Smith Emily J, Marcellin-Little Denis J, Harrysson Ola L A, Griffith Emily H
Am J Vet Res. 2017 Oct;78(10):1140-1149. doi: 10.2460/ajvr.78.10.1140.
OBJECTIVE To assess 3-D geometry of the humerus of dogs and determine whether the craniocaudal canal flare index (CFI) is associated with specific geometric features. SAMPLE CT images (n = 40) and radiographs (38) for 2 groups of skeletally mature nonchondrodystrophic dogs. PROCEDURES General dimensions (length, CFI, cortical thickness, and humeral head offset), curvature (shaft, humeral head, and glenoid cavity), version (humeral head and greater tubercle), and torsion were evaluated on CT images. Dogs were allocated into 3 groups on the basis of the craniocaudal CFI, and results were compared among these 3 groups. The CT measurements were compared with radiographic measurements obtained for another group of dogs. RESULTS Mean ± SD humeral head version was -75.9 ± 9.6° (range, -100.7° to -59.4°). Mean mechanical lateral distal humeral angle, mechanical caudal proximal humeral angle, and mechanical cranial distal humeral angle were 89.5 ± 3.5°, 50.2 ± 4.5°, and 72.9 ± 7.8°, respectively, and did not differ from corresponding radiographic measurements. Mean humeral curvature was 20.4 ± 4.4° (range, 9.6° to 30.5°). Mean craniocaudal CFI was 1.74 ± 0.18 (range, 1.37 to 2.10). Dogs with a high craniocaudal CFI had thicker cranial and medial cortices than dogs with a low craniocaudal CFI. Increased body weight was associated with a lower craniocaudal CFI. Radiographic and CT measurements of craniocaudal CFI and curvature differed significantly. CONCLUSIONS AND CLINICAL RELEVANCE CT-based 3-D reconstructions allowed the assessment of shaft angulation, torsion, and CFI. Radiographic and CT measurements of shaft curvature and CFI may differ.
目的 评估犬肱骨的三维几何结构,并确定颅尾侧管扩张指数(CFI)是否与特定几何特征相关。样本 两组骨骼成熟的非软骨发育不良犬的 CT 图像(n = 40)和 X 光片(38 张)。方法 在 CT 图像上评估一般尺寸(长度、CFI、皮质厚度和肱骨头偏移)、曲率(骨干、肱骨头和关节盂)、版本(肱骨头和大结节)以及扭转。根据颅尾侧 CFI 将犬分为 3 组,并比较这 3 组的结果。将 CT 测量结果与另一组犬的 X 光片测量结果进行比较。结果 平均 ± 标准差肱骨头版本为 -75.9 ± 9.6°(范围,-100.7°至 -59.4°)。平均机械性外侧肱骨远端角、机械性尾侧肱骨近端角和机械性颅侧肱骨远端角分别为 89.5 ± 3.5°、50.2 ± 4.5°和 72.9 ± 7.8°,与相应的 X 光片测量结果无差异。平均肱骨曲率为 20.4 ± 4.4°(范围,9.6°至 30.5°)。平均颅尾侧 CFI 为 1.74 ± 0.18(范围,1.37 至 2.10)。颅尾侧 CFI 高的犬比颅尾侧 CFI 低的犬颅侧和内侧皮质更厚。体重增加与颅尾侧 CFI 降低相关。颅尾侧 CFI 和曲率的 X 光片测量值与 CT 测量值差异显著。结论及临床意义 基于 CT 的三维重建可用于评估骨干成角、扭转和 CFI。骨干曲率和 CFI 的 X 光片测量值与 CT 测量值可能不同。