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首页> 外文期刊>Equine Veterinary Education >Clinical features and diagnosis of sacroiliac joint region pain in 296 horses: 2004-2014
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Clinical features and diagnosis of sacroiliac joint region pain in 296 horses: 2004-2014

机译：296匹马的joint关节区域疼痛的临床特征和诊断：2004-2014年

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There has been no large-scale study of the clinical signs of sacroiliac (SI) joint region pain and its association with lameness and/or thoracolumbar pain. Horses with a positive response to infiltration of local anaesthetic solution around the SI joint regions (SI block) and/or abnormal radiopharmaceutical uptake (RU) in the region of the SI joints were included. History, clinical signs, diagnostic imaging findings, response to SI block, and concurrent lameness and/or thoracolumbar pain were recorded. Horses (n = 296) were divided into 2 groups: SI joint region pain only (Group 1, n = 43) and SI joint region pain and concurrent source(s) of pain (Group 2, n = 253). Clinical signs in Group 1 included increased tension in the longissimus dorsi muscles (40%), restricted flexibility of the thoracolumbar region (44%), trunk stiffness during exercise (61%) and poor hindlimb impulsion (56%). When ridden 65% had a poor contact with the bit, in 81% canter quality was worse than trot, and 35% bucked or kicked out with a hindlimb during canter. In both Groups 1 and 2 clinical signs were seen in a significantly greater proportion of horses during ridden work than lungeing (P0.0001). Following SI block, 98% of horses showed dramatic improvement in clinical signs, including greater overall movement through the trunk, increased hindlimb impulsion and better quality canter. Abnormal RU in the SI joint regions was seen in 85/180 (47%) horses. Of horses with a positive response to SI block that underwent scintigraphy, only 43% had abnormal RU. Per rectum ultrasonographic examination of the SI joint region revealed abnormalities in 41/129 (32%) horses. Clinical signs of SI joint region pain are worse when horses are ridden. Sacroiliac joint region diagnostic analgesia is a useful, safe but nonspecific block. Ultrasonography and scintigraphy can provide additional information in some horses, but negative results do not preclude SI joint region pain.
机译：of关节（SI）关节区域疼痛的临床症状及其与la行和/或胸腰段疼痛的关联尚无大规模研究。包括对SI关节区域（SI阻滞）周围的局部麻醉剂浸润和/或SI关节区域的放射性药物摄取异常（RU）有积极反应的马。记录病史，临床体征，诊断性影像学发现，对SI阻滞的反应以及并发la行和/或胸腰段疼痛。马（n = 296）分为2组：仅SI关节区域疼痛（第1组，n = 43）和SI关节区域疼痛和并发疼痛源（第2组，n = 253）。第1组的临床体征包括背最长肌的张力增加（40％），胸腰部区域弹性受限（44％），运动过程中躯干僵硬（61％）和后肢冲动不良（56％）。当骑行的65％的人与钻头接触不良时，81％的慢跑质量比小跑差，在慢跑过程中35％的人摔倒或踢出后肢。在第1组和第2组中，发现在骑乘工作中马的临床体征比弓步的比例要大得多（P <0.0001）。 SI阻滞后，98％的马的临床体征显着改善，包括通过躯干的整体运动增加，后肢冲动增加和滑行质量提高。 SI关节区域的RU异常出现在85/180（47％）马中。在接受闪烁显像的对SI阻滞呈阳性反应的马中，只有43％的RU异常。每次直肠超声检查SI关节区域均发现41/129（32％）匹马异常。骑马时，SI关节区域疼痛的临床症状会更严重。 cro关节区域诊断镇痛是一种有用的，安全的但非特异性的阻滞剂。超声检查和闪烁显像可以在某些马匹中提供其他信息，但是阴性结果不能排除SI关节区域的疼痛。

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