Arthrosonography—The use of diagnostic ultrasound in septic and traumatic arthritis in cattle—A retrospective study of 25 patients

J. Kofler
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引用次数: 45

Abstract

The case records, clinical, radiographic, ultrasonographic and arthrocentesisfindings from 25 cattle with septic or traumatic arthritis were reviewed. The total of 30 joints involved were: articulatio cubiti (elbow joint)—1, articulatio carpi (carpal joint)—10; articulatio genus (stifle joint)—4; articulatio tarsocruralis (tarsocrural joint)—8; articulatio metacarpo-/metatarsophalangea (metacarpo-/metatarsophalangeal join—7. Ultrasonographic investigation was performed using 7.5 MHz linear and 5 MHz sector transducers. In eight cattle, a concurrent infection of periarticular tendon sheaths or hygroma was diagnosed. The distension of the joint cavities could be imaged in all cases. Assessing echogenicity, acoustic enhancement, ultrasonographic character of the exudate (liquid or clotted) and findings revealed by aspiration, arthrotomy or at necropsy, the synovial effusion was classified as: serous, fibrinous or fibrino-purulent. Diagnostic ultrasound provided a comprehensive preoperative diagnosis in septic and traumatic arthritis by imaging the accurate localization of soft-tissue swelling and the extent and consistency of joint effusion.

关节超声-超声诊断在牛感染性和创伤性关节炎中的应用-对25例患者的回顾性研究
本文回顾了25例感染性或外伤性关节炎牛的病例记录、临床、x线、超声和关节穿刺表现。共涉及30个关节:关节cubiti(肘关节)-1,关节carpi(腕关节)-10;关节属(膝关节)-4;关节:跗胫肌-8;关节:掌关节/跖指关节超声检查采用7.5 MHz线性和5 MHz扇形换能器。在8头牛中,诊断为关节周围肌腱鞘并发感染或水肿。在所有病例中,关节腔的膨胀都可以成像。通过对渗出物(液体或凝块)的回声、声学增强、超声特征及穿刺、关节切开术或尸检结果的评估,将滑膜积液分为浆液性、纤维性或纤维蛋白化脓性。诊断超声通过成像软组织肿胀的准确定位和关节积液的程度和一致性,为脓毒性和创伤性关节炎提供全面的术前诊断。
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