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在没有后肢跛行病史的马匹中,是否存在特征性的跗骨远端软骨下骨板厚度模式?

Is there a characteristic distal tarsal subchondral bone plate thickness pattern in horses with no history of hindlimb lameness?

作者信息

Branch M V, Murray R C, Dyson S J, Goodship A E

机构信息

Centre for Equine Studies, The Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK.

出版信息

Equine Vet J. 2005 Sep;37(5):450-5. doi: 10.2746/042516405774479951.

Abstract

REASONS FOR PERFORMING STUDY

Osteoarthritis (OA) is a common cause of distal tarsal pain, but disease development is poorly understood. Awareness of normal tarsal structure and function is important in order to understand the pathogenesis of OA. Thickening of the subchondral bone (SCB) plate has been related to the development of OA, but SCB plate patterns in the equine tarsus have not been documented.

HYPOTHESES

There is a repeatable pattern of SCB thickness across the distal tarsal joints, and specifically that thickness would be greatest dorsally and laterally.

METHODS

Twenty cadaver tarsi were collected from mature horses that had undertaken low-level exercise only with no history of hindlimb lameness. Magnetic resonance images were acquired using a high-resolution sagittal 3-dimensional T1-weighted spoiled gradient echo sequence. Subchondral bone thickness was measured on sagittal images at dorsal and plantar locations on the proximal and distal aspects of the central (CT) and third (T3) tarsal bones and proximal aspect of the third metatarsal bone (Mt3).

RESULTS

On the proximal aspect of CT, medial and lateral SCB thickness were significantly greater than midline. On the distal aspect of CT and T3 and proximal Mt3, lateral SCB thickness was significantly greater than medial and midline sites. Dorsal SCB thickness was greatest on the proximal and distal aspects of CT and proximal Mt3. Subchondral bone accounted for a greater proportion of CT and T3 on the dorsal aspect than the plantar.

CONCLUSIONS

There is a repeatable pattern of SCB thickness in the distal tarsal bones of horses with no history of hindlimb lameness. This reflects the pattern of loading across the joints.

POTENTIAL RELEVANCE

This study provides evidence of a consistent osteochondral pattern in the equine tarsus for reference in identification of osteoarticular pathologies.

摘要

开展本研究的原因

骨关节炎(OA)是跗骨远端疼痛的常见原因,但对该疾病的发展了解甚少。了解正常跗骨结构和功能对于理解OA的发病机制很重要。软骨下骨(SCB)板增厚与OA的发展有关,但马跗骨的SCB板模式尚未见报道。

假设

在跗骨远端关节处存在可重复的SCB厚度模式,特别是背侧和外侧的厚度最大。

方法

从仅进行低强度运动且无后肢跛行病史的成年马中收集20个尸体跗骨。使用高分辨率矢状面三维T1加权扰相梯度回波序列采集磁共振图像。在矢状面上测量中央跗骨(CT)和第三跗骨(T3)近端和远端的背侧和跖侧位置以及第三跖骨(Mt3)近端的软骨下骨厚度。

结果

在CT近端,内侧和外侧SCB厚度明显大于中线处。在CT和T3的远端以及Mt3近端,外侧SCB厚度明显大于内侧和中线部位。在CT近端和远端以及Mt3近端,背侧SCB厚度最大。软骨下骨在背侧占CT和T3的比例大于跖侧。

结论

在无后肢跛行病史的马的跗骨远端存在可重复的SCB厚度模式。这反映了关节的负荷模式。

潜在意义

本研究提供了马跗骨中一致的骨软骨模式的证据,可为识别骨关节病变提供参考。

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