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野马掌指关节的自然发生的骨关节炎

Naturally occurring osteoarthritis in the metacarpophalangeal joints of wild horses.

作者信息

Cantley C E, Firth E C, Delahunt J W, Pfeiffer D U, Thompson K G

机构信息

Department of Veterinary Clinical Sciences, Massey University, Palmerston North, New Zealand.

出版信息

Equine Vet J. 1999 Jan;31(1):73-81. doi: 10.1111/j.2042-3306.1999.tb03794.x.

DOI:10.1111/j.2042-3306.1999.tb03794.x
PMID:9952333
Abstract

This study identified changes consistent with osteoarthritis; articular cartilage damage, subchondral bone sclerosis and marginal osteophytes, in the metacarpophalangeal joints of wild New Zealand horses. The articular cartilage lesions were identified by Indian ink staining techniques and histology. The lesions occurred on the proximodorsal aspect of the first phalanx (P1) and were more severe on the medial compared to the lateral eminence of the bone, and their severity increased with age. The bone mineral density of the subchondral bone underlying the cartilage lesions, assessed using conventional radiography and dual energy absorptiometry, also increased with age and with severity of the overlying cartilage lesion. Subjective assessment of cabinet radiographs revealed that the subchondral bone sclerosis was greater in horses with severe articular cartilage damage. Ossicles, with a distinct trabecular bone pattern, were identified at the proximo-dorsal margin of P1 in 8 specimens from 5 horses from the older age groups (greater than age 5 years). The results of this study demonstrate age-related changes consistent with osteoarthritis in the metacarpophalangeal joints of wild horses. There appears to be a significant relationship between subchondral bone sclerosis and overlying cartilage degeneration in the proximodorsal aspect of P1. We have identified an age-related osteoarthritic process naturally present in horses; and postulate that the stresses of racing and training may accelerate this ageing process.

摘要

本研究在野生新西兰马的掌指关节中发现了与骨关节炎一致的变化;关节软骨损伤、软骨下骨硬化和边缘骨赘。关节软骨损伤通过印度墨水染色技术和组织学鉴定。损伤发生在第一指骨(P1)的近端背侧,与骨的外侧隆起相比,内侧更严重,且其严重程度随年龄增加。使用传统放射摄影和双能吸收测定法评估的软骨损伤下方软骨下骨的骨矿物质密度也随年龄和上方软骨损伤的严重程度增加。对暗盒X线片的主观评估显示,严重关节软骨损伤的马匹软骨下骨硬化更明显。在来自5匹年龄较大组(大于5岁)马匹的8个标本中,在P1的近端背侧边缘发现了具有明显小梁骨模式的小骨。本研究结果表明,野马掌指关节存在与骨关节炎一致的年龄相关变化。在P1近端背侧,软骨下骨硬化与上方软骨退变之间似乎存在显著关系。我们发现马自然存在与年龄相关的骨关节炎过程;并推测比赛和训练的压力可能会加速这一衰老过程。

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