评估小型犬有无髌骨脱位时的髌股关节近端-远端排列,采用 Insall-Salvati、Caton-Deschamps 和 Blackburne-Peel 指数。

Evaluation of proximodistal patellar alignment in small breed dogs with or without patellar luxation using the Insall-Salvati, Caton-Deschamps, and Blackburne-Peel indices.

机构信息

Department of Veterinary Surgery, Faculty of Veterinary Medicine, Trakia University, Stara Zagora, Bulgaria.

出版信息

Open Vet J. 2023 May;13(5):663-667. doi: 10.5455/OVJ.2023.v13.i5.20. Epub 2023 May 25.

Abstract

BACKGROUND

Patellar luxation in dogs is thought to be related to proximally (patella alta) or distally (patella baja) positioned patella in the femoral trochlea.

AIM

The aim of the present study was to calculate and compare the values of Insall-Salvati (ISI), Caton-Deschamps (CDI), and Blackburne-Peel indices (BPI) in orthopedically healthy dogs and dogs with various grades of medial patellar luxation (MPL) from small breeds on mediolateral radiographs.

METHODS

The study included 87 dogs (138 stifles) from four breeds (Mini-Pinschers, Pomeranians, Chihuahuas, and Yorkshire terriers). Seventy joints (53 dogs) were diagnosed with various grades of MPL and another 68 joints from 34 dogs, free of orthopedic or neurological disorders, were used as controls. Receiver operating characteristic (ROC) analysis was performed to evaluate the diagnostic value of the three indices.

RESULTS

The CDI and BPI showed no significant difference between healthy and MPL joints. The ROC analysis showed that all three studied indices of proximodistal patellar position had poor diagnostic values with low sensitivity and specificity of respective cutoff values.

CONCLUSION

In dogs from the studied four small breeds, the proximodistal ISI, CDI, and BPI patellar indices could not discriminate reliably between healthy stifle joints and joints with MPL.

摘要

背景

犬髌骨脱位被认为与髌骨在股骨滑车中的近端(高位髌骨)或远端(低位髌骨)位置有关。

目的

本研究旨在计算和比较在 X 线侧位片上,来自四个品种(迷你贵宾犬、博美犬、吉娃娃和约克夏梗)的骨科健康犬和不同程度内侧髌骨脱位(MPL)犬的 Insall-Salvati(ISI)、Caton-Deschamps(CDI)和 Blackburne-Peel 指数(BPI)值。

方法

本研究包括 87 只狗(138 个膝关节)。70 个关节(53 只狗)被诊断为不同程度的 MPL,另外 68 个关节来自 34 只无骨科或神经疾病的狗,作为对照组。采用受试者工作特征(ROC)分析评估三种指数的诊断价值。

结果

CDI 和 BPI 在健康和 MPL 关节之间没有显著差异。ROC 分析表明,所有三种研究的髌骨近远位置指数的诊断价值均较差,各自截断值的敏感性和特异性均较低。

结论

在所研究的四个小型犬品种中,ISI、CDI 和 BPI 等三种髌骨指数不能可靠地区分健康膝关节和 MPL 膝关节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/10257465/6ac4f06efa42/OpenVetJ-13-663-g001.jpg

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