Department of Small Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, TAMU 4474, College Station, TX 77843-4474, USA.
Pittsburgh Veterinary Specialty & Emergency Center, 807 Camp Horne Road, Pittsburgh, PA 15237, USA.
Vet Clin North Am Small Anim Pract. 2021 Mar;51(2):253-261. doi: 10.1016/j.cvsm.2020.11.001. Epub 2021 Jan 11.
Diagnosis of forelimb lameness may be challenging, as it not only can be due to multiple common orthopedic diseases but also may occasionally be caused by neurologic disease. A thorough orthopedic and neurologic examination is key to determining which disease category is the likely culprit. Deficits identified on the neurologic examination, such as proprioceptive deficits, changes in reflexes, and presence of spinal hyperesthesia, are key in identifying neurologic causes of forelimb lameness.
前肢跛行的诊断可能具有挑战性,因为它不仅可能是多种常见骨科疾病引起的,偶尔也可能是神经系统疾病引起的。彻底的骨科和神经系统检查是确定可能的致病疾病类别的关键。在神经系统检查中发现的缺陷,如本体感觉缺陷、反射变化和脊柱过敏的存在,是确定前肢跛行的神经原因的关键。