van den Belt A J, Dik K J, Barneveld A
Department of General and Large Animal Surgery, Faculty of Veterinary Medicine, Utrecht, The Netherlands.
Vet Q. 1994 May;16 Suppl 2:S76-80.
Over a 2 year-period, the ultrasonographic localization and distribution of flexor tendinous and ligamentous injuries, the long-term follow-up, and the outcome were studied in 101 Dutch Warmblood horses (DW) with a mean age of 8.7 years and in 71 Standardbred racehorses (ST) with a mean age of 5.2 years. The ratio between forelimb and hind limb flexor tendonitis/desmitis in the DW-group was 4:1 and in the ST-group group 4:3. In the DW-group, tendonitis/desmitis of the suspensory ligament (32%), the superficial digital flexor tendon (29%), the distal carpal check ligament (17%) of the forelimb (SLf, SDFf, and CL, respectively) and the suspensory ligament (11%) of the hind limb (SLh) occurred the most often. In the ST-group, tendonitis of the SDFf (34%) and desmitis of the SLh (34%) and SLf (18%) were the most common injuries. Of the 60 Dutch Warmblood horses available for follow-up, 25% showed full-functional recovery. Of the 61 Standardbreds available for follow-up, 18% showed full-functional recovery. Overall, local axial lesions seemed to have a worse prognosis than local abaxial or diffusive lesions.
在两年时间里，对101匹平均年龄为8.7岁的荷兰温血马（DW）和71匹平均年龄为5.2岁的标准赛马（ST）的屈肌腱和韧带损伤进行了超声定位和分布研究，并进行了长期随访和观察结果。DW组前肢与后肢屈肌腱炎/肌腱断裂的比例为4:1，ST组为4:3。在DW组中，悬韧带（32%）、指浅屈肌腱（29%）、前肢远侧腕骨止动韧带（17%）（分别为SLf、SDFf和CL）以及后肢悬韧带（11%）（SLh）的肌腱炎/肌腱断裂最为常见。在ST组中，SDFf肌腱炎（34%）、SLh肌腱断裂（34%）和SLf肌腱断裂（18%）是最常见的损伤。在可供随访的60匹荷兰温血马中，25%显示完全功能恢复。在可供随访的61匹标准赛马中，18%显示完全功能恢复。总体而言，局部轴位病变的预后似乎比局部背轴位或弥漫性病变更差。
