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犬腕关节成像方式的临床应用,特别涉及腕管

Clinical Applications of Imaging Modalities of the Carpal Joint in Dogs with Particular Reference to the Carpal Canal.

作者信息

Tobolska Angelika, Adamiak Zbigniew, Głodek Joanna

机构信息

Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Warmia and Mazury in Olsztyn, 10-719 Olsztyn, Poland.

出版信息

J Vet Res. 2020 Mar 11;64(1):169-174. doi: 10.2478/jvetres-2020-0006. eCollection 2020 Mar.

Abstract

The structure of the canine carpal joint is complex. This small joint consists of articulations that include the antebrachiocarpal, middle, carpometacarpal, and intercarpal joint surfaces. A large number of ligaments and tendons support and stabilise the carpus in dogs. Many injuries of this joint in dogs are not correctly recognised, diagnosed, or treated due to the limited use of diagnostic imaging methods. Radiography, the most common of them, has extensive application in diagnosing the causes of lameness in small animals. Other techniques, such as ultrasonography, computed tomography, and magnetic resonance imaging visualise other joint structures and surrounding soft tissues. However, these imaging modalities are rarely used to diagnose diseases and injuries of the canine carpus at present. The main reason for this is the small amount of research carried out and the lack of a properly described methodology for the use of imaging techniques. The wide use of all diagnostic imaging tools in the diagnosis of diseases and injuries of the wrist joint in humans shows that conducting studies on dogs could expand current knowledge. The use of these techniques in veterinary medicine could facilitate diagnosis and subsequent therapy of carpal disorders in dogs. MRI is the most frequently used imaging method in human medicine for visualisation of abnormalities of joints. This method could become a valuable part of the detection of inflammatory, traumatic, and degenerative diseases of the carpal joint in dogs.

摘要

犬腕关节的结构复杂。这个小关节由包括前臂腕关节、中间关节、腕掌关节和腕间关节面的关节组成。大量的韧带和肌腱支撑并稳定犬的腕关节。由于诊断成像方法使用有限,犬的这个关节的许多损伤未得到正确识别、诊断或治疗。其中最常见的X射线摄影在诊断小动物跛行原因方面有广泛应用。其他技术,如超声检查、计算机断层扫描和磁共振成像可显示其他关节结构和周围软组织。然而,目前这些成像方式很少用于诊断犬腕关节疾病和损伤。主要原因是开展的研究数量少以及缺乏关于成像技术使用的恰当描述方法。所有诊断成像工具在人类腕关节疾病和损伤诊断中的广泛应用表明,对犬进行研究可以扩展现有知识。这些技术在兽医学中的应用可以促进犬腕关节疾病的诊断及后续治疗。磁共振成像(MRI)是人类医学中最常用于显示关节异常的成像方法。这种方法可能成为检测犬腕关节炎症性、创伤性和退行性疾病的重要手段。

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