马 temporomandibular 关节疾病:一个系统的审查
Tomasz Jasiński1, Bernard Turek1, Michał Kaczorowski2
1Department of Large Animal Diseases and Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences (WULS - SGGW), Warsaw, Poland.
Equine veterinary journal
|January 25, 2025
概括
马 temporomandibular 疾病 (TMD) 不常见,创伤是最常见的原因. 包括放射和CT在内的全面诊断方法对于有效管理这些关节功能障碍至关重要.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 马类科学 马类科学
- 动物健康 动物健康
背景情况:
- 关节 (TMJ) 对于马的下运动至关重要.
- 部疾病 (TMD) 可以显著损害关节功能,并呈现出各种临床症状.
研究的目的:
- 系统地审查和综合现有的临床数据和有关马类TMD的研究结果.
- 根据已发表的文献,提供马类TMD的全面概述.
主要方法:
- 按照PRISMA 2020指南进行了一次系统的文献审查.
- 在主要数据库 (PubMed,Scopus,知识网络) 中进行了搜索.
- 包括的研究被分类为败血性TMJ关节炎,原发性TMJ骨关节炎 (OA) 和非关节性TMD,对研究文章进行偏差评估的风险.
主要成果:
- 马类TMD在51个出版物中报告,性TMJ关节炎 (41.2%),骨折/脱落 (29.4%) 和初级TMJ OA (21.6%) 是常见的类型.
- 创伤是超过一半的TMD病例 (54.9%) 的疑似或确定的原因.
- 临床症状的严重程度各不相同;CT和X光是最常用的诊断成像方法.
结论:
- 创伤是导致马匹TMD的主要原因,这些病例很少被记录下来.
- 关节疾病的诊断协议是不一致的; 建议进行彻底的病史,关节检查和放射学是最初的步骤.
- 建议进行特定的诊断测试,例如用于性关节炎的细菌培养和用于OA的功能测试.
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