Fehr M, Behrends I, Meyer-Lindenberg A
Klinik für kleine Haustiere, Tierärztlichen Hochschule Hannover.
Tierarztl Prax. 1996 Apr;24(2):137-43.
Diagnosis by arthroscopy and arthrotomy of 36 dogs with stifle lesions (18 left, 18 right) assessed by physical and radiological examination were compared. 48 of 68 observations during arthrotomy had been diagnosed before by arthroscopy (accuracy 70.6%). Arthroscopical diagnosis of anterior cruciate ligament rupture (ACL) (n = 11), partial ACL (n = 11), avulsion of m. extensor digitorum longum (n = 2) and immune-mediated arthritis (n = 2) confirmed the diagnosis by arthrotomy in all patients. Arthroscopy failed to detect meniscal lesions in 50% (18 of 36). Nine of 20 normal medial and lateral meniscus, eight of 14 medial and one of two lateral meniscal lesions were detected by arthroscopy. Six meniscal tears (two transverse, two longitudinal, one bucket-handle type, one caudal horn) were not diagnosed. These results indicate that other known human portals have to be proven or new portals have to be evaluated.
通过关节镜检查和关节切开术对36只患有 stifle 病变(18只左侧,18只右侧)的犬进行诊断,并比较了通过体格检查和放射学检查评估的结果。关节切开术中68次观察中的48次在之前已通过关节镜检查确诊(准确率70.6%)。关节镜检查对前交叉韧带断裂(ACL)(n = 11)、部分ACL(n = 11)、趾长伸肌撕脱(n = 2)和免疫介导性关节炎(n = 2)的诊断在所有患者中均与关节切开术的诊断结果相符。关节镜检查未能检测出50%(36只中的18只)的半月板损伤。关节镜检查检测出了20个正常内侧和外侧半月板中的9个、14个内侧半月板损伤中的8个以及2个外侧半月板损伤中的1个。6例半月板撕裂(2例横向、2例纵向、1例桶柄状、1例尾角)未被诊断出来。这些结果表明,其他已知的人体入路必须得到验证,或者必须评估新的入路。