Hildreth B E, Johnson K A
Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA.
Vet Comp Orthop Traumatol. 2007;20(3):231-5. doi: 10.1160/vcot-06-08-0067.
Forelimb deformity caused by radial agenesis was diagnosed in a one-year-old Shih Tzu dog. In contrast to most of the previously reported cases of radial agenesis, the humeroulnar joint was inherently stable. The deformity was treated by means of a one-stage ulnocarpal arthrodesis with the application of an eight hole dorsolateral arthrodesis bone plate and autogenous corticocancellous bone graft from the ilial wing. Radiographic evaluation at the eighth and sixteenth post-operative week showed evidence of union of the arthrodesis. At sixteen weeks post-operatively, the dog had much improved limb function. In humans afflicted with radial agenesis, ulnocarpal arthrodesis is used to restore forearm function by minimizing pain and decreasing the magnitude of angular deformity and instability at the level of the ulnocarpal joint. However, to our knowledge, this is the first report of treatment of radial agenesis in the dog by means of a one-stage, ulnocarpal arthrodesis.
一只一岁的西施犬被诊断出患有因桡骨发育不全导致的前肢畸形。与之前报道的大多数桡骨发育不全病例不同,肱尺关节本身是稳定的。通过一期尺腕关节融合术进行治疗,应用了一块八孔背外侧融合接骨板,并取自髂骨翼的自体皮质松质骨移植。术后第八周和第十六周的影像学评估显示融合有愈合迹象。术后十六周时,该犬的肢体功能有了很大改善。在患有桡骨发育不全的人类中,尺腕关节融合术用于通过减轻疼痛以及减少尺腕关节水平的角畸形和不稳定程度来恢复前臂功能。然而,据我们所知,这是首例关于通过一期尺腕关节融合术治疗犬桡骨发育不全的报道。