Department of Clinical Science, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Equine Vet J. 2011 Nov;43(6):669-75. doi: 10.1111/j.2042-3306.2010.00348.x. Epub 2011 Mar 15.
To describe the clinical symptoms, treatment, and outcome of meniscal cysts in horses. These structures have not been previously described in the literature as a potential cause of lameness in the horse.
Meniscal cysts are an uncommon condition of the femorotibial joint but can be a significant cause of lameness. Symptoms can be resolved by arthroscopic excision.
Records of horses diagnosed with meniscal cysts and treated by cyst excision and meniscal debridement at 2 surgical practices were reviewed. Clinical outcome was determined by repeat veterinary examination and contact with owner.
Seven cases of meniscal cyst were treated with arthroscopic cyst excision and meniscal debridement. Five of 7 horses had lameness attributable to femorotibial joint pathology, while the remaining 2 horses had meniscal cysts found incidentally during diagnostic arthroscopy for the treatment of osteochondritis dissecans of the lateral trochlear ridge of the femur. Five of 6 horses with long-term follow-up were sound and a 7th horse was improved 11 months after surgery.
Meniscal cysts, while uncommon, can be associated with progressive lameness in the horse. Surgical excision of the cysts results in resolution or improvement of symptoms, without evidence of recurrence on follow-up examination.
描述马半月板囊肿的临床症状、治疗方法和转归。这些结构以前在文献中并未被描述为马跛行的潜在原因。
半月板囊肿是一种不常见的股胫关节疾病,但可能是导致跛行的重要原因。通过关节镜切除可以缓解症状。
对 2 家外科手术机构中诊断为半月板囊肿并接受囊肿切除和半月板清创术治疗的马的记录进行了回顾。通过兽医复诊和与主人联系来确定临床转归。
7 例半月板囊肿患者接受了关节镜下囊肿切除术和半月板清创术治疗。7 匹马中有 5 匹因股胫关节病变而出现跛行,其余 2 匹马在外侧滑车嵴骨软骨炎分离的诊断性关节镜检查中偶然发现半月板囊肿。6 例长期随访的马中有 5 例情况良好,7 例术后 11 个月得到改善。
半月板囊肿虽然不常见,但可与马的进行性跛行有关。囊肿的手术切除可缓解或改善症状,在随访检查中无复发迹象。