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Morphological Analysis of Bone Deformities of the Distal Femur in Toy Poodles with Medial Patellar Luxation

机译:髌骨内侧脱位玩具贵宾犬股骨远端骨畸形的形态学分析

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Objective?The aim of this study was to evaluate the bone deformities of the distal femur of Toy Poodles with medial patellar luxation (MPL) using computed tomography. Methods?Computed tomography data from 37 stifles of Toy Poodles (16 normal, 10 grade 2 MPL and 11 grade 4 MPL) were analysed. For trochlear morphology, sulcus angle, medial or lateral trochlear inclination and trochlear angle were compared. For condylar morphology, distance between the apex of the medial or lateral trochlear ridge and the most caudal point of the medial or lateral femoral condyle (MC or LC), the length of the cranial/middle (anterior) part (MC(a) or LC(a')) and caudal (posterior) part (MC(p) or LC(p')) of distal femur and medial or lateral condyle width (MCW or LCW) were measured, and the ratios of medial-to-lateral condyles and anterior–posterior parts were compared. Results?Sulcus angle was significantly higher, and medial trochlear inclination was significantly lower in grade 4 MPL group than other groups. Lateral trochlear inclination was not significantly different among 3 groups. Trochlear angles at proximal trochlear groove were significantly lower in grade 4 MPL group than other groups. MC/LC, MC(a)/LC(a'), MC(a)/MC(p), and LC(a')/LC(p') were significantly lower in grade 4 MPL group than other groups; however, there were no significant differences in MC(p)/LC(p') and MCW/LCW among three groups. Conclusion?Hypoplasia of the cranial and middle rather than caudal compartment of the distal femur was the primary morphological abnormality in Toy Poodles with grade 4 MPL.
机译:目的?本研究的目的是使用计算机断层扫描评估患有内侧髌骨脱位 (MPL) 的玩具贵宾犬股骨远端的骨畸形。方法?分析了 37 只玩具贵宾犬(16 只正常、10 只 2 级 MPL 和 11 只 4 级 MPL)的计算机断层扫描数据。对于滑车形态,比较了滑车沟角、内侧或外侧滑车倾斜度和滑车角。对于髁突形态学,测量股骨内侧或外侧滑车嵴顶点与股骨内侧或外侧髁最尾点(MC 或 LC)、颅/中部(前)部分(MC(a) 或 LC(a')))和股骨远端尾部(MC(p) 或 LC(p'))和内侧或外侧髁宽度(MCW 或 LCW))的长度, 比较内外侧髁突和前后部的比值。结果?4级MPL组的胸骨角明显高于其他组,内侧滑车倾斜明显低于其他组。3组患者滑车外侧倾斜度差异无统计学意义。4级MPL组近端滑车沟处的滑车角度明显低于其他组。4级MPL组MC/LC、MC(a)/LC(a')、MC(a)/MC(p)和LC(a')/LC(p')显著低于其他组;3组间MC(p)/LC(p')和MCW/LCW差异无统计学意义。结论?股骨远端颅骨和中段而不是尾部的发育不全是 4 级 MPL 玩具贵宾犬的主要形态学异常。

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