Grøndalen J
Nord Vet Med. 1982 Mar;34(3):65-75.
In 106 dogs in which one, two or more of the lesions A: Fragmentation of the coronoid process, B: Fissure of the coronoid process, C: Osteochondritis dissecans of the humeral condyle, or D: Ununited anconeal process, were found at autopsy, comparisons were made between clinical, radiographical and pathoanatomical findings. The 38 dogs which were put to death because of persistent lameness, represented young dogs of larger breeds only, while dogs of which no prehistory regarding foreleg lameness was given, or which had never revealed foreleg lameness, were older and represented dogs of smaller breeds as well. The lesion A was the most predominant finding, and the incidence of lesions A and A + C was slightly higher among lame legs than among legs free from lameness. Routine radiography was a reliable tool in interpreting osteochondritis dissecans, ununited anconeal process and degree of osteophyte formation when compared to the pathoanatomical examination, while lesions of the coronoid process was infrequently diagnosed by routine radiography. When comparing the various observations made clinically, radiographically and patho-anatomically, statistically significant correlations were found between all the parameters exept decreased flexibility/supination, decreased flexibility/pain and pain/arthrosis. The degree of arthrosis was higher in joints descending from lame legs than in joints descending from legs free from lameness, but was relatively high even in the latter group. The reasons why some dogs get lame in contrast to others suffering from the same lesions, are discussed.
在106只犬中,尸检发现了以下一种、两种或更多病变:A:冠状突骨折;B:冠状突裂;C:肱骨髁剥脱性骨软骨炎;或D:肘突不连,并对临床、放射学和病理解剖学结果进行了比较。因持续性跛行而处死的38只犬仅为大型品种的幼犬,而无前肢跛行病史或从未出现过前肢跛行的犬则年龄较大,且包括小型品种的犬。病变A是最主要的发现,病变A和A+C在跛行肢中的发生率略高于非跛行肢。与病理解剖检查相比,常规放射摄影在解读剥脱性骨软骨炎、肘突不连和骨赘形成程度方面是一种可靠的工具,而冠状突病变很少通过常规放射摄影诊断出来。在比较临床、放射学和病理解剖学的各种观察结果时,除了灵活性/旋后降低、灵活性/疼痛降低以及疼痛/关节病之间外,所有参数之间均存在统计学上的显著相关性。来自跛行肢的关节的关节病程度高于来自非跛行肢的关节,但在后者组中也相对较高。文中讨论了一些犬出现跛行而另一些患有相同病变的犬却未出现跛行的原因。