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免手持传统放射摄影腹背位髋关节伸展位视图。

Hands-Free Conventional Radiographic Ventrodorsal Hip Extended View.

作者信息

Santana Ana, Alves-Pimenta Sofia, Martins João, Colaço Bruno, Ginja Mário

机构信息

Faculty of Veterinary Medicine, Lusófona University, Lisbon, Portugal.

CITAB - Centre for the Research and Technology of Agro-Environmental and Biological Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.

出版信息

Front Vet Sci. 2020 Jun 10;7:286. doi: 10.3389/fvets.2020.00286. eCollection 2020.

Abstract

Hip dysplasia (HD) is an important hereditary orthopedic disease in the dog associated with osteoarthritis and inadequate welfare for affected animals. The radiographic ventrodorsal hip extended (VDHE) view is used worldwide to select the better animals for breeding. This view normally is performed with manual restraining of the dog to obtain radiographs with acceptable technical quality. The veterinarian exposition to ionizing radiation is inevitable. In this study, the technical quality of VDHE radiographs and hip measurements was compared in 65 dogs radiographed twice, one with the common veterinarian manual restraining and the other obtained using a hind limb holder device, without the veterinarian within the X-ray room. The variables studied were pelvic tilting, patella displacement index, Norberg angle (NA), and subluxation hip category. The results showed a random distribution of right and left pelvic tilting, patella lateral or medial displacement, and hip subluxation categories in both samples ( > 0.05). The holder device positioning showed a better pelvic symmetry ( < 0.05) and a similar patellar displacement ( > 0.05). The mean ± standard deviation of NA was 101.1° ± 6.2° and 100.9° ± 6.1° in the manual and holder device hind limb restraining, respectively ( > 0.05), and the lower limit of 95% confidence interval of intraclass correlation coefficient was >0.75. These results showed statistical reproducibility of NA measurements by the hind limb holder device, and the examiner was protected from exposure to ionizing radiation within the X-ray room.

摘要

髋关节发育不良(HD)是犬类一种重要的遗传性骨科疾病,与骨关节炎以及患病动物福利不佳有关。在全球范围内,均采用髋关节前后位伸展(VDHE)X线片来挑选更适合繁殖的犬只。通常在手动保定犬只的情况下拍摄此视图,以获取技术质量合格的X线片。兽医不可避免地会受到电离辐射。在本研究中,对65只犬进行了两次X线摄影,比较了VDHE X线片的技术质量和髋关节测量结果。一次是采用常规的兽医手动保定,另一次是在X线室内不安排兽医的情况下,使用后肢固定装置进行拍摄。所研究的变量包括骨盆倾斜度、髌骨移位指数、诺伯格角(NA)和髋关节半脱位类别。结果显示,两个样本中左右骨盆倾斜度、髌骨内外侧移位以及髋关节半脱位类别的分布均呈随机状态(>0.05)。固定装置的定位显示出更好的骨盆对称性(<0.05),且髌骨移位情况相似(>0.05)。手动保定和固定装置后肢保定情况下,NA的平均值±标准差分别为101.1°±6.2°和100.9°±6.1°(>0.05),组内相关系数的95%置信区间下限>0.75。这些结果表明,后肢固定装置测量NA具有统计学可重复性,并且在X线室内检查人员可免受电离辐射。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07f/7297906/86f03b6be0a9/fvets-07-00286-g0001.jpg

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