Department of Comparative Medicine, Stanford University School of Medicine, Stanford, California.
Diagnostic Imaging Service, William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, California.
Comp Med. 2021 Dec 1;71(6):512-520. doi: 10.30802/AALAS-CM-21-000061. Epub 2021 Nov 18.
In this case study, 15 adult laboratory (7 adult males and 8 adult females) were examined for nodular enlargements of the clawed digits (digits 0, I, II, and III) on the hind feet. Radiographs showed smoothly margined, rounded, peripherally mineralized lesions arising from the distal phalanges of digits 0-III with osteoproductive and osteolytic components in all frogs. Micro computed tomography (microCT) scans further revealed interphalangeal (IP), metacarpophalangeal (MCP), and metatarsophalangeal (MTP) joint osteoarthritis characterized by periarticular new bone formation, rounded mineral foci both peripherally and centrally within the joints, and more rarely, linear mineralization palmar/plantar to the joints in the flexor tendons. In the nonclawed digits, the shape of the distal phalanx was variably distorted and both subluxation and malangulation of IP joints were identified. Histologically, nodules corresponded to a peripheral rim of mature cortical bone surrounding central adipose tissue, scattered hematopoietic elements, and residual bone of the distal phalanx. Occasionally, the peripheral rim of cortical bone extended proximally to encompass the distal aspect of adjacent phalanx. MCP, MTP and IP joint spaces of most digits exhibited widespread osteoarthritis characterized by periarticular cartilaginous or osseous metaplasia, bony remodeling, and less frequently, granulomatous osteomyelitis. Nutritional analyses of the feed did not indicate imbalances nor were the lesions consistent with metabolic bone disease. The exact etiopathogenesis of these lesions is unknown; however, we hypothesize that the osteoarthritic changes are due to a combination of the frogs' mature age, the unique structure of the spp. claw, genetics and biomechanical forces on the digits and distal phalanges of the hind feet.
在这项病例研究中,对 15 只成年实验室(7 只成年雄性和 8 只成年雌性)的后脚爪状指(第 0、I、II 和 III 指)结节性增大进行了检查。X 光片显示,所有青蛙的第 0-III 指的远节指骨上均有边缘光滑、圆形、周边矿化的病变,具有成骨和溶骨成分。微计算机断层扫描(microCT)扫描进一步显示指间(IP)、掌指(MCP)和跖趾(MTP)关节骨关节炎,特征为关节周围新骨形成、关节内周边和中央有圆形矿化灶,且较少见的是,屈肌腱掌侧/跖侧有线性矿化。在无爪状指中,远节指骨的形状有不同程度的变形,IP 关节存在半脱位和畸形。组织学上,结节对应于成熟皮质骨的外周缘,周围环绕着中央脂肪组织、分散的造血元素和远节指骨的残余骨。偶尔,皮质骨的外周缘向近端延伸,包围相邻指骨的远端。大多数指骨的 MCP、MTP 和 IP 关节间隙均表现出广泛的骨关节炎,特征为关节周围软骨或骨化生、骨重塑,较少见的是肉芽肿性骨髓炎。饲料的营养分析并未表明存在不平衡,病变也与代谢性骨病不一致。这些病变的确切病因发病机制尚不清楚;然而,我们假设骨关节炎的变化是由于青蛙的成熟年龄、 spp. 爪的独特结构、遗传和足部后脚指和远节指骨的生物力学力的综合作用所致。