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对大型生长犬胫骨平台角的连续测量。

Sequential measurements of the tibial plateau angle in large-breed, growing dogs.

作者信息

Odders Jacob W, Jessen Carl R, Lipowitz Alan J

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Minnesota, St Paul, MN 55108, USA.

出版信息

Am J Vet Res. 2004 Apr;65(4):513-8. doi: 10.2460/ajvr.2004.65.513.

DOI:10.2460/ajvr.2004.65.513
PMID:15077696
Abstract

OBJECTIVES

To determine the earliest age that canine tibial plateau angles (TPAs) can be reliably measured and determine whether TPAs change during long bone growth.

ANIMALS

10 Labrador Retrievers and 20 Labrador Retriever-hound crossbreeds.

PROCEDURE

Stifle joints were radiographed every 2 months from 8 weeks of age to radiographic closure of the tibial physes. Four examiners radiographically evaluated TPA, physeal closure status (ie, complete or incomplete) of the proximal and distal tibial physis, and whether anatomic TPA measurement landmarks were sufficiently visible (LSV) or insufficiently visible (LIV) for accurate measuring. Linear regression analysis was performed to detect change in TPAs over time. Mean ages with 95% confidence intervals (CIs) were determined for dogs with radiographs classified as LIV and LSV.

RESULTS

TPAs did not change from 90 days of age to physeal closure. Mean age for dogs with radiographs classified as LIV was 70.2 days (95% CI, 68.12 to 72.28 days), with no dog with LIV radiographs over 81 days of age. Mean age for dogs with radiographs classified as LSV was 85.5 days (CI, 76.73 to 94.27 days).

CONCLUSIONS AND CLINICAL RELEVANCE

TPAs in Labrador Retrievers and Labrador Retriever-hound crossbreeds can be measured accurately after 90 days of age, and earlier attempts to measure result in falsely low TPA measurements. Measuring TPAs in growing dogs may allow earlier detection of premature physeal closures. As more is learned about the role of theTPA in cranial cruciate ligament injury, early treatment may be possible for growing dogs with cruciate ligament injuries and excessive tibial slope.

摘要

目的

确定能够可靠测量犬胫骨平台角(TPA)的最早年龄,并确定TPA在长骨生长过程中是否会发生变化。

动物

10只拉布拉多猎犬和20只拉布拉多猎犬与猎犬的杂交犬。

步骤

从8周龄至胫骨骨骺线放射学闭合期间,每2个月对膝关节进行X线摄影。4名检查人员通过X线摄影评估TPA、胫骨近端和远端骨骺的骨骺闭合状态(即完全或不完全),以及解剖学TPA测量标志是否清晰可见(LSV)或不可见(LIV),以进行准确测量。进行线性回归分析以检测TPA随时间的变化。确定X线片分类为LIV和LSV的犬的平均年龄及95%置信区间(CI)。

结果

从90日龄至骨骺闭合,TPA没有变化。X线片分类为LIV的犬的平均年龄为70.2日(95%CI,68.12至72.28日),81日龄以上没有犬的X线片为LIV。X线片分类为LSV的犬的平均年龄为85.5日(CI,76.73至94.27日)。

结论及临床意义

拉布拉多猎犬和拉布拉多猎犬与猎犬杂交犬在90日龄后可准确测量TPA,早期测量会导致TPA测量值过低。在生长中的犬中测量TPA可能有助于更早发现骨骺过早闭合。随着对TPA在颅交叉韧带损伤中作用的了解增多,对于患有交叉韧带损伤和胫骨过度倾斜的生长中的犬,可能可以进行早期治疗。

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