the dorsally located tendon sheaths and joint cavities. Arthrocentesis via the lateral approach to the lateropalmar pouch is the most favourable approach for the radiocarpal joint. A subtendinous synovial bursa was found between the lateropalmar pouch of the radiocarpal joint and the extensor carpi ulnaris muscle. The subtendinous synovial bursa must be considered during the lateral arthrocentesis approach. The palmar approach is not recommended for arthrocentesis due to the high risk of injury to nerves, veins, and arteries located palmarly.
AB - The knowledge gap regarding the topography and anatomy of the dromedary’s carpal joint must be bridged to improve diagnostic and treatment procedures such as ultrasonography, arthrocentesis, and arthroscopy. Thirty-five distal forelimbs were harvested from 21 dromedaries and studied through gross dissection, casting, ultrasonography, and computerized tomography. Representative three-dimensional models of the joint cavities, recesses, and pouches were obtained using various casting agents. The safety and feasibility of different arthrocentesis approaches were evaluated. This study provides a detailed description of dorsally located joint recesses and palmarly located joint pouches. The dorsomedial and dorsolateral approach is recommended for arthroscopy and arthrocentesis of the radiocarpal and intercarpal joint when the carpus is flexed. However, caution must be exercised during these approaches to prevent needle injury to the articulating cartilage. Caution is necessary to prevent the formation of inadvertent communication between the dorsally located tendon sheaths and joint cavities. Arthrocentesis via the lateral approach to the lateropalmar pouch is the most favourable approach for the radiocarpal joint. A subtendinous synovial bursa was found between the lateropalmar pouch of the radiocarpal joint and the extensor carpi ulnaris muscle. The subtendinous synovial bursa must be considered during the lateral arthrocentesis approach. The palmar approach is not recommended for arthrocentesis due to the high risk of injury to nerves, veins, and arteries located palmarly.
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U2 - 10.1038/s41598-022-16801-3
DO - 10.1038/s41598-022-16801-3
M3 - Article
C2 - 35896772
AN - SCOPUS:85135046446
SN - 2045-2322
VL - 12
JO - Scientific Reports
JF - Scientific Reports
IS - 1
M1 - 12818
ER -