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1至11月龄荷兰温血马驹跗关节和膝关节骨软骨异常的影像学发展情况。

Radiographic development of osteochondral abnormalities, in the hock and stifle of Dutch Warmblood foals, from age 1 to 11 months.

作者信息

Dik K J, Enzerink E, van Weeren P R

机构信息

Department of Radiology, Faculty of Veterinary Medicine, University of Utrecht, The Netherlands.

出版信息

Equine Vet J Suppl. 1999 Nov(31):9-15. doi: 10.1111/j.2042-3306.1999.tb05308.x.

Abstract

In a longitudinal study the hocks and stifles of Dutch Warmblood foals were radiographed at age 1 month and subsequently at intervals of 4 weeks. Forty-three foals were radiographed until age 5 months and 19 foals until age 11 months. The chance for the development of osteochondrosis was enhanced by using only offspring from diseased sires with radiographically proven OC at either the intermediate ridge of the distal tibia or the lateral ridge of the femoral trochlea. The radiographic appearances of the intermediate ridge of the distal tibia, the distal aspect of the lateral trochlear ridge of the talus and the midregion of the lateral ridge of the femoral trochlea were classified on a 0-4 scale using a standardised radiographic classification. At age 1 month the appearance of the intermediate ridge of the distal tibia was frequently abnormal (grades 1-3: 67%; grade 4: 1%). Abnormal appearances of the distal aspect of the lateral trochlear ridge of the talus were less common (grades 1-3: 25%; grade 4: 6%). The midregion of the lateral ridge of the femoral trochlea was predominantly normal (grade 0: 98%; grade 1: 2%). Initial abnormalities of the intermediate tibial ridge showed a marked tendency for regression. Progression was less common. Normal appearances rarely turned into abnormal. Only 18% of the hocks were still abnormal at this site at age 11 months. Abnormalities of the distal aspect of the lateral trochlear ridge of the talus showed a strong tendency towards resolution. Progression never occurred. Normal appearances seldom turned into abnormal. Only 3% of the hocks were still abnormal at this site at age 11 months. For both predilection sites in the hock normal and abnormal appearances were permanent from age 5 months. In the stifle, abnormal appearances of the midregion of the lateral ridge of the femoral trochlea became obvious from age 3 or 4 months. Subsequent progression was usually followed by regression and resolution, the appearance returned in most cases to normal at age 8 months. At 5 months, 20% of the stifles were abnormal, but at 11 months this percentage had decreased to 3%. Normal and abnormal appearances were permanent from age 8 months. Osteochondrosis of the main predilection sites in the hock and stifle develops very early in life. The majority of the lesions were temporary, the 'age of no return' was 5 months for the hock and 8 months for the stifle.

摘要

在一项纵向研究中,对荷兰温血马驹的跗关节和膝关节在1月龄时进行了X光检查,随后每隔4周检查一次。43匹驹检查至5月龄,19匹驹检查至11月龄。仅使用患有骨软骨病的种公马的后代,这些种公马在胫骨远端中间嵴或股骨滑车外侧嵴经X光检查证实患有骨软骨病,以此增加骨软骨病发生的几率。使用标准化的X光分类方法,将胫骨远端中间嵴、距骨外侧滑车嵴远端以及股骨滑车外侧嵴中部的X光表现分为0 - 4级。在1月龄时,胫骨远端中间嵴的表现经常异常(1 - 3级:67%;4级:1%)。距骨外侧滑车嵴远端的异常表现较少见(1 - 3级:25%;4级:6%)。股骨滑车外侧嵴中部主要为正常表现(0级:98%;1级:2%)。胫骨中间嵴的初始异常表现有明显的恢复趋势。进展情况较少见。正常表现很少转变为异常。在11月龄时,该部位跗关节只有18%仍为异常。距骨外侧滑车嵴远端的异常表现有强烈的消退趋势。从未发生进展情况。正常表现很少转变为异常。在11月龄时,该部位跗关节只有3%仍为异常。对于跗关节的两个好发部位,正常和异常表现在5月龄后就固定不变。在膝关节,股骨滑车外侧嵴中部的异常表现在3或4月龄时变得明显。随后的进展通常接着是消退和恢复,在大多数情况下,8月龄时表现恢复正常。在5月龄时,20%的膝关节为异常,但在11月龄时,这一比例降至3%。正常和异常表现在8月龄后固定不变。跗关节和膝关节主要好发部位的骨软骨病在生命早期就会发生。大多数病变是暂时的,跗关节的“不可逆年龄”为5月龄,膝关节为8月龄。

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