Scavelli T D, Schrader S C, Matthiesen D T, Skorup D E
Department of Surgery, Animal Medical Center, New York, NY 10021.
J Am Vet Med Assoc. 1990 Apr 1;196(7):1135-8.
Partial rupture of the cranial cruciate ligament was diagnosed in 25 dogs. In all dogs, the primary problem at the time of physical examination was hind limb lameness. The mean time from initial onset of lameness to diagnosis at exploratory surgery was 17 weeks. A cranial drawer sign was detected in 13 of the 25 dogs; in 9, the cranial drawer sign was evident only when the stifle was positioned in flexion. Of the 25 dogs, 12 had no detectable cranial drawer sign in response to manipulation of the involved stifle. In all dogs, lateral stifle arthrotomy was performed in routine manner, and the cranial cruciate ligament was found to be incompletely torn. Lesions identified during arthrotomy were rupture of the craniomedial band (n = 20 dogs), interstitial tear (n = 4 dogs), and rupture of the caudolateral band (n = 1 dog).
25只犬被诊断为颅交叉韧带部分断裂。所有犬在体格检查时的主要问题均为后肢跛行。从跛行最初发作到探查手术诊断的平均时间为17周。25只犬中有13只检测到颅抽屉征;9只犬中,颅抽屉征仅在膝关节处于屈曲位时明显。25只犬中,12只在对患侧膝关节进行手法操作时未检测到颅抽屉征。所有犬均常规进行外侧膝关节切开术,发现颅交叉韧带不完全撕裂。关节切开术中发现的病变为颅内侧带断裂(20只犬)、间质撕裂(4只犬)和后外侧带断裂(1只犬)。