Forelimb

前肢
  • 文章类型: Case Reports
    一只8岁的葡萄牙水犬,有5个月的左前肢跛行史。手掌疼痛。超声检查显示左正中神经增大。随后的MRI还显示手掌远端至前臂中部的正中神经增大。术中快速诊断提示恶性周围神经鞘瘤(MPNST)并进行神经切开术。跛行在手术后1个月几乎消失。术后26个月复发,前肢截肢。神经切断术后950天,X线摄影显示肺转移,狗在神经切断术后988天死亡。在获得有关早期检测方法的更多信息之前,应谨慎进行MPNST的神经切断术。保证金确定,和神经切断术的适应症确定。
    An 8-year-old Portuguese Water Dog presented with a 5-month history of left forelimb lameness. There was palmar pain. Ultrasonography revealed enlargement of the left median nerve. Subsequent MRI also showed enlargement of the median nerve in the distal palmar to the mid-forearm region. Rapid intraoperative diagnosis suggested malignant peripheral nerve sheath tumors (MPNST) and a neurotomy was performed. The lameness had almost disappeared in 1 month after surgery. Recurrence occurred 26 months postoperatively and the forelimb was amputated. At 950 days after the neurotomy, radiography revealed lung metastasis, and the dog died 988 days after the neurotomy. Neurotomy for MPNST should be performed with caution until more information is available regarding methods for early detection, margin determination, and indication determination for neurotomy.
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  • 文章类型: Journal Article
    背景:手指深屈肌腱(ALDDFT)的副韧带脱位是一种常见的损伤。尽管这种伤害很普遍,文献仅限于小案例系列,治疗后报告的成功率从18%到75%不等。
    目的:确定ALDDFT损伤后恢复工作的预后和相关因素。
    方法:回顾性病例系列。
    方法:回顾了来自四家马医院(2000年1月和2018年12月)诊断为ALDDFTdesmitis的马的病历。检索到的数据包括案例详细信息,使用,历史,跛行治疗和随访。成功被定义为重返工作岗位。反向逐步逻辑回归用于识别与返回工作显着相关的变量。
    结果:包括91匹马。平均年龄为13.5岁(标准差为4.9岁)。在最初的演讲中,有34%(28/91)的马是健全的。百分之六十八(62/91)的马匹仅通过控制运动进行管理,28%(29/91)采用皮损内注射治疗,治疗性超声,对ALDDFT进行体外冲击波治疗或行行经管切除术,3%(3/91)的患者在未治疗的情况下实施安乐死.64%(54/85)的马匹重返工作岗位。与那些恢复健康的马相比,在随访中跛脚的马不太可能重返工作岗位(比值比[OR]107.93,95%置信区间[CI]20.06-580.61,p<0.001)。与没有粘连的马相比,超声检查粘连的鉴定也与重返工作岗位的几率降低相关(OR0.10,95%CI0.01-0.76,p=0.03)。
    结论:研究的回顾性性质,关于随访的选择偏差的可能性。
    结论:64%(54/85)的马在ALDDFT受伤后重返工作岗位。跛行和粘连形成的持久性与不良预后显着相关。
    BACKGROUND: Desmitis of the accessory ligament of the deep digital flexor tendon (ALDDFT) is a commonly reported injury. Despite the commonality of this injury, the literature is limited to small case series, with the reported success following treatment varying from 18% to 75%.
    OBJECTIVE: To identify the prognosis and factors associated with a return to work following ALDDFT injury.
    METHODS: Retrospective case series.
    METHODS: Medical records of horses from four equine hospitals (January 2000 and December 2018) with a diagnosis of desmitis of ALDDFT were reviewed. Data retrieved included case detail, use, history, lameness treatment and follow-up. Success was defined as returning to work. Backward stepwise logistic regression was used to identify variables significantly associated with return to work.
    RESULTS: Ninety-one horses were included. The mean age was 13.5 years (standard deviation 4.9 years). Thirty-four percent (28/91) of horses were sound at the initial presentation. Sixty-eight percent (62/91) of horses were managed using controlled exercise alone, 28% (29/91) were treated with intra-lesional injection, therapeutic ultrasound, extracorporeal shockwave therapy or desmectomy of the ALDDFT and 3% (3/91) were euthanased without treatment. Sixty-four percent (54/85) of horses returned to work. Horses that were lame at follow-up were less likely to return to work (odds ratio [OR] 107.93, 95% confidence interval [CI] 20.06-580.61, p < 0.001) than those that returned to soundness. Identification of adhesions on ultrasonography was also associated with having reduced odds for return to work when compared to horses without adhesions (OR 0.10, 95% CI 0.01-0.76, p = 0.03).
    CONCLUSIONS: Retrospective nature of the study, the potential of selection bias with regards to follow-up.
    CONCLUSIONS: Sixty-four percent (54/85) of horses returned to work following injury of the ALDDFT. Persistence of lameness and adhesion formation were significantly associated with a poor outcome.
