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12 至 36 月龄运动马两种影像学检查的骨软骨病病变外观评估。

Evaluation of the appearance of osteochondrosis lesions by two radiographic examinations in sport horses aged from 12 to 36 months.

机构信息

Centre Européen du Cheval, Mont-le-Soie, Vielsalm, Belgium.

Département des Sciences Cliniques des Équidés, Chirurgie et Orthopédie, FARAH, Université de Liège, Liège, Belgium.

出版信息

PLoS One. 2023 May 23;18(5):e0286213. doi: 10.1371/journal.pone.0286213. eCollection 2023.

Abstract

Osteochondrosis is a developmental orthopedic disease characterized by a defect of enchondral ossification. This pathological condition develops and evolves during growth and is influenced by various factors, in particular genetic and environmental. However, little research has been conducted on the dynamic of this condition in horses after the age of 12 months. The retrospective study presented here investigates changes in osteochondrosis lesions through two standardized radiographic examinations carried out on young Walloon sport horses after one year of age (mean age at first and second examination was 407 (±41) and 680 (±117) days respectively). Each examination, analyzed independently by three veterinarians, included latero-medial views of the fetlocks, hocks, stifles, plantarolateral-dorsomedial hocks view and additional radiograph if the operator deemed it necessary. Each joint site was graded as healthy, osteochondrosis (OC) or osteochondrosis dissecans (OCD) affected. A group of 58 horses was studied, among them 20 presented one or more osteochondrosis lesions for a total of 36 lesions present during at least one examination. In this population, 4 animals (6.9%) presented osteochondrosis during only one examination (2 at the first examination and 2 at the second one). Moreover, it was possible to demonstrate the appearance, disappearance and more generally the evolution of 9/36 lesions (25%) within the different joints. The results of the study suggest that, although substantial main limitations, osteochondrosis lesions can evolve after the age of 12 months in sport horses. Knowing this is useful in helping to decide the appropriate radiographic diagnosis timing and management.

摘要

骨软骨病是一种发育性骨科疾病,其特征是软骨内成骨缺陷。这种病理状况在生长过程中发展和演变,并受各种因素的影响,特别是遗传和环境因素。然而,对于 12 个月后马的这种情况的动态,研究甚少。本回顾性研究通过对 12 个月后年轻的瓦隆运动马进行的两次标准化放射检查,研究了骨软骨病病变的变化(第一次和第二次检查的平均年龄分别为 407(±41)和 680(±117)天)。每次检查均由三名兽医独立进行分析,包括跗关节、跗关节、膝关节、跖侧-背侧跗关节视图以及如果操作者认为必要的其他射线照片。每个关节部位均评为健康、骨软骨病(OC)或骨软骨病分离(OCD)。研究了 58 匹马,其中 20 匹马有一个或多个骨软骨病病变,总共有 36 个病变在至少一次检查中存在。在该人群中,4 只动物(6.9%)仅在一次检查中出现骨软骨病(第一次检查和第二次检查各有 2 只)。此外,还可以证明在不同关节中,9/36 个病变(25%)的出现、消失和更普遍的演变。研究结果表明,尽管存在重大的主要限制,但运动马的骨软骨病病变在 12 个月后仍可能发展。了解这一点有助于确定适当的放射诊断时机和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10f/10204974/37128a4c5db2/pone.0286213.g001.jpg

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