Ulm, Univ. Diss., 2006.

Die Osteochondrosis dissecans ist eine aseptische Erkrankung des subchondralen Knochens, welche am häufigsten an konvex geformten Gelenkanteilen auftritt und deren Prognose vorwiegend vom Stadium und vom Patientenalter abhängt. Anhand von 80 Patientendaten wurden die Ergebnisse nach stadienabhängiger Therapie der Osteochondrosis dissecans des Kniegelenkes nach einem durchschnittlichen Zeitraum von 7,5 Jahren untersucht. Die Geschlechterverteilung lag bei 1:5 zugunsten der männlichen Personen, das Durchschnittsalter betrug 26,9 Jahr. Die Ergebnisse wurden als Patientenbefindlichkeit über verschiedene Fragebögen und eine klinische Untersuchung ermittelt. / Osteochondritis dissecans is an aseptic disease of the subchondral bone. In most cases convex joints are affected and prognosis dependents on the stage and the age of the patient. We investigated datas of 80 persones affected with osteochondritis dissecans of the knee joint after average 7,5 years. The distribution of sex was 1:5, means men:women. The average value of age was 26,9 years. The results of state of health were found with help of questionaires and a clinical exploration.

The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from PDF of title page (University of Missouri--Columbia, viewed on July 14, 2010). Thesis advisor: Cristi R. Cook. "May 2010" Includes bibliographical references.

Doctor of Philosophy / Department of Animal Sciences and Industry / Jim L. Nelssen / Four experiments using 350 pigs were conducted to determine the effects of dietary nutrients on the incidence of osteochondrosis (OC) and to evaluate the use of biomarkers to predict its occurrence in growing-finishing pigs. The first experiment was conducted to evaluate the potential of dietary ingredients with known functions in cartilage and bone metabolism on incidence of OC in pigs (PIC 327 × 1050, initially 39 kg). Results suggest that pigs fed high levels of added copper and manganese, silicon, methionine and threonine, or proline and glycine had reduced OC severity scores. A second experiment evaluated other dietary ingredients that may impact OC as well as with or without ractopamine HCl (PIC 327 × 1050, initially 47 kg). Results suggest that feeding a combination of added methionine, manganese, proline, and glycine or added silicon can numerically reduce OC severity scores compared to pigs fed a standard corn-soybean meal based diet. Feeding ractopamine HCl did not affect the incidence or severity of OC. A third experiment was conducted to evaluate the effect of dietary lysine concentration with or without the addition of high methionine, manganese, and copper in a 3 × 2 factorial arrangement in growing-finishing pigs (PIC 327 × 1050, initially 41 kg). Results suggest that increasing dietary lysine concentrations increased the severity of OC. Furthermore, feeding additional methionine, manganese, and copper reduced OC severity scores. A fourth experiment was conducted to determine the usefulness of ten different biomarkers of cartilage and bone metabolism to predict the incidence of OC and the correlation of individual markers with the severity of OC. Results suggest that measuring serum C-propeptide of type II collagen (CPII) will predict animals with OC, as gilts with a two-fold increase in CPII are 97 times more likely to have OC. As well, serum collagen type II carboxy-terminal 3/4 long fragment (C2C) explained 49% of the variation in OC severity scores. The results of these experiments suggest that feeding added copper, manganese, methionine, silicon, or proline and glycine may reduce OC severity scores in pigs, while measuring biomarkers CPII and C2C can aid in determining animals with OC.

