Gutierrez-Nibeyro Sd, Werpy Nm, White Ii Na
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois, USA.
Aust Vet J. 2012 Mar;90(3):75-83. doi: 10.1111/j.1751-0813.2011.00875.x.
Conventional imaging modalities can diagnose the source of foot pain in most cases, but have limitations in some horses, which can be overcome by using magnetic resonance imaging (MRI). However, there are no reports of the MRI appearance and prevalence of foot lesions of a large series of horses with chronic foot lameness.
In the present study, 79 horses with unilateral or bilateral forelimb lameness because of chronic foot pain underwent standing low-field MRI to make a definitive diagnosis.
Of the 79 horses, 74 (94%) had alterations in >1 structure in the lame or lamest foot. Navicular bone lesions occurred most frequently (78%) followed by navicular bursitis (57%), deep digital flexor tendonopathies (54%) and collateral desmopathy of the distal interphalangeal joint (39%). Effusion of the distal interphalangeal joint was also a frequent finding (53%).
Low-field MRI in a standing patient can detect many lesions of the equine foot associated with chronic lameness without the need for general anaesthesia.
传统成像方式在大多数情况下能够诊断出马蹄疼痛的根源,但在某些马匹中存在局限性,而使用磁共振成像(MRI)可以克服这些局限性。然而,尚无关于大量慢性马蹄跛行马匹足部病变的MRI表现及患病率的报道。
在本研究中,79匹因慢性马蹄疼痛导致单侧或双侧前肢跛行的马匹接受了站立位低场MRI检查以明确诊断。
79匹马中,74匹(94%)患蹄或最跛蹄的结构改变超过1处。舟骨病变最为常见(78%),其次是舟骨黏液囊炎(57%)、指深屈肌腱病(54%)和远侧指间关节侧副韧带病(39%)。远侧指间关节积液也是常见表现(53%)。
站立位患者的低场MRI无需全身麻醉即可检测出许多与慢性跛行相关的马蹄病变。