Andronescu Anemone A, Kelly Laura, Kearney Michael T, Lopez Mandi J
MedVet 2611 Florida St, Mandeville, LA 70448.
Am J Vet Res. 2015 Jan;76(1):19-27. doi: 10.2460/ajvr.76.1.19.
To evaluate associations of measures assessed by radiography, 2-D CT, and 3-D CT of the hip joints of immature dogs with osteoarthritis in the same joints at maturity.
46 hound-type dogs from a colony predisposed to osteoarthritis.
Images of hip joints (1/dog) were obtained at 16, 32, and 104 weeks of age. Radiographic measures included Norberg angle, distraction index, and osteoarthritis score. Two-dimensional CT measures included acetabular index, percentage of femoral head coverage, and center edge, horizontal toit externe, acetabular anteversion, and ventral, dorsal, and horizontal acetabular sector angles. Three-dimensional CT measures were femoral head and neck volume, femoral neck angle, and femoral head and neck radius. Differences among measures at 16 and 32 weeks in dogs with different osteoarthritis scores at later time points, relationships among variables at each time point, and relationships of single and combined measures with the presence of osteoarthritis at 104 weeks were evaluated.
The 16- and 32-week distraction index, center edge angle, dorsal acetabular sector angle, horizontal acetabular sector angle, percentage of femoral head coverage, acetabular index, and Norberg angle and the 32-week femoral neck angle varied significantly with osteoarthritis severity at 104 weeks. Presence of osteoarthritis in mature dogs was most strongly associated with 16-week combined measures of distraction index and center edge angle and 32-week combined measures of dorsal acetabular sector angle and Norberg angle.
Changes in hip joint morphology associated with radiographic signs of osteoarthritis were detectable as early as 16 weeks of age and varied with osteoarthritis severity in adult dogs. The use of combined hip joint measures may improve early identification of dogs predisposed to hip joint osteoarthritis.
评估未成熟犬髋关节的X线摄影、二维CT和三维CT所测量指标与这些关节成熟时骨关节炎之间的关联。
46只来自易患骨关节炎群体的猎犬型犬。
在犬16、32和104周龄时获取髋关节影像(每只犬1次)。X线摄影测量指标包括诺伯格角、牵开指数和骨关节炎评分。二维CT测量指标包括髋臼指数、股骨头覆盖率、中心边缘角、髋臼外水平角、髋臼前倾角以及髋臼腹侧、背侧和水平扇形角。三维CT测量指标为股骨头和颈体积、股骨颈角以及股骨头和颈半径。评估了在后期时间点具有不同骨关节炎评分的犬在16周和32周时各测量指标之间的差异、每个时间点变量之间的关系以及单项和综合测量指标与104周时骨关节炎存在情况之间的关系。
16周和32周时的牵开指数、中心边缘角、髋臼背侧扇形角、髋臼水平扇形角、股骨头覆盖率、髋臼指数、诺伯格角以及32周时的股骨颈角随104周时骨关节炎严重程度的不同而有显著差异。成年犬骨关节炎的存在与16周时牵开指数和中心边缘角的综合测量指标以及32周时髋臼背侧扇形角和诺伯格角的综合测量指标关联最为密切。
与骨关节炎X线征象相关的髋关节形态变化早在16周龄时就可检测到,并且在成年犬中随骨关节炎严重程度而变化。联合使用髋关节测量指标可能有助于早期识别易患髋关节骨关节炎的犬。