骆驼跟腱断裂:x线和超声检查结果

M. Sadan
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引用次数: 0

摘要

本研究描述了跟腱断裂的临床表现,并评估了单峰骆驼跟腱断裂的x线和超声诊断的应用价值。根据临床、影像学和超声检查结果,选取17头骆驼作为研究对象。骆驼肌腱断裂的类型、持续时间和位置不同,其临床、x线和超声表现也不同。准确诊断出完全和不完全跟腱断裂的骆驼分别为5只(29.4%)和12只(70.6%);跟腱深层和浅部断裂的骆驼分别为10只(58.8%)和2只(11.8%)。临床上,骆驼表现为急性非负重性跛行(二至四级跛行),并伴有跟骨附近肌腱肿胀。x线片显示大多数骆驼跟腱周围软组织肿胀,靠近跟骨结节,少数病例存在跟骨撕脱性骨折(n=2)。超声准确诊断破裂部位为肿胀、水肿、异质结构,伴有无回声或低回声区(核心病变)。综上所述,内侧外侧x线片和超声检查有助于单峰骆驼不同类型跟腱断裂的诊断和鉴别诊断以及随后的临床决策和手术干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Achilles tendon rupture in camel (Camelus dromedarius): Radiographic and Ultrasonographic findings
This study describes the clinical presentation of Achilles tendon rupture and evaluates the utility of radiography and ultrasonography in the diagnosis of such disorder in dromedary camels. Seventeen camels were included in this study based on the clinical, radiographic and ultrasonographic evidence of Achilles tendon rupture. The clinical, radiographic and sonographic findings of studied camels differ according to the type, duration, and location of the tendon rupture. Complete and incomplete rupture of the Achilles tendon was precisely diagnosed in five (29.4%) and twelve (70.6%) camels respectively; ruptured deep and superficial parts of the Achilles tendon were recorded in 10 (58.8%) and 2 (11.8%) camels respectively. Clinically, the camels exhibited an acute non-weight-bearing lameness (second to fourth-grade lameness), with swelling in the tendon near the calcaneus. Radiographs revealed swelling of the soft tissues surrounding the Achilles tendon just proximal to the calcaneal tuberosity in most of the camels with the presence of avulsion fracture of the calcaneus in few cases (n=2). Ultrasonographically, the ruptured part was precisely diagnosed as swollen, oedematous, heterogeneous structure with the presence of anechoic or hypoechoic areas (core lesion). In conclusion, lateromedial radiographs and ultrasonography were helpful in diagnosis and differential diagnosis of different types of Achilles tendon rupture and subsequent clinical decision and surgical interference in dromedary camels.
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