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用于早期预测犬髋关节松弛和发育不良的临床、放射学、计算机断层扫描和磁共振成像方法的比较

Comparison of clinical, radiographic, computed tomographic, and magnetic resonance imaging methods for early prediction of canine hip laxity and dysplasia.

作者信息

Ginja Mário M D, Ferreira António J, Jesus Sandra S, Melo-Pinto Pedro, Bulas-Cruz José, Orden Maria A, San-Roman Fidel, Llorens-Pena Maria P, Gonzalo-Orden José M

机构信息

Department of Veterinary Science-CITAB, University of Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal.

出版信息

Vet Radiol Ultrasound. 2009 Mar-Apr;50(2):135-43. doi: 10.1111/j.1740-8261.2009.01506.x.

Abstract

The purpose of the study was to use two palpation methods (Bardens and Ortolani), a radiographic distraction view, three computed tomography (CT) measurements (dorsolateral subluxation score, the lateral center-edge angle, and acetabular ventroversion angle) and two magnetic resonance (MR) imaging hip studies (synovial fluid and acetabular depth indices) in the early monitoring of hip morphology and laxity in 7-9 week old puppies; and in a follow-up study to compare their accuracy in predicting later hip laxity and dysplasia. The MR imaging study was performed with the dog in dorsal recumbency and the CT study with the animal in a weight-bearing position. There was no association between clinical laxity with later hip laxity or dysplasia. The dorsolateral subluxation score and the lateral center-edge angle were characterized by a weak negative correlation with later radiographic passive hip laxity (-0.26 < r < -0.38, P < 0.05) but its association with hip dysplasia was not significant. There was an association between early radiographic passive hip laxity and synovial fluid index with later passive hip laxity (0.41 < r < 0.55, P < 0.05) and this was significantly different in dysplastic vs. nondysplastic hips (P < 0.05). There was no association between the remaining variables and later hip laxity or dysplasia. The overlapping ranges of early passive hip laxity and synovial fluid index for hip dysplasia grades and the moderate correlations with the later passive hip laxity make the results of these variables unreliable for use in predicting hip laxity and dysplasia susceptibility.

摘要

该研究的目的是使用两种触诊方法(巴登斯法和奥托拉尼法)、一张放射学牵引视图、三项计算机断层扫描(CT)测量指标(背外侧半脱位评分、外侧中心边缘角和髋臼前倾角)以及两项磁共振(MR)成像髋关节研究(滑液和髋臼深度指数),对7至9周龄幼犬的髋关节形态和松弛度进行早期监测;并在一项后续研究中比较它们预测后期髋关节松弛和发育不良的准确性。MR成像研究是在犬背卧位时进行的,而CT研究是在动物负重体位时进行的。临床松弛度与后期髋关节松弛或发育不良之间没有关联。背外侧半脱位评分和外侧中心边缘角与后期放射学被动髋关节松弛呈弱负相关(-0.26 < r < -0.38,P < 0.05),但其与髋关节发育不良的关联并不显著。早期放射学被动髋关节松弛和滑液指数与后期被动髋关节松弛之间存在关联(0.41 < r < 0.55,P < 0.05),并且在发育不良髋关节与非发育不良髋关节之间存在显著差异(P < 0.05)。其余变量与后期髋关节松弛或发育不良之间没有关联。髋关节发育不良分级的早期被动髋关节松弛和滑液指数的重叠范围以及与后期被动髋关节松弛的中度相关性,使得这些变量的结果在预测髋关节松弛和发育不良易感性方面不可靠。

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