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犬肘发育不良:尺骨副突未联合、骨软骨炎、和尺骨冠状突疾病。

Canine Elbow Dysplasia: Ununited Anconeal Process, Osteochondritis Dissecans, and Medial Coronoid Process Disease.

机构信息

Clinica Veterinaria Vezzoni srl, via delle Vigne 190, Cremona 26100, Italy.

MedVet Medical and Cancer Centers for Pets, Columbus, 8155 Markhaven Drive, Columbus, OH 43235, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2021 Mar;51(2):439-474. doi: 10.1016/j.cvsm.2020.12.007.

Abstract

Elbow dysplasia is a major cause of front limb lameness in medium to large dog breeds. Underlying causes include ununited anconeal process, medial coronoid process disease, and osteochondritis dissecans. When a definitive diagnosis of elbow dysplasia is made, the surgeon can improve elbow function but cannot entirely prevent progression of osteoarthrosis. Conventional surgical treatment with joint debridement and removal of loose osteocartilaginous bodies is not rewarding if joint incongruity persists; the result is overloading and subchondral bone exposure with erosion of the cartilage of the medial humeral condyle and medial coronoid area of the ulna leading to medial compartment disease.

摘要

肘关节炎是中型至大型犬种前肢跛行的主要原因。潜在的病因包括尺骨副突未联合、冠突病变和骨软骨分离。当明确诊断为肘关节炎时,外科医生可以改善肘关节炎的功能,但不能完全防止骨关节炎的进展。如果关节不平整持续存在,关节清创和去除游离的骨软骨体的传统手术治疗效果不佳;结果是关节过度负荷和软骨下骨暴露,导致内侧肱骨髁和尺骨冠突区域的软骨侵蚀,从而导致内侧间室疾病。

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