Schwandt Christian S, Bohorquez-Vanelli Alejandra, Tepic Slobodan, Hassig Michael, Dennler Renate, Vezzoni Aldo, Montavon Pierre M
Clinic for Small Animal Surgery, Vetsuisse Faculty, University of Zurich, 8057 Zurich, Switzerland.
Am J Vet Res. 2006 Nov;67(11):1855-60. doi: 10.2460/ajvr.67.11.1855.
OBJECTIVE: To measure the angles between the patellar ligament and the tibial plateau and between the patellar ligament and the common tangent at the tibiofemoral contact point (TFCP) in stifle joints of dogs with partial rupture of the cranial cruciate ligament (CrCL) for comparison with data obtained for stifle joints in dogs with intact CrCLs. SAMPLE POPULATION: 60 stifle joints of 54 dogs with surgically confirmed partial CrCL rupture. PROCEDURES: Mediolateral radiographic views of the stifle joints were obtained, and the angles between the patellar ligament and the conventionally defined tibial plateau (angle gamma) and between the patellar ligament and the common tangent to the TFCP (angle alpha) were measured at incidental stifle joint flexion (angle beta) by 2 independent observers. Data underwent linear regression analysis and were compared with findings in joints of dogs without degenerative joint disease. RESULTS: In stifle joints of dogs with a partial rupture of the CrCL, angles gamma and alpha were 5 degrees and 2 degrees larger than each corresponding angle in healthy canine joints. At 100 degrees of flexion, the patellar ligament was perpendicular to the conventionally defined tibial plateau. At 110 degrees of flexion, the patellar ligament was perpendicular to the common tangent at the TFCP. CONCLUSIONS AND CLINICAL RELEVANCE: In dogs, stifle joints with partially ruptured CrCLs have marginally larger angles between the patellar ligament and the tibial plateau, compared with joints with intact CrCLs; at equivalent angles of flexion, comparatively greater shear force affects the CrCLs in stifle joints with partial CrCL ruptures.
目的:测量患有前交叉韧带(CrCL)部分断裂的犬膝关节中髌韧带与胫骨平台之间以及髌韧带与胫股接触点(TFCP)处公切线之间的角度,以便与CrCL完整的犬膝关节数据进行比较。 样本群体:54只经手术确诊CrCL部分断裂的犬的60个膝关节。 方法:获取膝关节的内外侧X线片,由2名独立观察者在膝关节偶然屈曲(角度β)时测量髌韧带与传统定义的胫骨平台之间的角度(γ角)以及髌韧带与TFCP公切线之间的角度(α角)。数据进行线性回归分析,并与无退行性关节病犬关节的研究结果进行比较。 结果:在CrCL部分断裂的犬膝关节中,γ角和α角比健康犬关节中的相应角度分别大5度和2度。在屈曲100度时,髌韧带垂直于传统定义的胫骨平台。在屈曲110度时,髌韧带垂直于TFCP处的公切线。 结论及临床意义:在犬中,与CrCL完整的关节相比,CrCL部分断裂的膝关节中髌韧带与胫骨平台之间的角度略大;在相同屈曲角度下,相对更大的剪切力作用于CrCL部分断裂的膝关节中的CrCL。
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