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犬肘关节超声检查结果与解剖特征及X线摄影的相关性

Correlation of ultrasonographic observations with anatomic features and radiography of the elbow joint in dogs.

作者信息

Knox Van W, Sehgal Chandra M, Wood Andrew K W

机构信息

Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

Am J Vet Res. 2003 Jun;64(6):721-6. doi: 10.2460/ajvr.2003.64.721.

Abstract

OBJECTIVE

To define the ultrasonographic appearance of the elbow joint of dogs and to develop an ultrasonographic imaging protocol to reliably accomplish complete evaluation of that joint.

ANIMALS

11 clinically normal mixed-breed dogs.

PROCEDURE

Ultrasonographic observations (by use of a 5 to 10 MHz linear array probe) were made of 22 elbow joints in cadaveric forelimbs from clinically normal dogs. Images in standard anatomic planes were recorded with a multi-image camera, on videotape, or onto a computer. The anatomic plane of the ultrasonographic beam and position of the ultrasonographic probe were also recorded. Dissection of each elbow joint was performed, and anatomic features were correlated with ultrasonographic images.

RESULTS

Structures clearly identified ultrasonographically included the lateral and medial humeral epicondyles, the humeroradial and humeroulnar joints, anconeal process, medial coronoid process, hyaline cartilage covering the proximal articular surface of the radius, collateral ligaments, tendons of triceps brachii and supinator muscles, and the supinator tendon and sesamoid in the supinator cartilage. An ultrasonographic imaging protocol for examination of the elbow joint was developed.

CONCLUSIONS AND CLINICAL RELEVANCE

Precise correlations were established between the gross anatomic appearance of the elbow joint and the ultrasonographic images of its component structures. The ultrasonographic imaging protocol will enable complete examination of all regions of the joint for detection of pathologic lesions.

摘要

目的

明确犬肘关节的超声表现,并制定一种超声成像方案,以可靠地完成对该关节的全面评估。

动物

11只临床健康的混血犬。

方法

使用5至10MHz线性阵列探头对临床健康犬尸体前肢的22个肘关节进行超声观察。在标准解剖平面的图像用多图像相机、录像带或记录到计算机上。还记录了超声束的解剖平面和超声探头的位置。对每个肘关节进行解剖,并将解剖特征与超声图像进行关联。

结果

超声清晰识别的结构包括肱骨外上髁和内上髁、肱桡关节和肱尺关节、鹰嘴突、内侧冠状突、覆盖桡骨近端关节面的透明软骨、侧副韧带、肱三头肌和旋后肌的肌腱,以及旋后肌软骨中的旋后肌腱和籽骨。制定了肘关节检查的超声成像方案。

结论及临床意义

在肘关节大体解剖外观与其组成结构的超声图像之间建立了精确的关联。该超声成像方案将能够对关节的所有区域进行全面检查,以检测病理病变。

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