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Item The association between fluoride concentrations and spontaneous humeral fracture in first-lactation dairy cows: results from two New Zealand studies(Taylor and Francis Group, 2024-11-17) Wehrle-Martinez A; Dittmer KE; Back PJ; Rogers CW; Weston JF; Jeyakumar P; Pereira RV; Poppenga R; Taylor HS; Lawrence KEAIM: To assess whether the fluoride concentration in the humeri of first-lactation, 2-year-old dairy cows with a spontaneous humeral fracture is significantly different from that of first-lactation, 2-year-old dairy cows without a humeral fracture. METHODS: Two studies were conducted, the first with nine bone samples from 2-year-old, first-calving dairy cows with a humeral fracture (all from the Waikato region) age-matched with seven control bone samples from the Waikato, Bay of Plenty and Manawatū-Whanganui regions. The second study used 26 bone samples from 2-year-old, first-lactation dairy cows with a humeral fracture (from the Otago, Canterbury, Southland, West Coast, Waikato and Manawatū-Whanganui regions) age-matched with 14 control bone samples (all from the Manawatū-Whanganui region or unknown). Control bone samples were from first-lactation, 2-year-old dairy cows that did not have humeral fractures. Bone fluoride concentration was quantified for all samples. RESULTS: The median fluoride concentration of humeri from first-lactation, 2-year-old dairy cows with a humeral fracture was significantly higher than humeri from unaffected control cows in both studies. In Study 1, the median bone fluoride concentration was 599 (IQR 562.7-763.5) mg/kg from case cows and 296.6 (IQR: 191.2-391.7) mg/kg from control cows (p < 0.001), and in Study 2 the median bone fluoride concentration from case and control cows was 415 (IQR: 312.5-515) mg/kg and 290 (IQR: 262.5-410) mg/kg (p = 0.04) respectively. CONCLUSIONS AND CLINICAL RELEVANCE: Although there are limitations to this study due to the unbalanced regional distribution of cases and controls, the results indicate that sub-clinical fluoride toxicosis may be linked to spontaneous humeral fractures in first-lactation dairy cows in New Zealand. Further research is required to determine if bone fluoride concentrations play a role in the pathogenesis of these fractures.Item Osteoporosis is the cause of spontaneous humeral fracture in dairy cows from New Zealand.(2023-01) Wehrle-Martinez A; Lawrence K; Back PJ; Rogers CW; Gibson M; Dittmer KEOutbreaks of humeral fractures in dairy cows have been reported in New Zealand for several years. Gross, histologic, and histomorphometric findings in the humerus from primiparous cows with spontaneous humeral fracture were compared to age-matched control cows. Affected cows had a complete nonarticular spiral fracture of the humerus. Histologically affected humeri had a thicker growth plate with abnormal architecture, thinner cortex with increased abnormal resorption, increased resorption in the distal humerus, decreased trabecular density, abnormal trabecular architecture, presence of growth arrest lines and woven bone formation. Histomorphometry showed reduction in bone volume, trabecular perimeter, and trabecular width. Cows grazed on fodder beet had thicker growth plates with an abnormal appearance compared with cows grazed on pasture, and cows with low/marginal liver copper concentration had more resorption cavities in the distal humerus and thinner cortical bone compared with cows with adequate liver copper concentration. Decreased trabecular density (OR = 249.5), abnormal cortical resorption (OR = 54.2), presence of woven bone formation in the proximal metaphysis (OR = 37.2), and the number of resorption cavities in the distal humerus were significantly associated with a high probability of fracture. Ribs had enlargement of the costochondral junction with fractures in different stages of healing. Histology of the ribs revealed abnormal growth plate appearance, presence of fracture lines, callus tissue, fibrosis, and microfractures. Cows with humeral fracture have osteoporosis due to decreased bone formation and increased bone resorption, likely associated with inadequate feed quality and perhaps copper deficiency leading to a reduction in bone strength and fracture.Item Bone quality changes as measured by Raman and FTIR spectroscopy in primiparous cows with humeral fracture from New Zealand.(2023) Wehrle-Martinez A; Waterland MR; Naffa R; Lawrence K; Back PJ; Rogers CW; Dittmer KThe occurrence of spontaneous humeral fractures in primiparous dairy cows from New Zealand prompted the study of bone material from affected cows to further characterize this condition and to outline a likely pathogenesis. Previous studies indicate that these cows developed osteoporosis due to periods of suboptimal bone formation followed by increased bone resorption during the period of lactation complicated by copper deficiency. We hypothesized that there are significant differences in the chemical composition/bone quality in bones from cows with spontaneous humeral fracture compared to cows without humeral fractures. In this study, Raman and Fourier transform infrared spectroscopy band ratios were, for the first time, measured, calculated, and compared in bone samples from 67 primiparous dairy cows that suffered a spontaneous fracture of the humerus and 14 age-matched post-calving cows without humeral fractures. Affected bone showed a significantly reduced mineral/matrix ratio, increased bone remodeling, newer bone tissue with lower mineralization and, lower carbonate substitution, and reduced crystallinity. As such, is likely that these have detrimentally impacted bone quality and strength in affected cows.
