Semevolos S A, Nixon A J, Goodrich L R, Ducharme N G
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
J Am Vet Med Assoc. 1998 Dec 1;213(11):1608-11.
To determine clinical and radiographic findings in and treatment and outcome of large animals with shoulder joint luxations.
Retrospective study.
5 horses, 3 goats, 1 calf, 1 sheep, 1 Himalayan tahr, 1 pot-bellied pig, 1 reindeer, and 1 white-tailed deer.
Medical records and radiographs were reviewed to determine signalment, history, physical examination findings, type of luxation, treatment, and outcome. Owners and referring veterinarians were contracted for follow-up information.
Goats, sexually intact males, and animals < 1 year old were overrepresented, compared with the general hospital population during the study period. Closed reduction was attempted in 3 animals and was successful in 1. Open reduction and internal stabilization was attempted in 4 animals, including 1 in which closed reduction was unsuccessful. Long-term stabilization of the joint was achieved in 3 animals, but overall results were poor because of osteoarthritis and chronic lameness. Three animals were not treated, and 5 were euthanatized because of a poor prognosis.
Large animals with shoulder joint luxation and concurrent fractures had a poorer prognosis than did those with shoulder joint luxation alone.
确定肩关节脱位的大型动物的临床和影像学表现以及治疗方法和预后。
回顾性研究。
5匹马、3只山羊、1头小牛、1只绵羊、1只喜马拉雅塔尔羊、1只越南大肚猪、1只驯鹿和1只白尾鹿。
查阅病历和X光片，以确定动物特征、病史、体格检查结果、脱位类型、治疗方法和预后。与动物主人和转诊兽医联系以获取随访信息。
与研究期间的普通医院动物群体相比，山羊、性成熟雄性动物以及年龄小于1岁的动物占比过高。对3只动物尝试进行了闭合复位，其中1只成功。对4只动物尝试进行了切开复位和内固定，其中1只闭合复位未成功。3只动物实现了关节的长期稳定，但由于骨关节炎和慢性跛行，总体结果不佳。3只动物未接受治疗，5只因预后不良而实施了安乐死。
肩关节脱位并发骨折的大型动物比单纯肩关节脱位的大型动物预后更差。
