马类 temporomandibular 关节的对比关节图
Clara S Kim1, Nathalie A Reisbig1, James L Carmalt1
1Department of Large Animal Clinical Sciences, Western College of Veterinary Medicine, Saskatoon, SK, Canada.
Frontiers in veterinary science
|April 2, 2024
概括
对比性关节镜可以可视化马类关节 (TMJ) 软组织,但在诊断盘穿孔时需要谨慎. 这种技术对马的TMJ成像具有前途.
科学领域:
- 兽医诊断成像 - - 兽医诊断成像
- 马类骨科 马类骨科 马类骨科
- 关节 (TMJ) 疾病 关节疾病
背景情况:
- 马类关节 (TMJ) 疾病带来临床挑战,增加了先进诊断成像的需要.
- 目前用于软组织评估的CT和MRI等方法昂贵且难以获得.
- 专业放射能可以识别骨异常,但对软组织评估有局限性.
研究的目的:
- 开发和验证马匹TMJ两部分的对比性关节学技术.
- 评估这种技术在活马中的可行性,作为原则证明.
主要方法:
- 对比性关节镜检查对12个马体的马体关节进行了检查,针对的是张额和张额间隔.
- 放射技术包括单对比和双对比成像,口腔开放视图和空气注射.
- 然后,精细的程序被应用于三个健康的活马.
主要成果:
- 单对比和双对比的关节镜成功地划分了关节内盘面,并填充了关节袋.
- 对比度扩散经常发生,而阳性磁盘透导致两例穿孔的错误阳性诊断.
- 对比性关节学技术在活马中被很好地容忍.
结论:
- 对比性关节学提供了一种方法来解释马类TMJ的关节内软组织.
- 在诊断关节内椎间盘穿孔时必须小心,因为潜在的阳性并发症.
- 即使经验丰富,进入张关节区仍然是一个技术上的挑战.
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