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犬胫骨近端和远端机械关节角度的影像学测量。

Radiographic measurement of the proximal and distal mechanical joint angles in the canine tibia.

作者信息

Dismukes David I, Tomlinson James L, Fox Derek B, Cook James L, Song Kug Ju Eddie

机构信息

Comparative Orthopaedic Laboratory, Veterinary Medical Teaching Hospital, University of Missouri-Columbia, Columbia, MO 65211, USA.

出版信息

Vet Surg. 2007 Oct;36(7):699-704. doi: 10.1111/j.1532-950X.2007.00323.x.

Abstract

OBJECTIVE

To describe a method for radiographic measurement of proximal and distal mechanical joint angles of the canine tibia. Normal ranges were established for a population of dogs, and specifically, Labrador retrievers, with cranial cruciate ligament rupture.

STUDY DESIGN

Retrospective study.

SAMPLE POPULATION

Tibiae (n=105) of dogs evaluated for cranial cruciate ligament rupture; 70 tibiae were from Labrador retrievers, 35 tibiae were from other breeds.

METHODS

Anatomic landmarks were established and craniocaudal radiographs were used to measure the mechanical medial proximal (mMPTA) and distal (mMDTA) tibial angles in the frontal plane.

RESULTS

Means (+/-SD) for all tibiae were mMPTA, 93.30+/-1.78 degrees, and mMDTA, 95.99+/-2.70 degrees. For Labrador retrievers, means were mMPTA, 93.38+/-1.81 degrees, and mMDTA 96.34+/-2.51 degrees. No significant differences were detected between Labrador Retrievers and non-Labrador retrievers with respect to mMPTA (power=0.5) or mMDTA (power=0.342). Labrador Retrievers were significantly younger than non-Labradors (P=.003).

CONCLUSION

A method for measurement of the mechanical joint angles of the canine tibia in the frontal plane was established and reference ranges for a population of dogs and Labrador Retrievers with cranial cruciate ligament rupture are reported.

CLINICAL RELEVANCE

The established method of measurement and references ranges can be used to aid in diagnosis, determining indications, and surgical planning for angular limb deformities of the tibia, especially when affected bilaterally. The methodology and reference values may also be used for postoperative critique.

摘要

目的

描述一种用于放射成像测量犬胫骨近端和远端机械关节角度的方法。为患有颅交叉韧带断裂的犬类群体,特别是拉布拉多寻回犬,确定正常范围。

研究设计

回顾性研究。

样本群体

因颅交叉韧带断裂接受评估的犬的胫骨(n = 105);70根胫骨来自拉布拉多寻回犬,35根胫骨来自其他品种。

方法

确定解剖标志,并使用头尾位X线片测量额平面上的机械性内侧近端胫骨角(mMPTA)和远端胫骨角(mMDTA)。

结果

所有胫骨的平均值(±标准差)为mMPTA 93.30±1.78度,mMDTA 95.99±2.70度。对于拉布拉多寻回犬,平均值为mMPTA 93.38±1.81度,mMDTA 96.34±2.51度。在mMPTA(检验效能=0.5)或mMDTA(检验效能=0.342)方面,拉布拉多寻回犬和非拉布拉多寻回犬之间未检测到显著差异。拉布拉多寻回犬明显比非拉布拉多犬年轻(P = 0.003)。

结论

建立了一种测量犬胫骨额平面机械关节角度的方法,并报告了患有颅交叉韧带断裂的犬类群体和拉布拉多寻回犬的参考范围。

临床意义

所建立的测量方法和参考范围可用于辅助诊断、确定适应症以及胫骨角肢畸形的手术规划,尤其是双侧受累时。该方法和参考值也可用于术后评估。

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