van Bree H
Small Animal Clinic, State University of Ghent, Belgium.
Am J Vet Res. 1990 Jul;51(7):1121-5.
To investigate whether arthrographic findings had any prognostic value with respect to treatment and outcome of bilateral osteochondrosis, shoulder arthrograms (n = 80) from 40 dogs with bilateral lesions were evaluated. Arthrography was performed, using 1.5 to 4 ml of a 25% solution of meglumine-sodium diatrizoate, with admixture of 0.2 mg of epinephrine. A shoulder with signs of pain and lameness was surgically treated. The contralateral shoulder was treated conservatively, and the final outcome was compared with the arthrographic findings. In 37 dogs, signs of lameness and pain were associated with a loose cartilage flap and, in 3, with a detached cartilage flap. In 2 dogs, admitted with bilateral lameness, a loose cartilage flap was detected in both shoulders. Of 12 dogs with a detectable loose cartilage flap in the contralateral shoulder joint, 6 became lame 2 to 4 months after initial surgical intervention and needed bilateral surgery. In the contralateral joint, development of thick articular cartilage over the subchondral defect or a detached cartilage flap lodged in the caudal pouch of the shoulder joint was a favorable prognostic sign. Such dogs had no signs of lameness on the contralateral side during a follow-up period that ranged from 1 to 7 years.
为了研究关节造影结果对于双侧骨软骨病的治疗和预后是否具有任何预测价值，对40只患有双侧病变犬的80个肩关节造影（n = 80）进行了评估。使用1.5至4毫升25%的葡甲胺-泛影酸钠溶液，并加入0.2毫克肾上腺素进行关节造影。对有疼痛和跛行迹象的一侧肩部进行手术治疗。对侧肩部进行保守治疗，并将最终结果与关节造影结果进行比较。在37只犬中，跛行和疼痛迹象与松动的软骨瓣有关，3只与分离的软骨瓣有关。在2只因双侧跛行入院的犬中，双侧肩部均检测到松动的软骨瓣。在对侧肩关节中可检测到松动软骨瓣的12只犬中，6只在初次手术干预后2至4个月出现跛行，需要进行双侧手术。在对侧关节中，软骨下缺损上方出现增厚的关节软骨或分离的软骨瓣嵌顿在肩关节尾侧囊内是一个良好的预后迹象。在1至7年的随访期内，这些犬的对侧没有跛行迹象。
