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骨关节炎犬股骨近端的组织形态计量学分析

Histomorphometric analysis of the proximal portion of the femur in dogs with osteoarthritis.

作者信息

Edinger D T, Hayashi K, Hongyu Y, Markel M D, Manley P A

机构信息

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison 53706, USA.

出版信息

Am J Vet Res. 2000 Oct;61(10):1267-72. doi: 10.2460/ajvr.2000.61.1267.

Abstract

OBJECTIVE

To describe cancellous architecture of the proximal portion of the femur in dogs with osteoarthritis.

ANIMALS

30 dogs with coxofemoral osteoarthritis.

PROCEDURE

All dogs had femoral head and neck excision or total hip arthroplasty. Histomorphometry software was used to analyze computer images of 100-microm-thick coronal and transverse plane sections of the head and neck of the femur. Histologic preparations of coronal and transverse sections of articular cartilage were graded.

RESULTS

Bone volume/total volume, trabecular thickness, trabecular number, and bone surface/total volume were significantly higher in the femoral head than femoral neck. Trabecular alignment (anisotropy) and separation were significantly higher in the femoral neck than femoral head. Anisotropy was significantly increased in the medial portion of the femoral head in the coronal plane and in the cranial portion of the femoral neck in the transverse plane, compared with healthy dogs. The medial half of femoral head cartilage that overlies the proximomedial cancellous bone region had significantly more degraded cartilage than the lateral half. Histologic grades for cranial and caudal halves of femoral head articular cartilage were similar.

CONCLUSIONS AND CLINICAL RELEVANCE

Most findings were similar to those in healthy dogs. Greater trabecular alignment in the proximomedial region of the femoral head and craniolateral region of the femoral neck in dogs with osteoarthritis suggests an altered transfer of load through the coxofemoral joint. Greater cartilage degradation on the medial half of the femoral head supports an association between increased trabecular alignment and cartilage degradation.

摘要

目的

描述患骨关节炎犬股骨近端的松质骨结构。

动物

30只患有髋股关节骨关节炎的犬。

方法

所有犬均接受股骨头和颈部切除或全髋关节置换术。使用组织形态计量学软件分析股骨头部和颈部100微米厚的冠状面和横断面切片的计算机图像。对关节软骨的冠状面和横断面切片进行组织学分级。

结果

股骨头的骨体积/总体积、小梁厚度、小梁数量和骨表面积/总体积均显著高于股骨颈。股骨颈的小梁排列(各向异性)和间距显著高于股骨头。与健康犬相比,在冠状面股骨头内侧部分和横断面股骨颈头侧部分,各向异性显著增加。覆盖近端内侧松质骨区域的股骨头软骨内侧半部的软骨退变明显多于外侧半部。股骨头关节软骨头侧和尾侧半部的组织学分级相似。

结论及临床意义

大多数结果与健康犬相似。患骨关节炎犬股骨头近端内侧区域和股骨颈头外侧区域小梁排列增加,提示髋股关节的负荷传递发生改变。股骨头内侧半部软骨退变加剧支持小梁排列增加与软骨退变之间存在关联。

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