Madison J B, Tulleners E P, Ducharme N G, Hull B L, Rings D M, Welker F H
Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square 19348.
J Am Vet Med Assoc. 1989 Jan 15;194(2):273-7.
Acute suppurative arthritis of the stifle joint was diagnosed in 34 Holstein heifers between 1976 and 1986. Only 1 stifle joint was affected in each heifer; however, 1 heifer also had involvement of the contralateral radiocarpal joint. In each heifer, there was marked lameness and synovitis characterized by an effusion with high synovial fluid nucleated cell counts and total protein concentration. Seventy-four percent (25/34) of the heifers had radiographic evidence of an osteolytic lesion involving the lateral tibial plateau. Bacteriologic cultures of synovial fluid, synovial membrane, and bone yielded no growth. Eighteen of 23 (78%) affected heifers for which follow-up data was obtained became productive herd members after treatment.
1976年至1986年间，34头荷斯坦小母牛被诊断出患有膝关节急性化脓性关节炎。每头小母牛仅一个膝关节受到影响；然而，有1头小母牛对侧的桡腕关节也受到了累及。每头小母牛均出现明显跛行和滑膜炎，其特征为关节积液，滑液中有核细胞计数及总蛋白浓度升高。74%（25/34）的小母牛X线片显示胫骨外侧平台有溶骨性病变。滑液、滑膜和骨的细菌培养均无细菌生长。在有随访数据的23头受影响小母牛中，18头（78%）在治疗后成为了产奶的牛群成员。