Young patients diagnosed with post-traumatic osteoarthritis (PTOA) face significant hurdles to restoring pain-free joint function. While surgical interventions exist for replacing damaged cartilage, few are able to offer complete replacement of the articular surface with a bearing material that maintains the longevity and mechanical properties of native articular cartilage necessary to prevent the need for costly and painful revision procedures. Osteochondral allograft technology has begun to address this need by allowing surgeons to resurface constrained small to medium articular defects with live tissue-bank-sourced cartilage tissue explants. A primary limitation surgeons face when choosing osteochondral allotransplantation to treat large articular surface deficits is the scarcity of high-quality live explant tissue with sufficient congruence to fully restore the biomechanical function in the affected joint. This dissertation asserts that augmentation of native tissues donated to tissue banks is a promising strategy for providing more physiologically appropriate tissue replacements for patients with PTOA, providing significant symptomatic relief and allowing young patients to delay or prevent invasive total joint arthroplasty treatments.This dissertation aims to improve treatment modalities for this patient population by developing a surgical technique that enables adaptive reshaping of the articular surface of donor osteochondral tissue explants. The driving hypothesis of this dissertation is that osteochondral allografts that conform better to the opposing articular surface result in better clinical outcomes than those with lesser congruence with the native joint. The corollary hypothesis is that better conformity may be achieved by providing some measure of bending flexibility to the allograft, using streamlined tissue processing procedures to cut grooves in the bony substrate. To address these needs, we first developed, implemented, and validated the technology for milling grooves on the back of large human and canine osteochondral allografts. This resulted in the development of a process for milling grooves in patellar osteochondral samples using a computer-numerically controlled 3-axis milling machine. Sample-specific spatial information was captured within machining fixtures to generate machining paths. The curvature of human and canine osteochondral allografts was captured using a laser scanning system to fit B-Spline surfaces and generate articular curvature maps for the modified allografts. We hypothesize that due to the surface modification enabled by the bending method, bendable osteochondral allografts may provide better curvature matching for patella transplants in the patellofemoral joint. We used a cadaveric knee joint model to investigate patellofemoral joint congruence for unbent and bendable osteochondral allografts at various flexion angles. Shell and bendable allografts were machined from donor human patellae and inserted into the patellofemoral joint space of five knee joints, creating 25 femur-patella osteochondral allograft pairings. Patellofemoral joints with either shell or bendable allografts were loaded at 15-degree increments from 15 to 90 degrees flexion, and the resultant patellofemoral joint contact area was measured and compared against the native patellofemoral contact areas. On average, no significant difference in contact area was found between native patellofemoral joints and OCAs or BOCAs, indicating that both types of allografts restored native congruence. This result aligned with prior computational models of the behavior of bendable and shell allografts in the patellofemoral joint. This finding suggests that future investigations of the benefits of BOCA for allografting other joints could be initiated using computational methods, as the results of the current study suggest that the computational predictions may remain valid under the right set of conditions. Clinical studies of outcomes of osteochondral tissue transplantation indicate that maintenance of donor chondrocyte viability is crucial for the long-term success of the transplanted tissue. In order to assure that CNC machined allografts maintained appropriate chondrocyte viability and tissue sterility, we created a sterile environment for CNC milling of fresh canine patellar osteochondral allografts and quantified allograft chondrocyte viability for up to two weeks post-milling. Following machining and extended culture, bending of the allografts produced neither fracture of the samples nor resulted in loss of chondrocyte viability when compared to non-grooved controls. Therefore, these results provide basic scientific support for the clinical use of bendable osteochondral allografts. Having developed a method of bendable allografts and verifying the tissue viability and sterility, in addition to simulating joint contact in the cadaveric model, we ran a study to assess the performance of bendable osteochondral allografts and shell allografts in the contralateral stifle joints of purpose-bred dogs. This animal model was used to measure the clinical outcomes of bendable osteochondral allografts transplantation following in-vivo loading. Functional clinical outcomes were collected, including force mat kinematics, lameness scoring, range of motion, and pain scoring. At the termination of the study, allograft tissue and synovial fluid from the joint were recovered to assess the sterility, chondrocyte viability, chondrocyte morphology, and bony integration of the allograft. The allografts showed no signs of infection or rejection, and the CNC-machined shell allografts performed well in the joint. Unfortunately, the grooves machined for the bendable allograft patellae were more appropriate in width for the human patella. The removal of excess bony tissue destabilized the bendable allografts and led to fractures and fissures in the tissue. Based on the fissuring and fragmentation mode of failure noted in the canine BOCAs, the size and number of the machined grooves must be optimized for preclinical testing so the potential advantages of bendable OCAs can be realized without compromising their integrity and osteointegration during healing. Bulk mechanical properties and failure thresholds dependent on the width of allograft grooves must be established to reduce the risk of post-transplantation failure. Ongoing work aims to establish safe geometrically-based machining criteria and determine load-to-failure thresholds for osteochondral allografts to improve tissue integrity and functional viability post-transplantation. This aim will be addressed by loading canine bendable allografts with variable groove widths to assess the threshold for mechanical failure against simulated femoral trochlea. The aim of this study is to define allograft bulk mechanical properties and failure thresholds for producing bendable osteochondral allografts. The final chapter of this dissertation aims to assess the impact of sustained mechanical loading on the fluid exchange between the interfibrillar and extrafibrillar space in native articular cartilage, as the fluid load support in articular cartilage is crucial to the maintenance of the low coefficient of friction within the tissue. In our study, we developed a technique to measure water extruded from the interfibrillar space in articular cartilage by applying static compression to unconfined tissue. Preliminary results indicate that the loading and pressurization of the articular tissue can potentially make previously trapped interfibrillar water content more accessible

