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跗关节远端和跗跖关节诱导性跛行及关节内注射麻醉剂后小跑马后肢的运动学

Kinematics of the hind limb in trotting horses after induced lameness of the distal intertarsal and tarsometatarsal joints and intra-articular administration of anesthetic.

作者信息

Kramer J, Keegan K G, Wilson D A, Smith B K, Wilson D J

机构信息

Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia 65211, USA.

出版信息

Am J Vet Res. 2000 Sep;61(9):1031-6. doi: 10.2460/ajvr.2000.61.1031.

Abstract

OBJECTIVE

To identify hind limb and pelvic kinematic variables that change in trotting horses after induced lameness of the distal intertarsal and tarsometatarsal joints and after subsequent intra-articular administration of anesthetic.

ANIMALS

8 clinically normal adult horses.

PROCEDURE

Kinematic measurements were made before and after transient endotoxin-induced lameness of the distal intertarsal and tarsometatarsal joints and after intra-articular administration of anesthetic. Fourteen displacement and joint angle (metatarsophalangeal [fetlock] and tarsal joints) measurements were made on the right hind limb, sacrum, and the right and left tubera coxae. Kinematic measurements were compared by general linear models, using a repeated measures ANOVA. Post hoc multiple comparisons between treatments were evaluated with a Fisher least squared difference test at alpha = 0.05.

RESULTS

After lameness induction, fetlock and tarsal joint extension during stance decreased, fetlock joint flexion and hoof height during swing increased, limb protraction decreased, and vertical excursion of the tubera coxae became more asymmetric. After intra-articular administration of anesthetic, limb protraction returned to the degree seen before lameness, and vertical excursion of the tubera coxae became more symmetric.

CONCLUSIONS AND CLINICAL RELEVANCE

Increased length of hind limb protraction and symmetry of tubera coxae vertical excursion are sensitive indicators of improvement in tarsal joint lameness. When evaluating changes in tarsal joint lameness, evaluating the horse from the side (to assess limb protraction) is as important as evaluating from the rear (to assess pelvic symmetry).

摘要

目的

确定跗骨远端和跗跖关节诱发跛行后以及随后关节内注射麻醉剂后,小跑马匹后肢和骨盆的运动学变量变化。

动物

8匹临床正常的成年马。

方法

在跗骨远端和跗跖关节短暂内毒素诱发跛行前后以及关节内注射麻醉剂后进行运动学测量。对右后肢、骶骨以及左右髋结节进行了14项位移和关节角度(跖趾关节[系关节]和跗关节)测量。使用重复测量方差分析的一般线性模型比较运动学测量结果。治疗之间的事后多重比较采用Fisher最小二乘差异检验,α = 0.05。

结果

诱发跛行后,站立期系关节和跗关节伸展减少,摆动期系关节屈曲和蹄高增加,肢体前伸减少,髋结节垂直偏移变得更加不对称。关节内注射麻醉剂后,肢体前伸恢复到跛行前的程度,髋结节垂直偏移变得更加对称。

结论及临床意义

后肢前伸长度增加和髋结节垂直偏移对称性是跗关节跛行改善的敏感指标。在评估跗关节跛行变化时,从侧面评估马匹(以评估肢体前伸)与从后方评估(以评估骨盆对称性)同样重要。

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