Valastro Carmela, Franchini Delia, Valentini Valerio, Lanave Gianvito, Maggiolino Aristide, Ciccarelli Stefano, Di Bello Antonio
Department of Veterinary Medicine, University of Bari "Aldo Moro", Valenzano, Bari, Italy.
Vet Radiol Ultrasound. 2019 Jul;60(4):372-377. doi: 10.1111/vru.12747. Epub 2019 Apr 15.
The dorsolateral subluxation index of the femoral head is a good proxy of hip dysplasia in dogs. An exploratory, prospective, descriptive study was carried out in order to assess whether the dorsolateral subluxation index may also be useful to improve diagnosis of hip dysplasia in cats. The dorsolateral subluxation index was determined by CT scans simulating the loading position, and compared with measurements of the Norberg-Olsson angle. A total of 82 cats were subjected to radiographic examination of the pelvis, in the standard ventro-dorsal projection, and to CT scans of the pelvis and hips. The Norberg-Olsson angle of each hip was calculated radiographically, while the dorsolateral subluxation index of the femur was calculated on CT images according to a technique recently developed for evaluation of hip dysplasia in dogs. Using the Norberg-Olsson angle a total of 52 hips (31,7%) were diagnosed as dysplastic, 74 (45,1%) as non-dysplastic, and 38 (23,1%) as borderline. Using the dorsolateral subluxation index, values ranged from a minimum of 34.6% to a maximum of 66.6% and four distribution classes were proposed. Findings indicated that the dorsolateral subluxation index previously described as method for quantifying hip dysplasia in dogs is also a feasible method for quantifying hip dysplasia in cats. Future studies are needed to more definitively determine the diagnostic sensitivity of this method.
股骨头的背外侧半脱位指数是犬髋关节发育不良的一个良好替代指标。为了评估背外侧半脱位指数是否也有助于改善猫髋关节发育不良的诊断,开展了一项探索性、前瞻性、描述性研究。背外侧半脱位指数通过模拟负重位置的CT扫描来确定,并与诺伯格 - 奥尔森角的测量值进行比较。总共82只猫接受了骨盆的标准腹背位X线检查以及骨盆和髋关节的CT扫描。通过X线片计算每个髋关节的诺伯格 - 奥尔森角,而股骨的背外侧半脱位指数则根据最近开发的用于评估犬髋关节发育不良的技术在CT图像上计算得出。使用诺伯格 - 奥尔森角,共有52个髋关节(31.7%)被诊断为发育不良,74个(45.1%)为非发育不良,38个(23.1%)为临界状态。使用背外侧半脱位指数时,其值范围从最小的34.6%到最大的66.6%,并提出了四个分布类别。研究结果表明,先前被描述为量化犬髋关节发育不良的方法的背外侧半脱位指数,也是量化猫髋关节发育不良的一种可行方法。未来需要进行更多研究以更明确地确定该方法的诊断敏感性。