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斗牛犬中髌股关节软骨侵蚀伴髌骨轨迹不良的髌股关节沟置换术。

Patellar groove replacement in patellar maltracking with patellofemoral cartilage erosion in bulldogs.

机构信息

Clinique vétérinaire SeineVet, 26, rue de la République, 76520 Boos, France.

出版信息

Can Vet J. 2024 Nov;65(11):1136-1140.

Abstract

This retrospective case series reports on French bulldogs diagnosed with patellar maltracking without patellar luxation. We describe clinical presentation, joint exploration, and surgical treatment with patellar groove replacement to alleviate maltracking in the first attempt. Three French bulldogs were included. Clinical presentation was similar in all cases, with intermittent skipping lameness of 1 hind limb, absence of patellar luxation, and patellar maltracking. Joint exploration revealed abnormal conflict between the patella and medial ridge of the trochlea, with secondary severe erosion of articular cartilages of both patella and medial ridge of the trochlea. Patellar groove replacement was completed without perioperative or postoperative complications. Follow-up results and owner satisfaction were excellent in all cases. Patellar maltracking should be included as a differential diagnosis for stifle lameness in French bulldogs. Patellar groove replacement should be considered to alleviate maltracking associated with secondary severe patellofemoral erosion. Key clinical message: Patellar maltracking seems to be a misdiagnosed component of patellar luxation in the dog, particularly in the French bulldog. Patellar groove replacement may be a first-attempt surgical treatment to alleviate the maltracking.

摘要

本回顾性病例系列报告了未发生髌骨脱位但存在髌骨脱位的法国斗牛犬。我们描述了临床症状、关节探查和髌骨沟置换术的治疗,以首次缓解脱位。共纳入 3 只法国斗牛犬。所有病例的临床表现相似,均为间歇性单肢后肢跛行,无髌骨脱位和髌骨脱位。关节探查发现髌骨与滑车内侧嵴之间存在异常冲突,导致髌骨和滑车内侧嵴的关节软骨继发严重磨损。髌骨沟置换术均顺利完成,无围手术期或术后并发症。所有病例的随访结果和主人满意度均非常好。髌骨脱位应作为法国斗牛犬后肢跛行的鉴别诊断。应考虑髌骨沟置换术来缓解与严重髌股关节面磨损相关的脱位。主要临床意义:髌骨脱位似乎是犬髌骨脱位的一种误诊成分,特别是在法国斗牛犬中。髌骨沟置换术可能是缓解脱位的首次尝试手术治疗。

相似文献

本文引用的文献

1
Canine medial patellar luxation.犬内侧髌骨脱位。
J Small Anim Pract. 2021 May;62(5):315-335. doi: 10.1111/jsap.13311. Epub 2021 Feb 18.
4
Patellofemoral pain syndrome.髌股疼痛综合征
Knee Surg Sports Traumatol Arthrosc. 2014 Oct;22(10):2264-74. doi: 10.1007/s00167-013-2759-6. Epub 2013 Nov 13.
5
The operative management of patella malalignment.髌骨排列不齐的手术治疗
Open Orthop J. 2012;6:327-39. doi: 10.2174/1874325001206010327. Epub 2012 Jul 27.
7
Patellofemoral stress syndrome. Current concepts.髌股关节应力综合征。当前概念
Sports Med. 1993 Dec;16(6):449-59. doi: 10.2165/00007256-199316060-00007.

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