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猫肩关节脱位:使用韧带假体进行损伤与修复的尸体研究

Feline shoulder luxation: a cadaveric study of injury and repair using ligament prostheses.

作者信息

Carwardine D, Langley-Hobbs S

机构信息

Langford Small Animal Hospital, University of Bristol, Bristol BS8 1TD, UK.

出版信息

J Small Anim Pract. 2019 Aug;60(8):463-470. doi: 10.1111/jsap.12999. Epub 2019 Apr 22.

Abstract

OBJECTIVES

To describe the range of motion and clinical stability of the feline shoulder following experimental injury and repair using a prosthetic suture technique.

MATERIALS AND METHODS

Eighteen feline cadaveric thoracic limbs were randomly allocated into three groups: medial injury, lateral injury or bilateral injury. Joint range of motion and clinical stability in all directions was recorded before and after specific anatomic structures were sectioned and following surgical repair using a prosthetic suture technique. Results were compared between intact, injured and repaired limbs for each injury type.

RESULTS

There was a significant difference in joint range of motion in specific limb directions between intact and injured joints and between injured and repaired joints. There was no difference in joint range of motion between intact and repaired joints. Four of six medially injured joints were deemed clinically stable and five of six laterally injured joints were deemed clinically stable. All bilaterally injured joints were deemed unstable.

CLINICAL SIGNIFICANCE

The relative contributions of shoulder stabilisers to joint range of motion and clinical stability provide a reference for clinical cases with suspected shoulder instability. The prosthetic suture repair technique described was effective at returning the shoulder joint to a normal range of motion in this ex vivo model.

摘要

目的

描述采用假体缝合技术对猫肩部进行实验性损伤和修复后的活动范围及临床稳定性。

材料与方法

将18只猫的尸体胸肢随机分为三组:内侧损伤组、外侧损伤组或双侧损伤组。在特定解剖结构切断前后以及使用假体缝合技术进行手术修复后,记录所有方向的关节活动范围和临床稳定性。对每种损伤类型的完整、损伤和修复肢体的结果进行比较。

结果

完整关节与损伤关节之间以及损伤关节与修复关节之间,特定肢体方向的关节活动范围存在显著差异。完整关节与修复关节之间的关节活动范围没有差异。六个内侧损伤关节中有四个在临床上被认为是稳定的,六个外侧损伤关节中有五个在临床上被认为是稳定的。所有双侧损伤关节均被认为不稳定。

临床意义

肩部稳定器对关节活动范围和临床稳定性的相对贡献为疑似肩部不稳定的临床病例提供了参考。在此体外模型中,所描述的假体缝合修复技术有效地使肩关节恢复到正常活动范围。

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