Riggs C M, Whitehouse G H, Boyde A
Department of Veterinary Clinical Science, University of Liverpool, Neston, UK.
Equine Vet J. 1999 Mar;31(2):140-8. doi: 10.1111/j.2042-3306.1999.tb03807.x.
This study examined material from Thoroughbred horses, the majority of which had been in race training, for evidence of pathology in the third metacarpal (McIII) and third metatarsal (MtIII) bones which might be related to the occurrence of distal condylar fractures. Whole bone samples were studied and documented by macrophotography prior to macroradiography and computed tomographic (CT) imaging. Microradiographs were made from 100 microm thick mediolateral sections cut perpendicular to the dorsal and palmar/plantar articular surfaces of distal condylar regions of McIII and MtIII. Blocks were prepared for morphological imaging using the backscattered electron mode of scanning electron microscopy (BSE SEM). Linear defects in mineralised articular cartilage and subchondral bone were found in the palmar/plantar aspects of the condylar grooves adjacent to the sagittal ridge. These were closely related to the pattern of densification of the subchondral bone and were associated with intense focal remodelling of the immediately adjacent and subjacent bone. Parasagittal fractures of the condyles originated in similar defects. A unifying hypothesis for the aetiopathogenesis of these fractures is presented.
本研究检查了纯种马的材料,其中大多数曾接受过赛马训练,以寻找第三掌骨(McIII)和第三跖骨(MtIII)中可能与远侧髁骨折发生相关的病理证据。在进行宏观放射摄影和计算机断层扫描(CT)成像之前,通过宏观摄影对整块骨样本进行研究和记录。从垂直于McIII和MtIII远侧髁区域背侧和掌侧/跖侧关节面切割的100微米厚的内外侧切片制作微放射照片。使用扫描电子显微镜(BSE SEM)的背散射电子模式制备用于形态成像的块体。在与矢状嵴相邻的髁沟的掌侧/跖侧方面发现矿化关节软骨和软骨下骨中的线性缺陷。这些与软骨下骨的致密化模式密切相关,并与紧邻和下方骨的强烈局灶性重塑有关。髁的旁矢状骨折起源于类似的缺陷。提出了这些骨折发病机制的统一假说。