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健康和跛行驴的掌指和跖趾关节的形态学和影像学评估。

Morphological and Imaging Evaluation of the Metacarpophalangeal and Metatarsophalangeal Joints in Healthy and Lame Donkeys.

机构信息

Faculty of Veterinary Medicine, Department of Anatomy and Embryology, Alexandria University, Alexandria, Egypt.

Faculty of Veterinary Medicine, Department of Anatomy and Embryology, Alexandria University, Alexandria, Egypt.

出版信息

J Equine Vet Sci. 2020 May;88:102904. doi: 10.1016/j.jevs.2019.102904. Epub 2019 Dec 26.

Abstract

The donkey is of socio-economic value yet imaging techniques in both healthy and abnormal limbs are a limiting factor in research and medicine. The objective was to determine anatomical features of both healthy and clinically abnormal donkey metacarpophalangeal and metatarsophalangeal joints (n = 13) using anatomical dissection, casting, X-ray and computed tomography. The joint capsule contained two palmar/plantar and two dorsal recesses. The proximal-palmar or plantar recess was larger than the distodorsal recess and potential sites of approaches to the recesses were determined. Soft tissue structures were distinguished using computed tomography at 300 mA, which was superior to 120 mA. This methodology gave better assessments of the synovial tendon sheath, joint recesses, and cruciate, collateral, and short sesamoidean ligaments. Computed tomography provided outstanding discrimination between the cortex and medulla of the third metacarpal, the proximal sesamoid bones, the proximal phalanx, and excellent details of the osseous structures. Although the joints appeared free from exostosis using X-ray; the position and extension of exostosis in pathologically affected donkeys (a novel finding) were revealed using computed tomography with 300 mA in comparison to 120 mA. The study also provided an anatomical record of the metacarpophalangeal and metatarsophalangeal joints using the latest technology, which could impact on clinical situations including anesthesia injection sites.

摘要

驴具有社会经济价值,但在健康和异常肢体的成像技术是研究和医学的限制因素。目的是使用解剖学、铸造、X 射线和计算机断层扫描技术确定健康和临床异常驴掌指和跖趾关节的解剖特征(n=13)。关节囊包含两个掌侧/跖侧和两个背侧隐窝。近掌侧或跖侧隐窝大于远背侧隐窝,确定了进入隐窝的潜在部位。使用 300 mA 的计算机断层扫描可以区分软组织结构,优于 120 mA。这种方法可以更好地评估滑膜肌腱鞘、关节隐窝、十字形、副韧带和短籽骨韧带。计算机断层扫描可以出色地区分第三掌骨的皮质和髓质、近端籽骨、近端指骨以及骨结构的精细细节。尽管 X 射线显示关节没有外生骨赘;但使用 300 mA 的计算机断层扫描(与 120 mA 相比)可以显示病理上受影响的驴(一个新发现)的外生骨赘的位置和延伸。该研究还使用最新技术提供了掌指和跖趾关节的解剖记录,这可能会对包括麻醉注射部位在内的临床情况产生影响。

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