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病例报告:接受股骨头切除术治疗的小牛髋关节化脓性关节炎的影像学表现。

Case report: Imaging of septic arthritis in the hip joint of a calf treated with femoral head ostectomy.

作者信息

Tsuka Takeshi, Okamoto Yoshiharu, Nishiyama Atsushi, Sunden Yuji, Morita Takehito

机构信息

Department of Veterinary Clinical Medicine, Joint Department of Veterinary Medicine, Faculty of Agriculture, Tottori University, Tottori, Japan.

WOLVES HAND Advanced Veterinary Medical Research Institute, Osaka, Japan.

出版信息

Front Vet Sci. 2024 Jul 18;11:1292924. doi: 10.3389/fvets.2024.1292924. eCollection 2024.

Abstract

A 24-day-old male Japanese Black calf presented with weight-bearing lameness in the left hind limb and a swollen pelvis. Ultrasonography revealed the accumulation of fluidity materials with a mixture of hyper- and hypo-echogenicity, enclosed by 5-10-mm-thick capsular structures. On the ventral-dorsal radiograph of the pelvis, irregular and radiolucent osseous changes were evident in the femoral head and acetabulum within the swollen hip joint, with soft-tissue density. Computed tomography (CT) confirmed the relationship between the bony and soft tissue lesions, which was suspected following ultrasonography and radiography, and provided additional findings, such as intra-articular accumulation of gas and the degree of osteolytic changes. Based on the imaging findings and cytology of the arthrocentesis specimen, the patient was diagnosed with hip arthritis and osteomyelitis of the femoral head. Additionally, the severity of the lesions supported our decision to perform a femoral head ostectomy. The postoperative radiographic and CT findings of the treated pelvis were helpful in evaluating the efficacy of this technique. Following treatment, the animal could walk and showed normal development, although it was three postoperative months before weight-bearing lameness improved. To the best of our knowledge, this is the first report to describe the combined use of ultrasonography, radiography, and CT in the diagnosis, preoperative planning, and evaluation of the postoperative effects of bovine hip arthritis. Additionally, this report details the therapeutic efficacy of femoral head ostectomy for bovine hip arthritis, a technique that has not been reported previously.

摘要

一头24日龄的日本黑牛犊出现左后肢负重跛行及骨盆肿胀。超声检查显示有液性物质积聚,回声强弱混合,被5至10毫米厚的包膜结构所包绕。在骨盆的腹背位X线片上,肿胀的髋关节内股骨头和髋臼处可见不规则的透光性骨质改变,伴有软组织密度影。计算机断层扫描(CT)证实了超声检查和X线摄影后怀疑的骨与软组织病变之间的关系,并提供了额外的发现,如关节内气体积聚和骨质溶解改变的程度。根据影像学检查结果和关节穿刺标本的细胞学检查,该病例被诊断为髋关节关节炎和股骨头骨髓炎。此外,病变的严重程度支持了我们进行股骨头切除术的决定。治疗后骨盆的术后X线和CT检查结果有助于评估该技术的疗效。治疗后,这头动物能够行走,发育正常,尽管术后三个月负重跛行才有所改善。据我们所知,这是第一份描述超声检查、X线摄影和CT联合用于诊断、术前规划以及评估牛髋关节关节炎术后效果的报告。此外,本报告详细介绍了股骨头切除术治疗牛髋关节关节炎的疗效,这是一项此前未被报道过的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f41d/11291235/45416668673f/fvets-11-1292924-g001.jpg

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