A osteocondrose é uma das principais doenças ortopédicas de desenvolvimento que acomete os equinos, sendo usualmente definida como uma falha no processo de ossificação endocondral. Infelizmente os seus mecanismos não estão bem definidos, mas acredita-se em uma etiologia multifatorial relacionada com predisposição genética, desequilíbrio ou excesso nutricional, fatores endócrinos e forças biomecânicas atuando nas articulações. Uma das formas de manifestação da osteocondrose é a osteocondrite dissecante, quando, após interrupção do processo de ossificação, há um desarranjo das colunas de condrócitos e necrose da camada basal, gerando uma área de fragilidade, onde forças biomecânicas podem resultar na separação de fragmentos cartilaginosos ou osteocondrais. Sua incidência esta relacionada com animais jovens, de crescimento rápido, em articulações predispostas como tibiotársica, metacarpo/metatarsofalangeana e femurotibiopatelar. Normalmente a lesão se desenvolve no primeiro ano de vida, mas os sinais clínicos podem aparecer mais tardiamente ou inclusive passarem despercebidos. Dentro dos sinais clínicos o mais comum é a efusão articular, que pode vir ou não associada à claudicação. O diagnóstico é confirmado através de exame radiográfico, com alterações em locais predispostos para formação de OCD, como crista intermédia da tíbia, cristal troclear lateral do talus, bordo dorsoproximal da primeira falange, bordo plantaromedial da primeira falange e crista troclear lateral do fêmur. Como essas lesões podem acometer mais de um membro locomotor, a articulação contralateral deve ser radiografada ou até mesmo os quatro membros quando se tratar de metacarpo/ metatarsofalangeana. Apesar de existirem diversas formas de tratamento, a maioria dos autores recomenda a retirada cirúrgica via artroscópica, já que esta possui um maior índice de sucesso com melhores resultados funcional e estético. Existem trabalhos divergentes com relação ao prognóstico e momento em que se deve submeter esses animais a cirurgia. Com o objetivo de responder essas dúvidas e apresentar os resultados obtidos com o tratamento cirúrgico a médio e longo prazo este trabalho foi realizado. Nesse estudo foram analisados 75 casos de animais acometidos por OCD, com um total de 106 articulações, tratados cirurgicamente, nos quais a cirurgia ocorreu há um tempo mínimo de 12 meses e máximo de 5 anos. As lesões acometeram principalmente (65%) animais até quatro anos, na fase anterior à doma ou no momento da doma (63%), sendo que a maioria não apresentava sinais clínicos (36%) ou apresentava claudicação associada à efusão articular (33%). A maioria das lesões se localizou na articulação tibiotársica (57%), e nessa articulação o local mais acometido foi a crista intermédia da tíbia (71%). Após o procedimento cirúrgico 72% dos animais não apresentaram sinais clínicos, sendo que a melhora foi mais significativa nos animais de 3 e 4 anos (100%) e pouco se obteve de melhora com relação a claudicação nos animais acima de 6 anos (27%). / Osteochondrosis is a major developmental orthopedic disease affecting horses and is usually defined as a failure in the endochondral ossification process. Unfortunately its mechanisms are not defined but it is believed to be a multifactorial etiology related to a genetic predisposition, nutritional imbalance or excess, endocrine factors and biomechanical forces acting on the joints. Osteochondritis dissecans, one of the presentations of osteochondrosis, occours when after stopping the process of ossification, there is a breakdown of the chondrocytes columns and necrosis of the basal layer, creating an area of weakness, where biomechanical forces when applied can result in the separation of cartilage or osteochondral fragments. Its incidence is related to foals with rapid growth, in predisposed joints as tarsocrural, metacarpal/ metatarsalphalangeal and femorotibiopatellar. Usually the lesion develops in the first year of life, but clinical signs may appear later or even go unnoticed. Within the clinical signs, joint effusion is the most common, which may come or not associated with lameness. The diagnosis is confirmed by radiographic examination including changes in prone locations to OCD formation, as intermediate ridge of the tibia, lateral ridge trochlear of the talus, dorsal proximal edge of the first phalanx, plantar medial edge of the first phalanx and the lateral trochlear ridge of the femur. Because these lesions may involve more than one limb, the contralateral joint should be radiographed or even four limbs in the metacarpal/ metatarsalphalangeal. Although there are various forms of treatment most authors recommend surgical excision arthroscopically as this has a higher success rate with best functional and cosmetic results. There are conflicting studies concerning prognosis and best time to refer the animal for surgery. To answer these questions and present the results obtained with surgical treatment in the medium and long term this work was done. In this study we analyzed 75 cases of horses suffering from OCD, with a total of 106 joints treated surgically, which where the treated took place over a minimum of 12 months and a maximum of five years. OCD affected mainly animals up to 4 years (65%) in the period prior to tame or time-taming (63%), and the majority had no clinical signs (36%) or had lameness associated with joint effusion (33%). Most lesions were located in the tarsocrural joint (57%), in the intermediate ridge of the tibia (71%). After surgery 72% of horses showed no clinical signs, and the improvement was more significant in animals 3 and 4 years (100%) and little improvement of lameness in the animals over six years (27%).

