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利用计算机断层扫描和磁共振成像评估芬兰马远节指骨可变骨化的侧副软骨及相邻解剖结构。

Evaluation of the variably ossified collateral cartilages of the distal phalanx and adjacent anatomic structures in the Finnhorse with computed tomography and magnetic resonance imaging.

作者信息

Ruohoniemi M, Kärkkäinen M, Tervahartiala P

机构信息

Department of Clinical Veterinary Sciences, Faculty of Veterinary Medicine, University of Helsinki, Finland.

出版信息

Vet Radiol Ultrasound. 1997 Sep-Oct;38(5):344-51. doi: 10.1111/j.1740-8261.1997.tb02095.x.

Abstract

Six Finnhorse cadaver forefeet were selected to represent radiographically different types and grades of ossification of the collateral cartilages of the distal phalanx. These cartilages and adjacent tissues were evaluated with computed tomography (CT) and high field magnetic resonance imaging (MRI). In CT the internal structure of the cartilages was consistent, but in MRI some differences were noted. The shape of the collateral cartilages and their ligamentous attachments varied. The border between ossified and non-ossified cartilage appeared distinct, with considerable variation in the extent of the ossified area in regard to the cross-sectional area of the cartilage. Ossification originating from the palmar processes and extending in the proximal/palmaroproximal direction, without separate centers of ossification, generally appeared smooth and inactive. Palmar ossification followed the irregular shape of the cartilage. Separate centers of ossification had a medullary cavity or were sclerotic. Presence of a medullary cavity or sclerosis were also found at the base of the cartilages. The incomplete fusion lines between separate centres of ossification and the ossified base of the cartilage varied from congruent and inactive to reactive with marked sclerosis, flared margins and parachondral changes. Incomplete fusion may be clinically significant. Local conformational adaptations of the hoof were also documented with extensive ossification of the collateral cartilage.

摘要

选取6个芬兰马尸体的前蹄,以代表影像学上不同类型和等级的远节指骨侧副软骨骨化情况。这些软骨及相邻组织通过计算机断层扫描(CT)和高场磁共振成像(MRI)进行评估。在CT上,软骨的内部结构是一致的,但在MRI上发现了一些差异。侧副软骨的形状及其韧带附着情况各不相同。骨化软骨与未骨化软骨之间的边界清晰,骨化区域的范围相对于软骨横截面积有相当大的差异。起源于掌突并向近端/掌近端方向延伸、无独立骨化中心的骨化通常看起来较为平滑且不活跃。掌侧骨化遵循软骨的不规则形状。独立的骨化中心有髓腔或呈硬化状。在软骨基部也发现有髓腔或硬化。独立骨化中心与软骨骨化基部之间不完全融合线的情况各不相同,从一致且不活跃到有明显硬化、边缘增宽和软骨下改变的反应性情况都有。不完全融合在临床上可能具有重要意义。还记录了侧副软骨广泛骨化时蹄部的局部形态适应性变化。

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