{"title":"影像引导下关节内注射猪骨关节炎的诊断成像结果和处理。","authors":"Reed H Schultz, Jan F Hawkins, Jesus A Hermida","doi":"10.1111/vsu.70002","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical and diagnostic imaging findings of pet pigs with osteoarthritis and determine the efficacy of intra-articular (IA) injections in managing lameness.</p><p><strong>Study design: </strong>Retrospective observational study.</p><p><strong>Animals: </strong>A total of 16 pet pigs diagnosed with osteoarthritis and treated with non-steroidal medications and IA injections.</p><p><strong>Methods: </strong>Cases, diagnostic imaging, and clinical data were collected from the medical records of Purdue University. The owners were interviewed by telephone to collect follow-up data regarding the degree of lameness following joint treatment.</p><p><strong>Results: </strong>A total of 13 of 16 pigs presented for lameness evaluation. A diagnosis of osteoarthritis was determined with computed tomography (CT) (n = 10) or digital radiography (n = 7). In all, 24 joints were treated with triamcinolone. Following injection, 13 of 16 (81%) pigs showed improvement in lameness, as measured by decreases in lameness scores assigned by the owner (p = .0183). The duration of the effect ranged from a few weeks to several months. Those with no or minimal improvement tended to have advanced osteoarthritis in joints other than those treated. There were no complications reported. The use of CT for injection guidance did not show a significant difference in outcomes over the use of radiographic guidance.</p><p><strong>Conclusion: </strong>With an accurate diagnosis, IA injections seemed to be a beneficial therapy for pet pigs.</p><p><strong>Clinical relevance: </strong>The use of IA corticosteroids to treat lameness due to osteoarthritis in pigs represents an effective therapy that reduces lameness.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1433-1442"},"PeriodicalIF":1.3000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnostic imaging findings and management of osteoarthritis in pigs with image-guided intra-articular injections.\",\"authors\":\"Reed H Schultz, Jan F Hawkins, Jesus A Hermida\",\"doi\":\"10.1111/vsu.70002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe the clinical and diagnostic imaging findings of pet pigs with osteoarthritis and determine the efficacy of intra-articular (IA) injections in managing lameness.</p><p><strong>Study design: </strong>Retrospective observational study.</p><p><strong>Animals: </strong>A total of 16 pet pigs diagnosed with osteoarthritis and treated with non-steroidal medications and IA injections.</p><p><strong>Methods: </strong>Cases, diagnostic imaging, and clinical data were collected from the medical records of Purdue University. The owners were interviewed by telephone to collect follow-up data regarding the degree of lameness following joint treatment.</p><p><strong>Results: </strong>A total of 13 of 16 pigs presented for lameness evaluation. A diagnosis of osteoarthritis was determined with computed tomography (CT) (n = 10) or digital radiography (n = 7). In all, 24 joints were treated with triamcinolone. Following injection, 13 of 16 (81%) pigs showed improvement in lameness, as measured by decreases in lameness scores assigned by the owner (p = .0183). The duration of the effect ranged from a few weeks to several months. Those with no or minimal improvement tended to have advanced osteoarthritis in joints other than those treated. There were no complications reported. The use of CT for injection guidance did not show a significant difference in outcomes over the use of radiographic guidance.</p><p><strong>Conclusion: </strong>With an accurate diagnosis, IA injections seemed to be a beneficial therapy for pet pigs.</p><p><strong>Clinical relevance: </strong>The use of IA corticosteroids to treat lameness due to osteoarthritis in pigs represents an effective therapy that reduces lameness.</p>\",\"PeriodicalId\":23667,\"journal\":{\"name\":\"Veterinary Surgery\",\"volume\":\" \",\"pages\":\"1433-1442\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Veterinary Surgery\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1111/vsu.70002\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Surgery","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vsu.70002","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/27 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Diagnostic imaging findings and management of osteoarthritis in pigs with image-guided intra-articular injections.
Objective: To describe the clinical and diagnostic imaging findings of pet pigs with osteoarthritis and determine the efficacy of intra-articular (IA) injections in managing lameness.
Study design: Retrospective observational study.
Animals: A total of 16 pet pigs diagnosed with osteoarthritis and treated with non-steroidal medications and IA injections.
Methods: Cases, diagnostic imaging, and clinical data were collected from the medical records of Purdue University. The owners were interviewed by telephone to collect follow-up data regarding the degree of lameness following joint treatment.
Results: A total of 13 of 16 pigs presented for lameness evaluation. A diagnosis of osteoarthritis was determined with computed tomography (CT) (n = 10) or digital radiography (n = 7). In all, 24 joints were treated with triamcinolone. Following injection, 13 of 16 (81%) pigs showed improvement in lameness, as measured by decreases in lameness scores assigned by the owner (p = .0183). The duration of the effect ranged from a few weeks to several months. Those with no or minimal improvement tended to have advanced osteoarthritis in joints other than those treated. There were no complications reported. The use of CT for injection guidance did not show a significant difference in outcomes over the use of radiographic guidance.
Conclusion: With an accurate diagnosis, IA injections seemed to be a beneficial therapy for pet pigs.
Clinical relevance: The use of IA corticosteroids to treat lameness due to osteoarthritis in pigs represents an effective therapy that reduces lameness.
期刊介绍:
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.