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在诊断颅交叉韧带损伤时,拳师犬和体重超过35千克的犬发生 stifle关节骨关节炎的几率更高。

Stifle joint osteoarthritis at the time of diagnosis of cranial cruciate ligament injury is higher in Boxers and in dogs weighing more than 35 kilograms.

作者信息

Gilbert Samuel, Langenbach Anke, Marcellin-Little Denis J, Pease Anthony P, Ru Hongyu

机构信息

Veterinary Surgical Centers, Vienna, VA, 22180.

Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, 95616.

出版信息

Vet Radiol Ultrasound. 2019 May;60(3):280-288. doi: 10.1111/vru.12718. Epub 2019 Feb 15.

DOI:10.1111/vru.12718
PMID:30768744
Abstract

Osteoarthritis is a ubiquitous disease in dogs. The purpose of this retrospective study was to characterize the severity and distribution of osteoarthritis (OA) within the joint and to identify differences among dog breeds in the severity of OA in the cranial cruciate ligament (CCL)-deficient stifle joint. Radiographs of 240 stifles from 51 Boxers, 66 German Shepherds, 100 Labrador Retrievers, and 23 Siberian Huskies with confirmed CCL rupture were included. Radiographs of the stifle joint were evaluated and OA severity was graded at 33 sites within and around the joint, and patella alta was graded as present or absent for a potential total stifle OA score of 100. Osteophyte size was correlated to OA severity score. Total OA scores were calculated and compared within and between breeds globally as well as at each joint site. Dogs weighing >35 kg had a higher total OA score than those weighing <35 kg. Osteoarthritis scores were highest at the apical patella, proximolateral tibia, and sesamoid bones, corresponding to the proximal, lateral, and caudal aspects of the joint, respectively. No statistically significant differences were found among the mean OA scores of various stifle joint regions. Boxer dogs had a higher total OA score than other breeds. We concluded that dogs have a consistent distribution pattern of OA within the stifle joint after CCL injury. Radiographic OA is more severe in the proximal, lateral, and caudal aspects of the joint. Boxers had more severe OA than the other breeds evaluated in the study.

摘要

骨关节炎在犬类中是一种普遍存在的疾病。这项回顾性研究的目的是描述关节内骨关节炎(OA)的严重程度和分布情况,并确定不同犬种在颅交叉韧带(CCL)缺失的 stifle 关节中 OA 严重程度的差异。纳入了来自 51 只拳师犬、66 只德国牧羊犬、100 只拉布拉多猎犬和 23 只哈士奇犬且确诊 CCL 断裂的 240 个 stifle 关节的 X 光片。对 stifle 关节的 X 光片进行评估,在关节内外的 33 个部位对 OA 严重程度进行分级,髌骨高位分为存在或不存在,潜在的总 stifle OA 评分为 100 分。骨赘大小与 OA 严重程度评分相关。计算并比较了各犬种内部和之间以及每个关节部位的总 OA 评分。体重>35 kg 的犬总 OA 评分高于体重<35 kg 的犬。骨关节炎评分在髌骨尖、胫骨近端外侧和籽骨处最高,分别对应关节的近端、外侧和尾侧。在各个 stifle 关节区域的平均 OA 评分之间未发现统计学上的显著差异。拳师犬的总 OA 评分高于其他犬种。我们得出结论,犬在 CCL 损伤后 stifle 关节内 OA 具有一致的分布模式。影像学上的 OA 在关节的近端、外侧和尾侧更严重。拳师犬的 OA 比研究中评估的其他犬种更严重。

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