The publication of a draft equine genome sequence and the release by Illumina of a 50,000 marker single-nucleotide polymorphism (SNP) genotyping chip has provided equine researchers with the opportunity to use new approaches to study the relationships between genotype and phenotype. In particular, it is hoped that the use of high-density markers applied to population samples will enable progress to be made with regard to more complex diseases. The first objective of this thesis is to explore the potential for the equine SNP chip to enable such studies to be performed in the horse. The second objective is to investigate the genetic background of osteochondrosis (OC) in the horse. These objectives have been tackled using 348 Thoroughbreds from the US, divided into cases and controls, and a further 836 UK Thoroughbreds, the majority with no phenotype data. All horses had been genotyped with the Illumina Equine SNP50 BeadChip. Linkage disequilibrium (LD) is the non-random association of alleles at neighbouring loci. The reliance of many genomic methodologies on LD between neutral markers and causal variants makes it an important characteristic of genome structure. In this thesis, the genomic data has been used to study the extent of LD in the Thoroughbred and the results considered in terms of genome coverage. Results suggest that the SNP chip offers good coverage of the genome. Published theoretical relationships between LD and historical effective population size (Ne) were exploited to enable accuracy predictions for genome-wide evaluation (GWE) to be made. A subsequent in-depth exploration of this theory cast some doubt on the reliability of this approach in the estimation of Ne, but the general conclusion that the Thoroughbred population has a small Ne which should enable GWE to be carried out efficiently in this population, remains valid. In the course of these studies, possible errors embedded within the current sequence assembly were identified using empirical approaches. Osteochondrosis is a developmental orthopaedic disease which affects the joints of young horses. Osteochondrosis is considered multifactorial in origin with a variety of environmental factors and heredity having been implicated. In this thesis, a genome-wide association study was carried out to identify quantitative trait loci (QTL) associated with OC. A single SNP was found to be significantly associated with OC. The low heritability of OC combined with the apparent lack of major QTL suggests GWE as an alternative approach to tackle this disease. A GWE analysis was carried out on the same dataset but the resulting genomic breeding values had no predictive ability for OC status. This, combined with the small number of significant QTL, indicates a lack of power which could be addressed in the future by increasing sample size. An alternative to genotyping more horses for the 50K SNP chip would be to use a low-density SNP panel and impute remaining genotypes. The final chapter of this thesis examines the feasibility of this approach in the Thoroughbred. Results suggest that genotyping only a subset of samples at high density and the remainder at lower density could be an effective strategy to enable greater progress to be made in the arena of equine genomics. Finally, this thesis provides an outlook on the future for genomics in the horse.

The aim of this study was to evaluate the changes in the parametres of the spine (total mobility of dorsolumbar spine and lumbar part of spine), to find out the changes of dynamic and isometric abdominal muscle endurance, dynamic and isometric back extensor muscle endurance, and isometric endurance of scapula muscle, the mobility of the shoulders and the pain severity in adolescents with Scheuermann disease and those who have postural kyphosis. 30 adolescents ( 16 boys and 14 girls ) with age of 13-17 years old were taking part in this study. Fifteen with Scheuermann’s disease went physiotherapy in rehabilitation center. The other fifteen with postural kyphosis did the same exercise programm at home. All of them exercised 22 days, 40 minutes a day. Such methods as spine flexibility measurement, Schober’s sign, tests for evaluating the strength of dynamic and isometric abdominal and back extensor muscle endurance, scapula muscle isometric endurance, shoulders mobility test, pain functional index and pain scale were used. CONCLUSION: After kinesitherapy treatment Patients with postural kyphosis had bigger mobility. But endurance of muscle strength increased more for the patients with Scheuermann‘s disease using kinesitherapy method.Pain Index and pain scale results after kinesitherapy dicreased more for the patients with Scheuermann‘s disease.

