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犬 stifle 关节骨关节炎变化与骨科、放射学、超声检查及关节镜检查结果之间的相关性。

Correlation between osteoarthritic changes in the stifle joint in dogs and the results of orthopedic, radiographic, ultrasonographic and arthroscopic examinations.

作者信息

Ramírez-Flores Gabriel Ignacio, Del Angel-Caraza Javier, Quijano-Hernández Israel Alejandro, Hulse Don A, Beale Brian S, Victoria-Mora José Mauro

机构信息

Hospital Veterinario de Especialidades Bruselas S. C, Ciudad de México, Mexico.

Hospital Veterinario para Pequeñas Especies de la Facultad de Medicina Veterinaria y Zootecnia de la Universidad Autónoma del Estado de México, Toluca, Mexico.

出版信息

Vet Res Commun. 2017 Jun;41(2):129-137. doi: 10.1007/s11259-017-9680-2. Epub 2017 Feb 4.

Abstract

Osteoarthritis (OA) is a chronic, degenerative disease affecting the articular cartilage and subchondral bone that causes pain and inhibits movement. The stifle's joint fibrous capsule contains the synovial membrane, which produces cartilage nutrients. A ruptured cranial cruciate ligament injures the joint and produces OA. Osteoarthritis diagnosis starts with clinical radiographic and ultrasonographic tests, although the latter is not used very much in dog and cat clinics for this purpose. The objective of this study was to establish the correlation among the results of orthopedic, radiographic, ultrasonographic examinations and structural anatomical changes revealed by arthroscopic evaluation to diagnose stifle joint OA and determine risk factors in the dogs affected. Of 44 clinical cases of OA included in the study, 88.64% had ruptured of cranial cruciate ligaments. The correlation between synovial fluid effusion and osteophytosis was of 0.84. It was concluded that there is good diagnostic agreement between synovial fluid effusion and osteophytosis when dealing with stifle joint OA. Risk factors for dogs regarding the development of stifle joint OA included: ruptured cranial cruciate ligaments or patella luxation, female dogs and weight over 10 kg.

摘要

骨关节炎(OA)是一种影响关节软骨和软骨下骨的慢性退行性疾病,会导致疼痛并限制活动。 stifle关节的纤维囊包含滑膜,滑膜会产生软骨营养物质。颅交叉韧带断裂会损伤关节并引发骨关节炎。骨关节炎的诊断始于临床X线和超声检查,尽管后者在犬猫诊所中用于此目的的情况并不多见。本研究的目的是建立骨科、X线、超声检查结果与关节镜评估所揭示的结构解剖变化之间的相关性,以诊断stifle关节OA并确定受影响犬只的风险因素。在纳入研究的44例OA临床病例中,88.64%存在颅交叉韧带断裂。滑液积液与骨赘形成之间的相关性为0.84。得出的结论是,在处理stifle关节OA时,滑液积液与骨赘形成之间存在良好的诊断一致性。犬只发生stifle关节OA的风险因素包括:颅交叉韧带断裂或髌骨脱位、雌性犬只以及体重超过10千克。

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