Ultrasound-guided versus blind intraarticular injection of the foot of Egyptian buffaloes (Bubalus bubalis): A pilot study

EL-SAYED EL-SHAFAEY; AHMED ABDELLATIF; EMAN ABO ELFADL; ZAKRIYA AL MOHAMAD; MOHAMED A HAMED

doi:10.56093/ijans.v93i7.130098

Authors

EL-SAYED EL-SHAFAEY Mansoura University, Mansoura, Egypt
AHMED ABDELLATIF Mansoura University, Mansoura, Egypt
EMAN ABO ELFADL Mansoura University, Mansoura, Egypt
ZAKRIYA AL MOHAMAD College of Veterinary Medicine, King Faisal University, Al Ahsa, Saudi Arabia
MOHAMED A HAMED Aswan University, Aswan, Egypt

https://doi.org/10.56093/ijans.v93i7.130098

Keywords:

Blind, Buffalo, Foot, Intraarticular, Ultrasonography

Abstract

This study was designed to compare the effectiveness of US-guided and blind IA injection techniques of buffaloes foot. Twenty adult buffalo cadaveric hind feet were randomly assigned to blind (n=10) and US-guided (n=10) injections of the fetlock, pastern, and coffin joints. Methylene blue (1%) and Iopamidol® 300 (5 ml) were used as indicative markers for IA injection. The same injection strategy was also used in vivo on 10 live sound buffaloes. The injection criteria were comparatively evaluated between the two injection techniques. The US-guided injection technique showed a significant increase in the injection parameters of the fetlock, pastern, and coffin joints in the foot of buffaloes compared with the blind technique. However, the difficulties of the injection and several trials were
significantly higher in the blind IA injection than in the US-guided injection. The performance time was significantly shorter with the US-guided injection as compared to blind IA injection. Compared to the blind approach, US-guided injection had the highest specificity for intra-articular injection procedures at 86.66%. In conclusion, US-guided IA injection of buffaloes feet showed promising results in enhancing the quality of diagnostic and therapeutic IA injections compared to blind injections.

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References

Abdellatif A M, Hamed M A, El‐Shafaey E S and Eldoumani H. 2018. Normal magnetic resonance anatomy of the hind foot of Egyptian buffalo (Bubalus bubalis): A correlative low‐field T1‐and T2‐weighted MRI and sectional anatomy atlas. Anatomia Histologis Embryologia 47: 599–608. DOI: https://doi.org/10.1111/ahe.12402

Al-Akraa A M, El-Kasapy A H and El-Shafey A. 2014. Intra-articular injection, computed tomography and cross sectional anatomy of the metacarpus and foots of the cattle (Bos taurus) and buffalo (Bos bubalis). Global Veterinary 13: 1122–28.

Al-Sobayil F, Sadan M, El-Shafaey E and Allouch J. 2021. Intra-articular injection in the hind limb joints of dromedary camels (Camelus dromedarius) using anatomical and arthrographic-guided landmarks symptoms. Veterinary World 14(8): 2055–63. DOI: https://doi.org/10.14202/vetworld.2021.2055-2063

Alsobayil F A, Allouch J A and Ahmed A F. 2015. Articular puncture techniques and contrast arthrography of the forelimb in dromedary camels (Camelus dromedarius). Pakistan Veterinary Journal 35: 28–32.

Badawy A M and Eshra E A. 2015. Supra-orbital nerve block in dromedary camel (Camelus dromedarius). Journal of Camel Practice and Research 22: 285–88. DOI: https://doi.org/10.5958/2277-8934.2015.00047.8

Baxter G and Stashak T. 2011. Perineural and intrasynovial anesthesia. Adams and Stashak’s Lameness in Horses. 6th edition. pp. 173–202.

Bellamy N, Campbell J, Welch V, Gee T L, Bourne R and Wells G A. 2006. Intraarticular corticosteroid for treatment of osteoarthritis of the knee. Cochrane Database of Systematic Reviews 19: 5328. DOI: https://doi.org/10.1002/14651858.CD005328.pub2

Blaser M, Bertagnoli A, Räber M, Nuss K, Rasekh M and Steiner A. 2012. Arthroscopic approaches to the fetlock joint of adult cattle: A cadaver study. Veterinary Journal 193: 701–06. DOI: https://doi.org/10.1016/j.tvjl.2012.03.007

Courtney P and Doherty M. 2009. Joint aspiration and injection and synovial fluid analysis. Best Practice and Research: Clinical Rheumatology 23: 161–92. DOI: https://doi.org/10.1016/j.berh.2009.01.003

Desrochers A, St-Jean G, Cash W C, Hoskinson J J and DeBowes R M. 1997. Characterization of anatomic communications of the fetlock in cattle, using intra-articular latex injection and positive-contrast arthrography. American Journal of Veterinary Research 58: 710–12.

El-Shafaey E S, Hamed M, Abdellatif A and Elfadl E A. 2017. Comparison of blind, ultrasound and computed tomographic-guided injection techniques for nerve block of the head in one-humped camel (Camelus dromedaries) cadavers. Pakistan Veterinary Journal 37: 180–84.

