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对先前诊断为肱骨内髁裂隙的未成年法国斗牛犬进行 CT 重新评估:12 例(2018-2022 年)。

Computed tomographic re-evaluation of skeletally immature French bulldogs previously diagnosed with humeral intracondylar fissure: 12 cases (2018-2022).

机构信息

frank. Pet Surgeons, Leeds, UK.

出版信息

J Small Anim Pract. 2024 Nov;65(11):817-821. doi: 10.1111/jsap.13768. Epub 2024 Aug 14.

Abstract

OBJECTIVES

The objective of this study was to present the follow-up findings obtained through computed tomography in skeletally immature French bulldogs previously diagnosed with humeral intracondylar fissures.

MATERIALS AND METHODS

Medical records from a surgical referral centre between January 2018 and September 2022 were evaluated for all dogs with a humeral condylar fracture where preoperative CT of both humeri was performed. French bulldogs between the age of 12 weeks and 12 months were identified and evaluated for the presence of contralateral humeral intracondylar fissure. The dogs with follow-up CT were evaluated for humeral intracondylar fissure resolution.

RESULTS

A total of 137 humeral condylar fractures were operated on within the study period, 58 of which were in French bulldogs. Twenty-seven French bulldogs had a contralateral humeral intracondylar fissure with 12 dogs matching the inclusion criteria. Follow-up CT demonstrated resolution of the humeral intracondylar fissure in 11 (91.7%) of 12 cases.

CLINICAL SIGNIFICANCE

Contralateral humeral intracondylar fissures are common in skeletally immature French bulldogs sustaining humeral condylar fractures and the majority of these fissures tend to fuse within the follow-up period. Due to the potential for breed variation in ossification of the humeral condyle, follow-up CT may be warranted in skeletally immature French bulldogs before considering prophylactic transcondylar screw placement.

摘要

目的

本研究旨在介绍先前诊断为肱骨内髁骨折的未成年法国斗牛犬的 CT 随访结果。

材料与方法

评估了 2018 年 1 月至 2022 年 9 月期间因肱骨髁骨折而行术前双侧肱骨 CT 检查的所有外科转诊中心的手术记录。确定了 12 周至 12 月龄之间的法国斗牛犬,并评估了其是否存在对侧肱骨内髁骨折。对接受 CT 随访的犬评估了肱骨内髁骨折的愈合情况。

结果

研究期间共对 137 例肱骨髁骨折进行了手术,其中 58 例为法国斗牛犬。27 只法国斗牛犬有对侧肱骨内髁骨折,其中 12 只符合纳入标准。CT 随访显示 12 例中有 11 例(91.7%)肱骨内髁骨折愈合。

临床意义

在发生肱骨髁骨折的未成年法国斗牛犬中,对侧肱骨内髁骨折很常见,且大多数骨折在随访期间会愈合。由于肱骨髁骨化的潜在品种差异,在考虑预防性经髁螺钉固定之前,可能需要对未成年法国斗牛犬进行 CT 随访。

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