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尺骨远端截骨术对犬负重时腕关节稳定性的影响。

Effect of distal ulnar ostectomy on carpal joint stability during weight bearing in the dog.

作者信息

Amsellem Pierre M, Young Aisha N, Muirhead Tammy L, Pack LeeAnn, Moak Peter, Matthews Andrea R, Marcellin-Little Denis J

机构信息

Department of Companion Animals, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, PE, Canada.

Department of Biomedical Sciences, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, PE, Canada.

出版信息

Vet Surg. 2017 Nov;46(8):1154-1160. doi: 10.1111/vsu.12721. Epub 2017 Sep 22.

Abstract

OBJECTIVE

To assess the influence of a 50% distal ulnectomy on mediolateral carpal stability in the dog.

STUDY DESIGN

Canine cadaveric study.

SAMPLE POPULATION

Seven canine thoracic limbs METHODS: Thoracic limbs were placed in a jig to mimic weight bearing with a load representing 30% of body weight. Carpal extension angle was standardized at 190° ± 5°. Frontal plane carpal angles were measured with the limb loaded on craniocaudal radiographs before and after ulnectomy. Valgus and varus stress radiographs with the limb loaded were acquired before and after ulnectomy. The limbs were palpated and were subjectively graded for valgus or varus instability by 2 investigators before and after ulnectomy.

RESULTS

Mean (±SD) valgus angulation increased after ulnectomy (2.1° ± 1.7°; P = .017; CI  = 0.5°-3.7°) when the limb was loaded without valgus or varus stress applied. Mean valgus angulation increased after ulnectomy (2.7° ± 2.8°; P = .032; CI  = -0.2°-5.5°) when valgus stress was applied to the loaded limb. Varus angulation was unchanged after ulnectomy (0.6° ± 4.6°; P = .383; CI  = -4.2°-5.3°) when varus stress was applied to the loaded limb. Palpation detected increased valgus score after ulnectomy.

CONCLUSION

Distal ulnectomy with excision of the lateral styloid process induces a slight increase in valgus in canine cadaver carpi. The clinical consequences of that valgus on carpal function and health should be assessed in clinical patients.

摘要

目的

评估50%尺骨远端切除术对犬腕关节内外侧稳定性的影响。

研究设计

犬尸体研究。

样本群体

七条犬的胸肢

方法

将胸肢置于夹具中,以模拟承受相当于体重30%的负荷进行负重。腕关节伸展角度标准化为190°±5°。在尺骨切除术前和术后,在肢体负重的情况下,通过头尾位X线片测量腕关节在额状面的角度。在尺骨切除术前和术后,获取肢体负重时的外翻和内翻应力X线片。在尺骨切除术前和术后,由两名研究人员对肢体进行触诊,并主观评估外翻或内翻不稳定情况。

结果

当肢体负重且未施加外翻或内翻应力时,尺骨切除术后平均(±标准差)外翻角度增加(2.1°±1.7°;P = 0.017;可信区间 = 0.5° - 3.7°)。当对负重肢体施加外翻应力时,尺骨切除术后平均外翻角度增加(2.7°±2.8°;P = 0.032;可信区间 = -0.2° - 5.5°)。当对负重肢体施加内翻应力时,尺骨切除术后内翻角度无变化(0.6°±4.6°;P = 0.383;可信区间 = -4.2° - 5.3°)。触诊发现尺骨切除术后外翻评分增加。

结论

切除外侧茎突的尺骨远端切除术会导致犬尸体腕关节外翻略有增加。应在临床患者中评估这种外翻对腕关节功能和健康的临床影响。

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