Darbo tikslas. Įvertinti ligonių, su liumbosakraliniais skausmais, su sveikata susijusios gyvenimo kokybės pokyčius taikant gydomąjį masažą. Tyrimo uždaviniai. Įvertinti ligonių su liumbosakraliniais skausmais su sveikata susijusią gyvenimo kokybę, skausminius pojūčius ir funkcinę būklę prieš gydomojo masažo procedūras ir po gydomojo masažo procedūrų. Tyrimo metodai. Tiriamąją grupę sudarė 52 pacientai jaučiantys liumbosakralinius skausmus. Tiriamieji negavo jokių kitų procedūrų, buvo taikomas tik gydomasis masažas. Tiriamieji tyrimo metu nenaudojo jokių skausmą malšinančių, bei uždegimą mažinančių medikamentų. Tyrimas vyko 4 savaites, per kurias tiriamiesiems buvo atlikta po 12 gydomojo masažo procedūrų. Tyrimo instrumentai: skausmas buvo vertinamas pagal vizualinę analoginę skausmo intensyvumo vertinimo skalę, buvo naudojamas SF-36 gyvenimo kokybės klausimynas, Roland-Moriss klausimynas „Skausmas apatinėje nugaros dalyje ir gyvenimo veiklos sutrikimas“, nerimo ir depresijos anketa (HAD). Rezultatai. Atlikus tyrimą ir apdorojus duomenis SPSS programa, gauti rezultatai statistiškai patikimai skyrėsi. Skausmas vidutiniškai sumažėjo nuo 4,67 balų iki 0,96 balo. Gyvenimo kokybė statistiškai patikimai pagerėjo visuose punktuose. Taip pat statistiškai patikimi teigiami pokyčiai pastebėti vertinant funkcinę ir emocinę tiriamųjų būklę. Išvados. Gydomasis masažas yra svarbi gydymo priemonė, esant liumbosakraliniams skausmams. Gydomasis masažas mažina skausminius pojūčius, pagerina... [toliau žr. visą tekstą] / The objective of the study.To evaluate changes of life of patients with lumbosacral pain related to health while applying remedial massage. The tasks of the study.To evaluate changes of life of patients with lumbosacral pain related to health, painful feelings and functional condition prior procedures of remedial massage and after. Approaches of analysis.The group for analysis consisted of 52 patients with lumbosacral pain. The patients being under investigation did not receive any procedures, except remedial massage.The individuals did not use any painkilling as well as anti-inflammation medications. The investigation last 4 weeks, where patients were provided with 12 procedures of remedial massage.The pain was evaluated under visual evaluation scale of pain intensity within the analysis, SF-36 questionnaire of life quality was used as well as Roland-Moriss questionnaire “Pain in the bottom part of dorsum and disorder of life activity”, questionnaire of hospital anxiety and depression (HAD). Results.Being carried out the study and processed with the data by mean of SPSS program, the obtained results statically credibly differed.The pain has decreased from 4,67 points to 0,96 points.The quality of life has improved statically in all clauses.Statistically positive changes were noticed while evaluating functional and emotional condition of the patients. Conclusions.Remedial massage is an important medical mean in case of lumbosacral pain.Remedial massage decrease painful... [to full text]

A osteocondrose é uma das principais doenças ortopédicas de desenvolvimento que acomete os equinos, sendo usualmente definida como uma falha no processo de ossificação endocondral. Infelizmente os seus mecanismos não estão bem definidos, mas acredita-se em uma etiologia multifatorial relacionada com predisposição genética, desequilíbrio ou excesso nutricional, fatores endócrinos e forças biomecânicas atuando nas articulações. Uma das formas de manifestação da osteocondrose é a osteocondrite dissecante, quando, após interrupção do processo de ossificação, há um desarranjo das colunas de condrócitos e necrose da camada basal, gerando uma área de fragilidade, onde forças biomecânicas podem resultar na separação de fragmentos cartilaginosos ou osteocondrais. Sua incidência esta relacionada com animais jovens, de crescimento rápido, em articulações predispostas como tibiotársica, metacarpo/metatarsofalangeana e femurotibiopatelar. Normalmente a lesão se desenvolve no primeiro ano de vida, mas os sinais clínicos podem aparecer mais tardiamente ou inclusive passarem despercebidos. Dentro dos sinais clínicos o mais comum é a efusão articular, que pode vir ou não associada à claudicação. O diagnóstico é confirmado através de exame radiográfico, com alterações em locais predispostos para formação de OCD, como crista intermédia da