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马驹胫骨远端骨软骨病的早期病变

Early lesions of osteochondrosis in the distal tibia of foals.

作者信息

Olstad Kristin, Ytrehus Bjørnar, Ekman Stina, Carlson Cathy S, Dolvik Nils I

机构信息

The Norwegian School of Veterinary Science, Department of Companion Animal Clinical Sciences, Section for Equine Medicine and Surgery, Post-box 8146 Dep., N-0033 Oslo, Norway.

出版信息

J Orthop Res. 2007 Aug;25(8):1094-105. doi: 10.1002/jor.20375.

Abstract

Material available for research into osteochondrosis (OC) in humans tends to represent chronic lesions. Comparative studies of early lesions in young animals are, therefore, important in clarifying the pathogenesis of OC in humans. Recent studies in pigs provide strong evidence that lesions of articular OC are associated with a focal failure in the cartilage canal vascular supply to epiphyseal growth cartilage (articular-epiphyseal cartilage complex excluding the articular cartilage). The purpose of the present study was to examine histological sections from a specific predilection site for articular OC in the distal tibia of a large number of young foals to determine if the same is true in horses. Material from the distal tibiae of 100 foals aged from 191 days of gestation to 153 days old was collected from routine submissions of fetuses and foals for post mortem examination. The tibiae were band-sawed into slabs, and selected slabs were processed for histology, stained with hematoxylin and eosin, and examined using light microscopy. Early subclinical developmental stages of OC were found in the most common site for clinical OC lesions of horses in nine of 100 foals aged 12 to 122 days old. All lesions contained areas of chondrocyte necrosis that were associated with cartilage canal necrosis in five of nine foals. Five of these foals also had focal disruption of enchondral ossification at the chondro-osseous junction in the same site. Early lesions purported to play a role in the initial stages of articular OC in the distal tibia of horses were characterized by chondrocyte necrosis and likely occurred secondary to a failure of cartilage canal vascular supply to epiphyseal growth cartilage. The similarities in appearance between early lesions of piglets and foals suggest that information gained in one species may be transferable to others, including humans.

摘要

用于人类骨软骨病(OC)研究的材料往往代表慢性病变。因此,对幼小动物早期病变的比较研究对于阐明人类OC的发病机制很重要。最近对猪的研究提供了有力证据,表明关节OC病变与骨骺生长软骨(不包括关节软骨的关节-骨骺软骨复合体)的软骨管血管供应局部衰竭有关。本研究的目的是检查大量幼驹胫骨远端关节OC特定好发部位的组织切片,以确定马是否也是如此。从100匹年龄从妊娠191天到153日龄的幼驹的胫骨远端收集材料,这些材料来自常规送检的胎儿和幼驹的尸体剖检。将胫骨用带锯锯成薄片,选择的薄片进行组织学处理,用苏木精和伊红染色,并用光学显微镜检查。在100匹年龄在12至122日龄的幼驹中,有9匹在马临床OC病变最常见的部位发现了OC的早期亚临床发育阶段。在9匹幼驹中的5匹中,所有病变都包含与软骨管坏死相关的软骨细胞坏死区域。其中5匹幼驹在同一部位的软骨-骨交界处也有软骨内成骨的局灶性破坏。据称在马胫骨远端关节OC初始阶段起作用的早期病变的特征是软骨细胞坏死,可能继发于骨骺生长软骨的软骨管血管供应衰竭。仔猪和幼驹早期病变外观的相似性表明,在一个物种中获得的信息可能适用于其他物种,包括人类。

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