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比格犬群体中肩部的原发性退行性关节病

Primary degenerative joint disease of the shoulder in a colony of beagles.

作者信息

Morgan J P, Pool R R, Miyabayashi T

出版信息

J Am Vet Med Assoc. 1987 Mar 1;190(5):531-40.

PMID:3558090
Abstract

Shoulder joints of 149 Beagles over 8 years old at the time of death (mean age, 13.8 years +/- 3.21), were examined radiographically throughout their life-times for the frequency of degenerative joint disease (DJD). Clinical histories revealed no underlying cause for DJD. The shoulder joints of a subgroup of 18 dogs were examined at necropsy, and thin sections of the joints were evaluated radiographically and histologically. Serial clinical radiographic studies indicated that normal shoulder joint development during the first year of life was followed by the appearance of subchondral bone sclerosis and bony remodeling of normal joint contour, and by the formation of periarticular osteophytes and enthesiophytes. All changes were progressive with age and typical for DJD in dogs. Bilateral involvement was common. Evaluation of specimens obtained at necropsy revealed: articular cartilage change with roughening of the surface layer, degeneration and death of superficial chondrocytes, exposure of deeper layers of chondrocytes that had proliferated with fissuring of the damaged cartilage, total cartilage loss with polishing of the exposed subchondral bone, mixed patterns of subchondral bone sclerosis and osteoporosis, change in contour of the articular surfaces, and formation of periarticular osteophytes and enthesiophytes. Joint capsule thickening, synovitis, pannus formation, and synovial chondroma formation were observed. Because of the available clinical information, in addition to the typical changes of DJD, it was thought that the changes were primary. Instability appeared to play a role in the pathogenesis of the joint disease described; however, it was not clear whether the instability caused abnormal forces on healthy cartilage or whether the primary cartilage wear caused the instability.

摘要

对149只死亡时年龄超过8岁(平均年龄13.8岁±3.21岁)的比格犬的肩关节在其整个生命过程中进行了X线检查,以确定退行性关节病(DJD)的发生频率。临床病史显示无DJD的潜在病因。对18只犬的一个亚组的肩关节在尸检时进行了检查,并对关节薄片进行了X线和组织学评估。系列临床X线研究表明,在生命的第一年正常肩关节发育之后,出现了软骨下骨硬化和正常关节轮廓的骨质重塑,以及关节周围骨赘和附着点骨赘的形成。所有变化均随年龄进展,是犬DJD的典型表现。双侧受累很常见。对尸检获得的标本进行评估发现:关节软骨改变,表层粗糙,表层软骨细胞退变和死亡,深层增殖的软骨细胞暴露且受损软骨出现裂隙,软骨完全丧失,暴露的软骨下骨被磨光,软骨下骨硬化和骨质疏松的混合模式,关节表面轮廓改变,以及关节周围骨赘和附着点骨赘的形成。观察到关节囊增厚、滑膜炎、血管翳形成和滑膜软骨瘤形成。由于有可用的临床信息,除了DJD的典型变化外,认为这些变化是原发性的。不稳定似乎在所述关节病的发病机制中起作用;然而,尚不清楚不稳定是对健康软骨施加了异常力,还是原发性软骨磨损导致了不稳定。

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