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温血马驹颈椎关节突关节骨软骨病

Cervical articular process joint osteochondrosis in Warmblood foals.

作者信息

Bergmann Wilhelmina, de Mik-van Mourik Marjolijn, Veraa Stefanie, van den Broek Jan, Wijnberg Inge D, Back Willem, Gröne Andrea

机构信息

Division of Pathology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands.

Division of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands.

出版信息

Equine Vet J. 2020 Sep;52(5):664-669. doi: 10.1111/evj.13245. Epub 2020 Feb 21.

Abstract

BACKGROUND

In Warmblood horses, degenerative joint disease is involved in cervical malformation and malarticulation (CVM). The degree of contribution of articular process joint (APJ) osteochondrosis (OC) is not clear.

OBJECTIVES

(a) To explore the presence of predilection sites for APJ OC in cervical and cranial thoracic vertebral columns of Warmblood foals and (b) to examine the correlation of such a site with the predilection site of CVM.

STUDY DESIGN

Case series.

METHODS

Seven hundred APJ facets of C2 to T2 of 29 foals (11 months gestation to 12 months [median age 7 days; range 365 days; 95% confidence interval [95% CI] 2-47 days]) were examined for OC and prevalence between joints, and the predilection site for CVM and the cranial cervical vertebral column were evaluated.

RESULTS

About 20.6% of facets revealed OC. There was no predilection site. Prevalence decreased with age up to 1 year (odds ratio [OR] 0.997; (95% CI 0.975-0.998)) but not up to 5 months. Severity increased with age in all age ranges (up to 1 year OR 1.023; 95% CI 1.005-1.049; >1-5 months, OR 1.203; 95% CI 1.014e+00-1.921; up to 1 month, OR 1.114; 95% CI 1.041-1.228). Highest prevalence was in cranial facets of the cervical and cervical-thoracic joints and in caudal facets of the thoracic joint up to 1 year and up to 1 month (OR 0.364; 95% CI 0.170-0.745, OR 0.434; 95% CI: 0.235-0.782, OR 7.665; 95% CI: 1.615-66.553 and OR 0.400; 95% CI 0.170-0.880, OR 0.351; 95% CI 0.172-0.700, OR 5.317; 95% CI 1.098-44.344 respectively).

MAIN LIMITATIONS

Two-thirds of the foals were less than 1 month of age.

CONCLUSIONS

Articular process joint OC in Warmblood foals is common and is not more prevalent at CVM predilection sites, suggesting that abnormalities of enchondral ossification may not be major contributors to CVM.

摘要

背景

在温血马中,退行性关节病与颈椎畸形和关节连接不良(CVM)有关。关节突关节(APJ)骨软骨病(OC)的影响程度尚不清楚。

目的

(a)探讨温血马驹颈椎和颅胸椎中APJ OC的好发部位;(b)研究该部位与CVM好发部位的相关性。

研究设计

病例系列研究。

方法

检查29匹驹(妊娠11个月至12个月[中位年龄7天;范围365天;95%置信区间[95%CI]2 - 47天])C2至T2的700个APJ小关节面是否存在OC以及关节间的患病率,并评估CVM和颅颈椎的好发部位。

结果

约20.6%的小关节面显示有OC。无好发部位。患病率在1岁前随年龄下降(优势比[OR]0.997;(95%CI 0.975 - 0.998)),但在5个月前并非如此。在所有年龄范围内,严重程度均随年龄增加(1岁前OR 1.023;95%CI 1.005 - 1.049;大于1 - 5个月,OR 1.203;95%CI 1.014e + 00 - 1.921;1个月前,OR 1.114;95%CI 1.041 - 1.228)。1岁前和1个月前,颈椎和颈胸关节的颅侧小关节面以及胸关节的尾侧小关节面患病率最高(OR分别为0.364;95%CI 0.170 - 0.745,OR 0.434;95%CI:0.235 - 0.782,OR 7.665;95%CI:1.615 - 66.553和OR 0.400;95%CI 0.170 - 0.880,OR 0.351;95%CI 0.172 - 0.700,OR 5.317;95%CI 1.098 - 44.344)。

主要局限性

三分之二的驹年龄小于1个月。

结论

温血马驹的关节突关节OC很常见,在CVM好发部位并不更普遍,这表明软骨内成骨异常可能不是CVM的主要原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a29/7496794/2c2bacd92645/EVJ-52-664-g001.jpg

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