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犬内侧和外侧滑车嵴距骨骨软骨病的临床与计算机断层扫描特征比较

Comparison of clinical and computed tomographic features between medial and lateral trochlear ridge talar osteochondrosis in dogs.

作者信息

Dingemanse Walter B, Van Bree Henri J J, Duchateau Luc, Gielen Ingrid M V L

机构信息

Department of Medical Imaging of Domestic Animals and Small Animal Orthopedics, Faculty of Veterinary Medicine, Ghent University, Belgium.

出版信息

Vet Surg. 2013 Apr;42(3):340-5. doi: 10.1111/j.1532-950X.2012.01069.x. Epub 2012 Dec 12.

Abstract

OBJECTIVE

To evaluate clinical and subchondral bone lesion differences between medial (MTRT-OC) and lateral trochlear ridge tarsocrural osteochondrosis (LTRT-OC).

STUDY DESIGN

Retrospective case series.

ANIMALS

Dogs (n = 66) with MTRT-OC or LTRT-OC.

METHODS

Medical records (1997-2010) of dogs with MTRT-OC or LTRT-OC were reviewed. Clinical data (breed, age, gender, weight, and duration of clinical signs) were retrieved. Computed tomographic examinations of the tarsocrural joints were performed. Length, width, and depth of the subchondral bone lesions on the computed tomographic images, and surface and volume of the lesions were estimated. The location of the OC lesion on the trochlear ridge (proximal, dorsal, or distal) was determined. Data collected from dogs with MTRT-OC (n = 56) were compared with data from dogs with LTRT-OC (n = 10).

RESULTS

Length, width, depth, surface, and volume of LTRT-OC lesions were significantly (P < .01) larger than those of MTRT-OC lesions. Dogs with LTRT-OC were significantly younger at the time of diagnosis (P < .01).

CONCLUSIONS

OC lesions on the lateral trochlear ridge are significantly larger than those on the medial trochlear ridge. Dogs with lesions on the lateral trochlear ridge are significantly younger at the time of diagnosis, and tend to have a shorter duration of lameness before presentation.

摘要

目的

评估内侧滑车嵴跗关节骨软骨病(MTRT - OC)和外侧滑车嵴跗关节骨软骨病(LTRT - OC)之间的临床及软骨下骨病变差异。

研究设计

回顾性病例系列研究。

动物

患有MTRT - OC或LTRT - OC的犬(n = 66)。

方法

回顾1997 - 2010年患有MTRT - OC或LTRT - OC犬的病历。收集临床数据(品种、年龄、性别、体重及临床症状持续时间)。对跗关节进行计算机断层扫描检查。估计计算机断层扫描图像上软骨下骨病变的长度、宽度、深度以及病变的表面积和体积。确定OC病变在滑车嵴上的位置(近端、背侧或远端)。将MTRT - OC犬(n = 56)收集的数据与LTRT - OC犬(n = 10)收集的数据进行比较。

结果

LTRT - OC病变的长度、宽度、深度、表面积和体积均显著大于MTRT - OC病变(P < 0.01)。LTRT - OC犬在诊断时显著更年轻(P < 0.01)。

结论

外侧滑车嵴的OC病变显著大于内侧滑车嵴的病变。外侧滑车嵴有病变的犬在诊断时显著更年轻,且在就诊前跛行持续时间往往较短。

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