Welch R D, Watkins J P, DeBowes R M, Leipold H W
Texas Veterinary Medical Center, Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station 77843-4475.
Am J Vet Res. 1991 Jun;52(6):934-9.
The effects of intra-articular administration of dimethylsulfoxide (DMSO) on chemically induced synovitis in the middle carpal joint of 6 weanling horses were evaluated. Following aseptic collection of synovial fluid, the middle carpal joint of each forelimb was injected with 50 mg of Na-monoiodoacetate to induce synovitis. Eight days after injection, synovial fluid was obtained and the right middle carpal joints were injected with 2 ml of 40% DMSO in lactated Ringer solution. The corresponding joints of the left limb (control) were injected with 2 ml of lactated Ringer solution. Sampling and treatments were repeated on post-injection days 11 and 14, for a total of 3 treatments. Horses were visually evaluated daily for lameness and joint effusion. Synovial fluid was evaluated for color and clarity, differential and total WBC count, total protein content, and hyaluronic acid concentration. The Kaegi gait analysis system provided an objective assessment of lameness prior to inducing synovitis, again on day 7, and on day 17. At necropsy (day 17), synovial fluid, synovial membrane, and articular cartilage specimens were collected. Joint effusion was evident 12 hours after injection of Na-monoiodoacetate in all joints. Mild lameness was evident at 24 hours; however, the lameness resolved by 72 hours. Objective assessment of lameness did not reveal significant differences between treatment or control limbs. Hyaluronic acid concentrations increased significantly (P = 0.023) above baseline values in most joints over the study period. Synovial fluid WBC counts increased significantly (P = 0.002) following Na-monoiodoacetate injection and remained significantly (P = 0.002) above baseline values throughout the study.(ABSTRACT TRUNCATED AT 250 WORDS)
评估了关节内注射二甲基亚砜(DMSO)对6匹断奶幼马腕中关节化学诱导性滑膜炎的影响。在无菌采集滑液后,向每只前肢的腕中关节注射50mg碘乙酸钠以诱导滑膜炎。注射8天后,采集滑液,并向右侧腕中关节注射2ml含40%DMSO的乳酸林格液。左侧肢体的相应关节(对照)注射2ml乳酸林格液。在注射后第11天和14天重复采样和治疗,共进行3次治疗。每天对马匹进行跛行和关节积液的视觉评估。对滑液进行颜色、透明度、白细胞分类计数和总白细胞计数、总蛋白含量及透明质酸浓度的评估。在诱导滑膜炎前、第7天和第17天,使用凯吉步态分析系统对跛行进行客观评估。在尸检时(第17天),采集滑液、滑膜和关节软骨标本。所有关节在注射碘乙酸钠12小时后出现明显的关节积液。24小时时出现轻度跛行;然而,跛行在72小时时消失。对跛行的客观评估未显示治疗组和对照组肢体之间存在显著差异。在研究期间,大多数关节的透明质酸浓度显著高于基线值(P = 0.023)。注射碘乙酸钠后滑液白细胞计数显著增加(P = 0.002),并且在整个研究过程中一直显著高于基线值(P = 0.002)。(摘要截短于250字)