El-Shafaey E, Hamed M A, Elfadl E A, Gomaa N A and Rizk M A. 2021. Phenytoin: A promising non-antibiotic drug for the topical treatment of digital dermatitis in dairy cows. Veterinary World 14(11): 2907–12. DOI: https://doi.org/10.14202/vetworld.2021.2907-2912

El-Shafaey E, Sayed-Ahmed M, Shoeib S and El-khodery S. 2019. Occurrence and risk factors of digital dermatitis in egyptian dairies. Slovenian Veterinary Research 56 (Suppl 22): 465–74. DOI: https://doi.org/10.26873/SVR-784-2019

Enting H, Kooij D, Dijkhuizen A A, Huirne R M and Noordhuizen-Stassen E N. 1997. Economic losses due to clinical lameness in dairy cattle. Livestock Production Science 49: 259–67. DOI: https://doi.org/10.1016/S0301-6226(97)00051-1

Epis O, Iagnocco A, Meenagh G, Riente L, Delle Sedie A, Filippucci E and Montecucco C. 2008. Ultrasound imaging for the rheumatologist. XVI. Ultrasound-guided procedures. Clinical and Experimental Rheumatology 26: 515–18.

Ettema J F and Østergaard S. 2006. Economic decision making on prevention and control of clinical lameness in Danish dairy herds. Livestock Science 102: 92–106. DOI: https://doi.org/10.1016/j.livprodsci.2005.11.021

Hamed M, El-Shafaey E, Abo Elfadl E and Abdellatif A. 2020. Intra-articular injection techniques of the buffalo (Bubalus bubalis) hindlimb digit using anatomical and contrast arthrography-guided landmarks. Acta Veterinaria Hungarica 68(3): 310–17. DOI: https://doi.org/10.1556/004.2020.00046

Louis L J. 2008. Musculoskeletal ultrasound intervention: principles and advances. Radiologic Clinics of North America 46: 515–33. DOI: https://doi.org/10.1016/j.rcl.2008.02.003

Maecken T and Grau T. 2007. Ultrasound imaging in vascular access. Critical Care Medicine 35: S178–85. DOI: https://doi.org/10.1097/01.CCM.0000260629.86351.A5

McGarry J G and Daruwalla Z J. 2011. The efficacy, accuracy and complications of corticosteroid injections of the knee joint. Knee Surgery, Sports Traumatology and Arthroscopy 19: 1649–54. DOI: https://doi.org/10.1007/s00167-010-1380-1

Moyer W, Schumacher J and Schumacher J. 2007. A guide to equine joint injection and regional anesthesia. Veterinary Learning Systems. 5th ed. Academic Veterinary Solutions, LLC, Chadds Ford, PA.

Nottrott K, De Guio C, Khairoun A and Schramme M. 2017. An ultrasound‐guided, tendon‐sparing, lateral approach to injection of the navicular bursa. Equine Veterinary Journal 49: 655–61. DOI: https://doi.org/10.1111/evj.12673

Piccot-Crézollet C, Cauvin E R and Lepage O M. 2005. Comparison of two techniques for injection of the podotrochlear bursa in horses. Journal of the American Veterinary Medical Association 226: 1524–28. DOI: https://doi.org/10.2460/javma.2005.226.1524

Rabba S, Bolen G, Verwilghen D, Salciccia A and Busoni V. 2011. Ultrasonographic findings in horses with foot pain but without radiographically detectable osseous abnormalities. Veterinary Radiology and Ultrasound 52: 95–102. DOI: https://doi.org/10.1111/j.1740-8261.2010.01730.x

Schneeweiss W, Puggioni A and David F. 2012. Comparison of ultrasound‐guided vs. ‘blind’ techniques for intra‐synovial injections of the shoulder area in horses: Scapulohumeral joint, bicipital and infraspinatus bursae. Equine Veterinary Journal 44: 674–78. DOI: https://doi.org/10.1111/j.2042-3306.2011.00540.x

Sethi P M, Kingston S and Elattrache N. 2005. Accuracy of anterior intra-articular injection of the glenohumeral joint. Arthroscopy 21: 77–80. DOI: https://doi.org/10.1016/j.arthro.2004.09.009

Shilo Y, Pascoe P J, Cissell D, Johnson E G, Kass, P H and Wisner E R. 2010. Ultrasound‐guided nerve blocks of the pelvic limb in dogs. Veterinary Anaesthesia Analgesia 37: 460–70. DOI: https://doi.org/10.1111/j.1467-2995.2010.00560.x

Sites B D, Brull R, Chan V W, Spence B C, Gallagher J, Beach M L and Hartman G S. 2007. Artifacts and pitfall errors associated with ultrasound-guided regional anesthesia: Part II: a pictorial approach to understanding and avoidance. Regional Anesthesia and Pain Medicine 2: 419–33. DOI: https://doi.org/10.1016/j.rapm.2007.08.001

Smith J N, Myers S L, Brandt K D and Mickler E A. 1998. Effect of intraarticular hyaluronan injection in experimental canine osteoarthritis. Arthritis and Rheumatology 41: 976–85. DOI: https://doi.org/10.1002/1529-0131(199806)41:6<976::AID-ART4>3.0.CO;2-R

Van Amstel S R and Shearer J K. 2006. Manual for treatment and control of lameness in cattle. First edition. Blackwell Publishing Professional 2121 State Avenue, Ames, Iowa 50014, USA. DOI: https://doi.org/10.1002/9780470344576