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首页> 外文期刊>Veterinary and Comparative Orthopaedics and Traumatology >Deformity secondary to bilateral incomplete ossification of the humeral condyle in a German Shorthaired Pointer dog: a case report with ten-year follow-up.
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Deformity secondary to bilateral incomplete ossification of the humeral condyle in a German Shorthaired Pointer dog: a case report with ten-year follow-up.

机译:继发于德国短毛指针犬的肱骨bilateral骨双侧不完全骨化继发的畸形:十年随访的病例报告。

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摘要

A five-month-old male, German Shorthaired Pointer dog was presented for severe, bilateral, thoracic-limb-lameness, with elbow swelling, pain, and crepitus. Radiography and computed tomography confirmed bilateral incomplete ossification of the humeral condyles (IOHC), with a non-displaced incomplete fracture of the left medial epicondylar crest and condylar deformity, characterised by enlargement of the trochleas with extension of the disto-medial aspect of the bone below the normal elbow joint level, and a deformed proximo-medial aspect of the ulna and radius. Transcondylar lag screws were placed bilaterally in an attempt to prevent fracture. Microscopic examination of biopsies, harvested from both humeral condyles, was supportive of IOHC. Six years after surgery, radiographs showed severe osteoarthritis and it appeared that fusion of the humeral condyles had not occurred. The dog followed an active life style until 10 years after surgery when the elbows showed almost no observable range-of-motion. However, discomfort was evident only after heavy exercise. Incomplete ossification of the humeral condyles may be associated with osteoarthritis, risk for non-union, implant failure, or secondary condylar fracture. This dog maintained good limb function despite these concerns, and despite bilateral humeral condylar deformity as well as development of severe osteoarthritis. This is the first report of a German Shorthaired Pointer dog with IOHC and the first histological description supportive of this condition in a five-month-old dog.
机译:出现了一只5个月大的雄性德国短毛指针犬,表现为严重,双侧,胸肢-行,肘部肿胀,疼痛和。放射线照相和计算机断层扫描证实肱骨con双侧不完全骨化,左内侧epi上epi无移位不完全骨折和con突畸形,其特征是滑车增大,骨头向内侧延伸。低于正常的肘关节水平,尺骨和radius骨的近端内侧变形。 con突拉力螺钉放置在两侧,以防止骨折。从两个肱骨con收获的活组织检查镜检查支持IOHC。手术六年后,X光片显示出严重的骨关​​节炎,而且肱骨dy突未融合。这只狗遵循积极的生活方式,直到手术后10年,此时肘部几乎没有可观察到的运动范围。但是,只有在剧烈运动后才会感到不适。肱骨dy骨不完全骨化可能与骨关节炎,骨不连,植入失败或继发性con突骨折有关。尽管存在这些问题,并且双侧肱骨con突畸形以及严重的骨关​​节炎发展,这只狗仍保持了良好的肢体功能。这是德国短毛指针犬与IOHC的首次报道,也是对一只5个月大的犬这种状况的第一个组织学描述。

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