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Computed tomographic evaluation of growth-related changes in the hip joints of young dogs

机译:计算机断层扫描评估幼犬髋关节生长相关变化

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摘要

Objective-To evaluate changes in canine hip joint characteristics during growth via computed tomography (CT) and compare CT features of hip joints with and without laxity in young dogs placed in 2 imaging positions. Animals-21 dogs (42 hip joints). Procedures-From 2 to 12 months after birth, CT examinations of the acetabulum of each hip joint in simulated normal standing and simulated weight-bearing positions were performed monthly for all dogs. Acetabular angle, dorsal acetabular rim angle (DARA), and femoral head diameter (FHd) were analyzed as skeletal variables; the lateral center edge angle (LCEA), dorsolateral subluxation (DLS) score, and center distance (CD) index were analyzed as joint laxity variables. At 12 months, all dogs underwent the Ortolani test to as-sess hip joint laxity. Results-Hip joint laxity was detected in 5 dogs (10 joints) at 12 months of age; from 2 months, the acetabular angle and FHd increased and DARA decreased significantly until 5 months and the LCEA and DLS score increased significantly until 6 months. In nonlax hip joints in both positions, the CD index decreased significantly until 4 months of age and be-came stable thereafter. In lax hip joints, the CD index increased from 4 through 12 months; between 8 and 12 months, these changes were significantly greater in the weight-bearing position than in the standing position. Conclusions and Clinical Relevance-Results suggest that CT-detected abnormalities in the DARA and CD index during body weight loading might be useful indicators of hip dysplasia in 2- to 6-month-old dogs.
机译:目的-通过计算机断层扫描(CT)评估犬的髋关节特征在生长过程中的变化,并比较放置在两个成像位置的幼犬有或没有松弛的髋关节的CT特征。动物21条狗(髋关节42条)。程序-从出生后2到12个月,每月对所有狗进行模拟正常站立和模拟负重位置的每个髋关节髋臼的CT检查。髋臼角,髋臼背角(DARA)和股骨头直径(FHd)作为骨骼变量进行了分析。分析了外侧中心边缘角(LCEA),背外侧半脱位(DLS)得分和中心距离(CD)指数作为关节松弛变量。在12个月时,所有的狗都接受了Ortolani测试以评估髋关节松弛。结果:5只狗(10个关节)在12个月大时发现髋关节松弛。从2个月开始,髋臼角和FHd升高,DARA显着降低,直至5个月,LCEA和DLS评分显着升高,直至6个月。在两个部位的非松弛型髋关节中,CD指数显着下降直至4个月大,此后逐渐稳定。髋关节松弛,CD指数从4个月增加到12个月;在8到12个月之间,负重位置的这些变化明显大于站立位置。结论和临床相关性结果表明,在体重负荷过程中CT检测到的DARA和CD指数异常可能是2个月至6个月大犬髋关节发育不良的有用指标。

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