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在日本一家诊所就诊的犬只中,使用超声检查评估滑车沟形态与内侧髌骨脱位严重程度的关系。

An assessment of trochlear groove morphology with the severity of medial patellar luxation using ultrasonography in dogs presented to a clinic in Japan.

作者信息

Morishima Tsunenori, Tanegashima Koji, Tomo Yuma, Eto Hinano, Yamazaki Atsushi, Edamura Kazuya

机构信息

Midori Animal Care Nagoya Japan.

Laboratory of Veterinary Surgery Department of Veterinary Medicine College of Bioresource and Sciences Nihon University Fujisawa Japan.

出版信息

Vet Rec Open. 2025 May 14;12(1):e70010. doi: 10.1002/vro2.70010. eCollection 2025 Jun.

Abstract

BACKGROUND

Ultrasonography is a valuable tool for the preoperative morphological evaluation of the femoral trochlear groove in dogs with medial patellar luxation (MPL). This study aimed to objectively evaluate the femoral trochlear groove morphology using ultrasonography and compare it with the severity of MPL in dogs.

METHODS

Small-breed dogs weighing 10 kg or less and diagnosed with normal stifle joints or MPL were included. Pelvic limbs without any orthopaedic disease served as the normal group. Pelvic limbs with MPL were divided into grade 1, 2, 3 and 4 MPL groups according to the Singleton grading system. In this study, the heights of the medial and lateral trochlear ridges, the femoral trochlear depth and the sulcus angle (SA) were objectively measured using ultrasonography.

RESULTS

A total of 125 pelvic limbs (in 88 dogs) were evaluated: normal ( = 29) or grade 1 ( = 9), grade 2 ( = 42), grade 3 ( = 34) and grade 4 ( = 11) MPL groups. The heights of both the medial and lateral trochlear ridges were significantly lower in the grade 4 MPL group than in the normal and grade 1 MPL groups. The femoral trochlear depth was significantly shallower with increasing MPL grade. The SA was significantly higher in the grade 4 MPL group compared to the other groups.

CONCLUSION

The morphology of the femoral trochlear groove can be easily and objectively evaluated using ultrasonography. Significant hypoplasia of the femoral trochlear groove was observed in the grade 4 MPL group.

摘要

背景

超声检查是术前评估内侧髌骨脱位(MPL)犬股滑车沟形态的重要工具。本研究旨在通过超声检查客观评估股滑车沟形态,并与犬MPL的严重程度进行比较。

方法

纳入体重10 kg及以下、诊断为正常 stifle 关节或MPL的小型犬。无任何骨科疾病的后肢作为正常组。根据Singleton分级系统,将患有MPL的后肢分为1级、2级、级和4级MPL组。在本研究中,使用超声检查客观测量内侧和外侧滑车嵴的高度、股滑车深度和沟角(SA)。

结果

共评估了125个后肢(88只犬):正常组(n = 29)或1级(n = 9)、2级(n = 42)、3级(n = 34)和4级(n = 11)MPL组。4级MPL组的内侧和外侧滑车嵴高度均显著低于正常组和1级MPL组。随着MPL分级增加,股滑车深度显著变浅。4级MPL组的SA显著高于其他组。

结论

使用超声检查可以轻松、客观地评估股滑车沟的形态。在4级MPL组中观察到股滑车沟明显发育不全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0695/12078070/8aa420269513/VRO2-12-e70010-g006.jpg

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