Outcome after arthroscopic treatment of lateral femoral trochlear ridge osteochondrosis in sport horses. A retrospective study of 37 horses.

OBJECTIVES: To determine the short- and long-term outcome for sport horses after arthroscopic treatment of osteochondrosis of the lateral trochlear ridge of the femur. METHODS: A retrospective study was performed using the medical records of horses intended for use as English sport horses. Outcome was obtained through telephone questionnaire. RESULTS: Thirty-seven horses, mainly Warmbloods, underwent arthroscopic surgery for treatment of lateral femoral trochlear ridge osteochondrosis. Short-term outcome revealed that 27 of 37 horses had no complications. Seven horses had postoperative lameness and effusion which eventually resolved in four horses. Long-term outcome was available for 29 horses, of which 19 were performing to full expectations. Five horses were athletic but at a lower level than expected, and five horses were unable to be used. The depth of the lesion was significantly associated with short-term complications of effusion and lameness. The depth and length of the lesion were not associated with the long-term outcome, but involvement of structures other than the lateral trochlear ridge (patella, medial trochlear ridge) was associated with a worse prognosis. CLINICAL SIGNIFICANCE: The prognosis for sport horses following stifle arthroscopy for lateral trochlear ridge is similar to that reported in other studies and lesions at other sites within the stifle joint.

[The family myth]. / Il mito familiare.

It is attempted to clarify the theoretical concept of family myth, as it is used in a clinical setting, inside of the experiences of systemic family therapy. Some points are specified: definition of myth, its origin and function within the family, beginning of suffering or pathology, request of help.

[The usefulness of the family myth concept within the therapeutic process]. / Utilità del concetto di mito familiare all'interno del processo terapeutico.

In the three clinical histories reported in this paper, the connection between myth and relational pathology is definitely evident. In addition, strategic suggestions are made as to how to bring about positive changes in therapy by exploring the individual resources of each family member, unconsciously hidden in the effort to preserve the myth. The preliminary step, as shown by the case histories, emphasizes the role of the myth and the significant contributions it provided and is still providing to the whole family.