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犬肱骨髁不完全骨化的磁共振成像特征

Magnetic resonance imaging features of canine incomplete humeral condyle ossification.

作者信息

Piola Valentina, Posch Barbara, Radke Heidi, Telintelo Gerard, Herrtage Michael E

机构信息

Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.

出版信息

Vet Radiol Ultrasound. 2012 Sep-Oct;53(5):560-5. doi: 10.1111/j.1740-8261.2012.01941.x. Epub 2012 May 2.

Abstract

Incomplete ossification of the humeral condyle (IOHC) is characterized by an intracondylar fissure located where the intercondylar physis is present in growing dogs. Its radiologic and computed tomographic features have been described but the magnetic resonance (MR) features have not been characterized. Our purpose was to further describe the range of MRappearances of IOHC, to assess the diagnostic capability of MRrelative to radiology, and to determine whether MRis able to identify the disease before a fissure forms. Thirty-eight elbow MRscans and radiographs, when available, were reviewed and divided into three groups. In Group 1 (affected elbows, n = 22), there was an intracondylar defect on MRwith variable appearance; the defect was not visible radiographically in 32% of the elbows. The main difference between Group 2 (nonaffected elbows, n = 6) and Group 3 (contralaterals to IOHC or to condylar fracture, without fissure, n = 10) was the appearance of the humeral condyle in short tau inversion recovery (STIR) sequences: all elbows in Group 2 had a homogeneous humeral condyle, whereas all but one in Group 3 were heterogeneous. One dog in Group 3 developed a complete condylar fissure 7 months after the first examination, when no evidence of an intracondylar defect had been detected. The MRappearance of IOHC is variable and a heterogeneous humeral condyle in STIR images without a clear defect may warn of the possibility for the subsequent development of a condylar fissure.

摘要

肱骨髁骨化不全(IOHC)的特征是在生长中的犬类髁间生长板所在位置出现髁内裂隙。其放射学和计算机断层扫描特征已有描述,但磁共振(MR)特征尚未明确。我们的目的是进一步描述IOHC的MR表现范围,评估MR相对于放射学的诊断能力,并确定MR是否能够在裂隙形成之前识别该疾病。回顾了38例肘部的MR扫描图像和放射照片(如有),并将其分为三组。在第1组(患侧肘部,n = 22)中,MR上存在髁内缺损,表现各异;32%的肘部在放射照片上未见该缺损。第2组(未患侧肘部,n = 6)和第3组(IOHC或髁部骨折对侧,无裂隙,n = 10)之间的主要区别在于短tau反转恢复(STIR)序列中肱骨髁的表现:第2组的所有肘部肱骨髁均均匀,而第3组除一例之外均不均匀。第3组中有一只犬在首次检查7个月后出现了完全性髁部裂隙,当时未检测到髁内缺损的迹象。IOHC的MR表现各异,STIR图像中肱骨髁不均匀且无明显缺损可能提示随后发生髁部裂隙的可能性。

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