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回顾性多中心研究 66 例猫常见跟腱损伤。第 1 部分:研究人群、损伤描述和分类。

Retrospective multicentre evaluation of common calcaneal tendon injuries in 66 cats. Part 1: study population, injury specification and classification.

机构信息

Department of Veterinary Clinical Sciences, Small Animal Clinic - Surgery, Justus-Liebig-University, Giessen, Germany.

Clinic for Small Animal Surgery and Reproduction, Ludwig-Maximilians-University, Munich, Germany.

出版信息

J Feline Med Surg. 2023 Jan;25(1):1098612X221131253. doi: 10.1177/1098612X221131253.

DOI:10.1177/1098612X221131253
PMID:36706012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10812052/
Abstract

OBJECTIVES

The objective of the first part of this retrospective multicentre study was to identify and classify common calcaneal tendon (CCT) injuries in a study population of 66 cats.

METHODS

The medical records of five different small animal referral centres and veterinary teaching hospitals between 2010 and 2020 were reviewed. In addition to patient-specific data, CCT injuries were characterised in detail. Diagnostic modalities and further comorbidities were recorded.

RESULTS

Sixty-six cats met the inclusion criteria. The mean age of the cats was 7.5 years (range 0.5-16.3) and their mean body weight (BW) was 4.6 kg (range 1.5-9.0). Thirty-four spayed females (51.5%), five intact females (7.6%) and 27 castrated males (40.9%) were included. Most cases involved closed injuries of the CCT (69.7%). Twenty-one of 46 cats had closed atraumatic injuries (45.7%). Open injuries (30.3%) were most commonly lacerations (65%). Twenty-one injuries were classified as atraumatic (31.8%), whereas 25 were traumatic (37.9%). With every year of age, the odds of having an atraumatic injury increased by a factor of 1.021. Cats with atraumatic injuries had a higher mean BW than cats with traumatic injuries, but the difference was not statistically significant. Acute injuries were recorded in 40.9% of cases, whereas 51.5% of cats had a subacute CCT injury and 7.6% had chronic lesions. Most acute lesions were Meutstege type I injuries (55.6%). Subacute and chronic lesions were more commonly Meutstege type IIc injuries (58.8% and 60%, respectively). Considering all CCT injuries, a Meutstege type IIc injury was most common (53%).

CONCLUSIONS AND RELEVANCE

The most common type of injury was Meutstege type IIc. Cats with atraumatic injuries had a higher mean BW than cats with traumatic injuries, but the difference was not statistically significant. Older cats more commonly presented with atraumatic CCT injuries.

摘要

目的

本回顾性多中心研究的第一部分旨在确定和分类 66 只猫的常见跟腱(CCT)损伤,并对其进行分类。

方法

回顾了 2010 年至 2020 年期间五家不同的小动物转诊中心和兽医教学医院的病历。除了患者的具体数据外,还详细描述了 CCT 损伤。记录了诊断方式和其他合并症。

结果

66 只猫符合纳入标准。猫的平均年龄为 7.5 岁(范围 0.5-16.3),平均体重(BW)为 4.6kg(范围 1.5-9.0)。34 只为去势雌性(51.5%),5 只为未去势雌性(7.6%),27 只为去势雄性(40.9%)。大多数病例为 CCT 闭合性损伤(69.7%)。46 只猫中有 21 只是闭合性无创伤性损伤(45.7%)。开放性损伤(30.3%)最常见的是撕裂伤(65%)。21 处损伤被分类为非创伤性(31.8%),25 处为创伤性(37.9%)。每增加一岁,发生非创伤性损伤的几率就会增加 1.021 倍。非创伤性损伤的猫的平均 BW 高于创伤性损伤的猫,但差异无统计学意义。40.9%的病例为急性损伤,51.5%的猫为亚急性 CCT 损伤,7.6%的猫为慢性损伤。大多数急性损伤为 Meutstege Ⅰ型损伤(55.6%)。亚急性和慢性损伤更常见的是 Meutstege Ⅱc 型损伤(分别为 58.8%和 60%)。考虑到所有的 CCT 损伤,最常见的损伤类型是 Meutstege Ⅱc 型(53%)。

结论和相关性

最常见的损伤类型是 Meutstege Ⅱc 型。非创伤性损伤的猫的平均 BW 高于创伤性损伤的猫,但差异无统计学意义。年龄较大的猫更常发生非创伤性 CCT 损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ce/10812052/2bddb29c03b4/10.1177_1098612X221131253-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ce/10812052/2bddb29c03b4/10.1177_1098612X221131253-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ce/10812052/2bddb29c03b4/10.1177_1098612X221131253-fig1.jpg

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