Kofler J
Clinic of Ungulate Orthopaedics, University of Veterinary Medicine, Vienna, Austria.
Vet Rec. 1996 Jul 13;139(2):36-41. doi: 10.1136/vr.139.2.36.
The clinical, radiographic, ultrasonographic and exploratory centesis findings in 33 cattle suffering from a septic tenosynovitis of the digital flexor tendon sheath are described. Forty-one digital flexor tendon sheaths were affected: 13 of the cattle had a unilateral and eight had a bilateral septic tenosynovitis, and in the other 12 cattle with unilateral tenosynovitis one or more of the digital joints were also involved. The distended compartments of the digital flexor tendon sheath and the affected digital joint recesses could be determined accurately by ultrasonography. Depending on the type of inflammation (serous, fibrinous or purulent) the compartments and recesses were filled with anechoic, heterogeneous hypoechoic or echogenic inflammatory content. Flow-phenomena could be observed when there were effusions of liquid into the synovial cavities. Ultrasonography provided accurate preoperative details of the pathological changes to the affected tendon sheaths and the adjoining digital joints. The characteristic ultrasonographic features of septic tenosynovitis of the digital flexor tendon sheath are described.
本文描述了33头患有指屈肌腱鞘脓性腱鞘炎奶牛的临床、影像学、超声检查及探查性穿刺结果。41个指屈肌腱鞘受到影响：13头牛患有单侧脓性腱鞘炎，8头牛患有双侧脓性腱鞘炎，另外12头患有单侧腱鞘炎的牛，其一个或多个指关节也受到累及。通过超声检查可准确确定指屈肌腱鞘扩张的腔室及受影响的指关节隐窝。根据炎症类型（浆液性、纤维蛋白性或脓性），这些腔室和隐窝内充满无回声、不均匀低回声或高回声的炎性内容物。当有液体渗入滑膜腔时，可观察到血流现象。超声检查为受影响的腱鞘及相邻指关节的病理变化提供了准确的术前详细信息。本文还描述了指屈肌腱鞘脓性腱鞘炎的特征性超声表现。
