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长期非创伤性固定对成年和老年比格犬干骺端松质骨的影响。

Effect of long-term nontraumatic immobilization on metaphyseal spongiosa in young adult and old beagle dogs.

作者信息

Uhthoff H K, Sékaly G, Jaworski Z F

出版信息

Clin Orthop Relat Res. 1985 Jan-Feb(192):278-83.

PMID:3967434
Abstract

A radiographic and histomorphometric change in volume in the metaphyseal spongiosa in response to long-term immobilization was investigated in young adult and old beagle dogs and compared with changes in diaphyseal compacta of the same bones. Sixty weeks of nontraumatic immobilization of young dogs produced a 66% loss of metaphyseal spongiosa in the third metacarpus, a 50% loss in the radius, and a 25% loss in the humerus. In older animals, the loss amounted to 54%, 46%, and 37%, respectively. In both age groups, the loss of the spongiosa exceeded that of the compacta in the same bones, and, as in the compacta, it was greatest in the small peripheral bones. Although maximal loss occurs during the first 24 to 32 weeks, it may continue to a lesser degree up to 60 weeks and perhaps beyond 60 weeks of immobilization. Since bone loss can occur only on bone surfaces, the earlier and greater loss from the spongiosa may be explained in part by the higher endosteal surface-to-volume ratio of spongy bone. Given a similar bone structure and physiology in man and dog, the observations made in this study may apply to man as well.

摘要

研究了年轻成年和老年比格犬干骺端松质骨在长期固定后体积的影像学和组织形态计量学变化,并与同一骨骼骨干密质骨的变化进行了比较。对幼犬进行60周的非创伤性固定后,第三掌骨的干骺端松质骨损失了66%,桡骨损失了50%,肱骨损失了25%。在老年动物中,损失分别为54%、46%和37%。在两个年龄组中,同一骨骼的松质骨损失均超过密质骨,并且与密质骨一样,在较小的外周骨中损失最大。尽管最大损失发生在最初的24至32周,但在固定60周甚至60周以后,损失仍可能以较小的程度持续。由于骨质流失仅发生在骨表面,松质骨较早且更大程度的损失部分可以用海绵骨较高的骨内膜表面积与体积比来解释。考虑到人和犬具有相似的骨骼结构和生理机能,本研究中的观察结果可能同样适用于人类。

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