Innes J F, Brown G
Small Animal Division, Department of Veterinary Clinical Science, Faculty of Veterinary Science, University of Liverpool, Liverpool L69 0EX.
Grove Veterinary Group, Holt Road, Fakenham, Norfolk NR21 7LG.
J Small Anim Pract. 2004 Jan;45(1):25-28. doi: 10.1111/j.1748-5827.2004.tb00191.x.
Rupture of the biceps brachii tendon sheath was diagnosed in two dogs which were presented with chronic thoracic limb lameness. In each case, diagnosis was achieved by positive contrast arthrography, which revealed obvious leakage of contrast agent from the distal portion of the tendon sheath. Arthroscopy was performed in each affected shoulder joint and no other significant lesions were found. In one dog, concomitant bicipital tendinopathy was confirmed by histopathology. Both dogs were treated by bicipital tendon transposition, and tenodesis and both showed improvement in the degree of lameness following surgery. Tearing of the biceps brachii tendon sheath has not been reported previously but should be included in the differential diagnosis for shoulder lameness in the adult dog.
两只患有慢性前肢跛行的犬被诊断为肱二头肌肌腱鞘破裂。在每例病例中，通过阳性造影剂关节造影确诊，造影显示造影剂从肌腱鞘远端明显渗漏。对每个患侧肩关节进行了关节镜检查，未发现其他明显病变。在一只犬中，组织病理学证实伴有肱二头肌肌腱病。两只犬均接受了肱二头肌肌腱转位和腱固定术治疗，术后跛行程度均有改善。肱二头肌肌腱鞘撕裂此前未见报道，但在成年犬肩关节跛行的鉴别诊断中应予以考虑。