tíbia, cristal troclear lateral do talus, bordo dorsoproximal da primeira falange, bordo plantaromedial da primeira falange e crista troclear lateral do fêmur. Como essas lesões podem acometer mais de um membro locomotor, a articulação contralateral deve ser radiografada ou até mesmo os quatro membros quando se tratar de metacarpo/ metatarsofalangeana. Apesar de existirem diversas formas de tratamento, a maioria dos autores recomenda a retirada cirúrgica via artroscópica, já que esta possui um maior índice de sucesso com melhores resultados funcional e estético. Existem trabalhos divergentes com relação ao prognóstico e momento em que se deve submeter esses animais a cirurgia. Com o objetivo de responder essas dúvidas e apresentar os resultados obtidos com o tratamento cirúrgico a médio e longo prazo este trabalho foi realizado. Nesse estudo foram analisados 75 casos de animais acometidos por OCD, com um total de 106 articulações, tratados cirurgicamente, nos quais a cirurgia ocorreu há um tempo mínimo de 12 meses e máximo de 5 anos. As lesões acometeram principalmente (65%) animais até quatro anos, na fase anterior à doma ou no momento da doma (63%), sendo que a maioria não apresentava sinais clínicos (36%) ou apresentava claudicação associada à efusão articular (33%). A maioria das lesões se localizou na articulação tibiotársica (57%), e nessa articulação o local mais acometido foi a crista intermédia da tíbia (71%). Após o procedimento cirúrgico 72% dos animais não apresentaram sinais clínicos, sendo que a melhora foi mais significativa nos animais de 3 e 4 anos (100%) e pouco se obteve de melhora com relação a claudicação nos animais acima de 6 anos (27%). / Osteochondrosis is a major developmental orthopedic disease affecting horses and is usually defined as a failure in the endochondral ossification process. Unfortunately its mechanisms are not defined but it is believed to be a multifactorial etiology related to a genetic predisposition, nutritional imbalance or excess, endocrine factors and biomechanical forces acting on the joints. Osteochondritis dissecans, one of the presentations of osteochondrosis, occours when after stopping the process of ossification, there is a breakdown of the chondrocytes columns and necrosis of the basal layer, creating an area of weakness, where biomechanical forces when applied can result in the separation of cartilage or osteochondral fragments. Its incidence is related to foals with rapid growth, in predisposed joints as tarsocrural, metacarpal/ metatarsalphalangeal and femorotibiopatellar. Usually the lesion develops in the first year of life, but clinical signs may appear later or even go unnoticed. Within the clinical signs, joint effusion is the most common, which may come or not associated with lameness. The diagnosis is confirmed by radiographic examination including changes in prone locations to OCD formation, as intermediate ridge of the tibia, lateral ridge trochlear of the talus, dorsal proximal edge of the first phalanx, plantar medial edge of the first phalanx and the lateral trochlear ridge of the femur. Because these lesions may involve more than one limb, the contralateral joint should be radiographed or even four limbs in the metacarpal/ metatarsalphalangeal. Although there are various forms of treatment most authors recommend surgical excision arthroscopically as this has a higher success rate with best functional and cosmetic results. There are conflicting studies concerning prognosis and best time to refer the animal for surgery. To answer these questions and present the results obtained with surgical treatment in the medium and long term this work was done. In this study we analyzed 75 cases of horses suffering from OCD, with a total of 106 joints treated surgically, which where the treated took place over a minimum of 12 months and a maximum of five years. OCD affected mainly animals up to 4 years (65%) in the period prior to tame or time-taming (63%), and the majority had no clinical signs (36%) or had lameness associated with joint effusion (33%). Most lesions were located in the tarsocrural joint (57%), in the intermediate ridge of the tibia (71%). After surgery 72% of horses showed no clinical signs, and the improvement was more significant in animals 3 and 4 years (100%) and little improvement of lameness in the animals over six years (27%).