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放射影像学、血管性骨软骨病发生于跗骨远端,并可能导致骨关节炎。

Radiological, vascular osteochondrosis occurs in the distal tarsus, and may cause osteoarthritis.

机构信息

Faculty of Veterinary Medicine, Department of Companion Animal Clinical Sciences, Equine Section, Norwegian University of Life Sciences, Oslo, Norway.

Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.

出版信息

Equine Vet J. 2022 Jan;54(1):82-96. doi: 10.1111/evj.13432. Epub 2021 Mar 9.

Abstract

BACKGROUND

Osteochondrosis occurs due to failure of the blood supply to growth cartilage. Osteochondrosis lesions have been identified in small tarsal bones and suggested to cause distal tarsal osteoarthritis; however, it has not been determined whether distal tarsal osteochondrosis lesions were the result of vascular failure.

OBJECTIVES

To perform post-mortem arterial perfusion and micro-computed tomography (CT) of the central (CTB) and third tarsal bones (TIII) of fetuses and foals up to 5 months old, to describe tarsal development and any lesions detected.

STUDY DESIGN

Descriptive, nonconsecutive case series.

METHODS

Twenty-three animals that died or were euthanased from 228 days of gestation to 5 months old were collected, comprising two fetuses and nine foals of miscellaneous breeds and 12 Icelandic Horse foals, a breed with high prevalence of distal tarsal osteoarthritis. One hindlimb from each foal was perfused arterially with barium, and the CTB and TIII were examined with micro-CT.

RESULTS

Perfusion yielded partial information from 41% of the animals. The CTB and TIII were supplied by nutrient arteries and perichondrial vessels with vertical, transverse and circumferential configurations. Fourteen of the 23 (61%) animals had focal defects in the ossification front, that is, radiological osteochondrosis. The majority of lesions matched the configuration and development of vertical vessels. Additionally, full-thickness, cylindrical defects matched transverse vessels, and the long axes of some dorsal lesions matched circumferential vessels.

MAIN LIMITATIONS

Lack of histological validation.

CONCLUSIONS

Post-mortem perfusion was poor for examination of the blood supply to the growth cartilage of the CTB and TIII. Radiological osteochondrosis lesions were compatible with vascular failure because they were focal, and because lesion geometry matched vessel configuration. The relationship between osteochondrosis and distal tarsal osteoarthritis warrants further investigation.

摘要

背景

骨软骨病是由于生长软骨的血液供应不足引起的。已经在跗骨的小骨中发现了骨软骨病病变,并提示其导致跗骨远端骨关节炎;然而,尚未确定跗骨骨软骨病病变是否是血管衰竭的结果。

目的

对 228 天妊娠至 5 月龄的胎儿和驹的中跗骨(CTB)和第三跗骨(TIII)进行死后动脉灌注和微计算机断层扫描(CT),以描述跗骨的发育情况和发现的任何病变。

研究设计

描述性、非连续病例系列。

方法

共收集了 23 只在 228 天妊娠至 5 月龄死亡或安乐死的动物,包括 2 只胎儿和 9 只不同品种的驹和 12 只冰岛马驹,该品种跗骨远端骨关节炎的患病率较高。每只驹的一条后肢进行动脉灌注钡,用微 CT 检查 CTB 和 TIII。

结果

41%的动物的灌注仅提供了部分信息。CTB 和 TIII 由营养动脉和软骨膜血管供应,呈垂直、横向和环状配置。23 只动物中有 14 只(61%)的骨化前缘有局灶性缺陷,即放射学骨软骨病。大多数病变与垂直血管的形态和发育相匹配。此外,全层、圆柱形缺陷与横向血管相匹配,一些背侧病变的长轴与环状血管相匹配。

主要局限性

缺乏组织学验证。

结论

死后灌注对 CTB 和 TIII 生长软骨的血液供应检查效果不佳。放射学骨软骨病病变与血管衰竭有关,因为它们是局灶性的,并且病变的几何形状与血管的形态相匹配。骨软骨病与跗骨远端骨关节炎之间的关系需要进一步研究。

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