马颈椎关节突关节的侧位和斜位 X 线解剖学。

Radiographic anatomy of the articular process joints of the caudal cervical vertebrae in the horse on lateral and oblique projections.

机构信息

Weipers Centre for Equine Welfare, University of Glasgow, Bearsden Road, Glasgow G61 1QH, UK.

出版信息

Equine Vet J. 2009 Dec;41(9):895-902. doi: 10.2746/042516409x434107.

Abstract

REASONS FOR PERFORMING STUDY

Plain radiography is the standard imaging technique for investigation of diseases associated with the articular process joints (APJ) of the caudal neck; however, the radiographic anatomy of these structures on both lateral and oblique radiographic projections has not previously been described in detail.

OBJECTIVES

To determine the optimal technique for obtaining oblique radiographs of the APJ of the caudal cervical vertebrae (C4-5, C5-6 and C6-7) and to provide a detailed description of their normal radiographic appearance, on both lateral and oblique radiographic projections.

METHODS

Radiopaque markers were used to highlight the contours of the APJ on both lateral and oblique radiographs. A novel cineradiographic technique was employed to determine the optimal oblique projection to permit both left and right APJ to be assessed on the same radiograph. Lateral and oblique radiographs of the caudal neck were obtained in 6 live horses under standing sedation to assess the feasibility of the technique.

RESULTS

The radiopaque markers facilitated identification of the APJ by clearly outlining the margins of the cranial and caudal articular processes on lateral and oblique radiographs. The optimal range of angles for obtaining oblique radiographs was 50-55 degrees for C4-5, 45-55 degrees for C5-6 and 45-5 degrees for C6-7. Obtaining oblique radiographs within the specified range of angles resulted in a consistent radiographic image of the APJ in the caudal cervical region in the live individual.

CONCLUSIONS AND POTENTIAL RELEVANCE

The description of the normal radiographic anatomy of the cervical APJ of the caudal neck region in horses provides a valuable reference for the interpretation of cervical radiographs. Using the standardised technique to obtain oblique radiographs of the equine cervical vertebrae may provide additional diagnostic information about the APJ.

摘要

研究目的

X 线摄影是用于检查与尾部颈关节突关节(APJ)相关疾病的标准影像学技术;然而,这些结构在侧位和斜位 X 线片上的放射解剖学尚未详细描述。

目标

确定获得尾部颈段(C4-5、C5-6 和 C6-7)APJ 斜位 X 线片的最佳技术,并详细描述其在侧位和斜位 X 线片上的正常放射学表现。

方法

使用不透射线的标记物突出显示 APJ 在侧位和斜位 X 线片上的轮廓。采用一种新的电影透视技术来确定最佳的斜位投影,以便在同一张 X 线片上同时评估左右 APJ。在 6 匹清醒镇静的活马中进行尾部颈的侧位和斜位 X 线摄影,以评估该技术的可行性。

结果

不透射线的标记物通过清晰勾勒出侧位和斜位 X 线片上颅侧和尾侧关节突的边缘,有助于识别 APJ。获得斜位 X 线片的最佳角度范围为 C4-5 为 50-55 度,C5-6 为 45-55 度,C6-7 为 45-5 度。在规定的角度范围内获得斜位 X 线片可在活体个体的尾部颈区域获得一致的 APJ 放射图像。

结论和潜在相关性

马尾部颈关节突关节的正常放射解剖学描述为解释颈椎 X 线片提供了有价值的参考。使用标准化技术获得马颈椎的斜位 X 线片可能会为 APJ 提供额外的诊断信息。

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