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绵羊膝关节中自然发生的软骨缺陷的流行情况。

Prevalence of naturally occurring cartilage defects in the ovine knee.

机构信息

Integrated Veterinary Research Unit, Namur Research Institute for Life Sciences, Department of Veterinary Medicine, University of Namur, Belgium.

出版信息

Osteoarthritis Cartilage. 2013 Aug;21(8):1125-31. doi: 10.1016/j.joca.2013.05.006. Epub 2013 May 22.

DOI:10.1016/j.joca.2013.05.006
PMID:23707753
Abstract

OBJECTIVE

To determine the prevalence, anatomical location and severity of cartilage defects in the stifle (knee) within a population of adult ewes (N = 65).

MATERIALS AND METHODS

Articular cartilage (AC) of the distal femur, proximal tibia and patella was assessed using Osteoarthritis Research Society International (OARSI) recommendations for macroscopic and microscopic scoring of ovine cartilage. Synovial fluid analysis and histology of the synovial membrane were performed. All limbs were examined by computed tomography.

RESULTS

Twenty-eight sheep (n = 28; 43%) presented at least one score 2 or score 3 lesion. Twenty-two (n = 22; 34%) sheep were macroscopically normal. Most frequent localizations of lesions were: axial aspect of the central third of the medial tibial condyle (32.7% of the lesions), middle third of the medial femoral condyle (29.4%), middle third of the articular surface of the patella (9.8%), and axial aspect of the central third of the lateral tibial condyle (9.8%). Grade of macroscopic lesions was significantly (H (3) = 29.31, P 0.000) affected by age. Macroscopic score correlated well with histological changes that can be found in osteoarthritis (OA) (r 0.83; P 0.000). Neither clinical signs of OA, nor cytological and histological signs of inflammation were identified, while imaging abnormalities were very rare.

CONCLUSIONS

Our data seem to indicate that naturally occurring OA exists in ageing sheep, at least subclinically. It might be useful to take into account prevalent cartilage defects at baseline in studies using ovine models.

摘要

目的

在成年绵羊(N=65)群体中,确定膝关节(膝关节)软骨缺陷的流行率、解剖位置和严重程度。

材料和方法

使用国际骨关节炎研究协会(OARSI)对绵羊软骨的宏观和微观评分建议,评估远端股骨、近端胫骨和髌骨的关节软骨(AC)。进行滑液分析和滑膜组织学检查。所有肢体均通过计算机断层扫描进行检查。

结果

28 只绵羊(n=28;43%)至少有一处 2 分或 3 分病变。22 只绵羊(n=22;34%)宏观上正常。病变最常见的部位为:内侧胫骨髁中央三分之一的轴向面(32.7%的病变)、内侧股骨髁的中三分之一(29.4%)、髌骨关节面的中三分之一(9.8%)和外侧胫骨髁中央三分之一的轴向面(9.8%)。宏观病变的分级(H(3)=29.31,P<0.000)显著受年龄影响。宏观评分与可在骨关节炎(OA)中发现的组织学变化(r=0.83;P<0.000)密切相关。未发现 OA 的临床症状,也未发现细胞学和组织学炎症迹象,而影像学异常非常罕见。

结论

我们的数据似乎表明,自然发生的 OA 至少在亚临床状态下存在于老年绵羊中。在使用绵羊模型的研究中,考虑到普遍存在的软骨缺陷可能很有用。

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