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  • 文章类型: Journal Article
    这项研究前瞻性地纳入了根据影像学结果需要关节镜探查的中位病程为3.5(min2,max12)的肘部相关跛行犬(n=6)。
    符合纳入标准的狗属于不同品种,中位体重为18(最小13.2,最大34.5)kg,中位年龄为11(最小6,最大96)个月。成像方式(X射线照片和/或计算机断层扫描(CT))的结果与所有狗的发育性肘部疾病一致。
    针式关节镜手术的可行性首先在初步尸体研究中进行评估。从出于与本研究无关的原因安乐死的成年狗(n=6)收集无病尸体前肢(n=12)。进行了肘部探索,从针状关节镜开始(1毫米,0°角范围),然后进行标准关节镜检查(2.4mm,30°角范围)通过内侧入路。介绍的简便性,主观评估活动范围和可视化质量,并对医源性导入病变的存在和视野范围(通过可视化解剖结构的数量评估)进行评分和统计学比较.考虑到偶尔需要多个门户,针状关节镜检查可以检查所有关节中存在内侧/尾隔室疾病风险的所有结构。在临床上,发现肘部探查与4/6只狗的尸体关节相似。针状关节镜提供的较低的视觉质量是该技术的限制,2/6的临床病例需要转换为标准关节镜检查以完全可视化关节。在尸体或临床研究中,针状关节镜检查均未发现引入病变。
    针状关节镜检查可以安全地观察无病尸体肘部的内侧和尾部的所有结构,提示针状关节镜是诊断和评估发育性肘关节病变的合适技术。然而,1毫米范围提供的低视觉质量,套筒的小直径,限制了流体流入,再加上器械的脆性是主要的缺点,这些缺点阻碍了在临床情况下对关节进行一致的全面探查和详细的病变评估.因此,在可以推荐在临床实践中使用该技术之前,需要对装置进行改进。
    CCD:尾室疾病;CT:计算机断层扫描;DED:发展性肘疾病;DJD:退行性关节病;LCL:外侧副韧带;LCP:外侧冠状突;LHC:肱骨髁的外侧部分;MCD:内侧间室疾病;MCL:内侧侧支;MCP:肱骨髁的磁共振成像;
    UNASSIGNED: Dogs (n = 6) suffering from elbow-associated lameness for a median of 3.5 (min 2, max 12) months duration requiring arthroscopic exploration according to imaging results were prospectively included in this study.
    UNASSIGNED: Dogs that met the inclusion criteria were of various breeds with a median body weight of 18 (min 13.2, max 34.5) kg and median age at presentation of 11 (min 6, max 96) months. Results of imaging modalities (radiographs and/or computed tomography (CT)) were consistent with developmental elbow disease in all of the dogs.
    UNASSIGNED: Feasibility of the needle arthroscopy procedure was first assessed in a preliminary cadaveric study. Disease-free cadaveric forelimbs (n = 12) were collected from adult dogs (n = 6) euthanised for reasons unrelated to the present study. Elbow exploration was performed, beginning with needle arthroscopy (1 mm, 0° angle scope) followed by standard arthroscopy (2.4 mm, 30° angle scope) through a medial approach. The ease of introduction, range of motion and the quality of visualisation were assessed subjectively and the presence of iatrogenic introduction lesions and extent of field of vision (assessed by the number of anatomical structures visualised) were scored and statistically compared. Needle arthroscopy allowed inspection of all structures at risk for medial/caudal compartment disease in all joints considering the occasional need for multiple portals. In the clinical setting, elbow exploration was found to be similar to that in cadaver joints in 4/6 dogs. The lower quality of vision provided by needle arthroscopy was a limitation of the technique, and 2/6 clinical cases required conversion to standard arthroscopy for full visualisation of the joint. No introduction lesions were noted with needle arthroscopy in either the cadaveric or clinical studies.
    UNASSIGNED: Needle arthroscopy allowed safe visualisation of all of the structures of the medial and caudal compartment in disease-free cadaveric elbows, suggesting that needle arthroscopy is an appropriate technique for diagnosis and assessment of lesions of developmental elbow disease. However, the low quality of vision provided by the 1 mm scope, and the small diameter of the sleeve, which limited fluid inflow, combined with fragility of the device were major drawbacks that prevented consistent full exploration of the joint and detailed lesion assessment in clinical situations. Improvement of the device is thus necessary before use of the technique in clinical practice can be recommended.
    UNASSIGNED: CCD: Caudal compartment disease; CT: Computed tomography; DED: Developmental elbow disease; DJD: Degenerative joint disease; LCL: Lateral collateral ligament; LCP: Lateral coronoid process; LHC: Lateral part of the humeral condyle; MCD: Medial compartment disease; MCL: Medial collateral ligament; MCP: Medial coronoid process; MHC: Medial part of the humeral condyle; MRI: Magnetic resonance imaging.
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  • 文章类型: Journal Article
    Medial coronoid process disease is the most common manifestation of canine developmental elbow disease which can progress to a more severe medial compartment disease (MCompD) characterized by full-thickness cartilage loss of the medial coronoid process and the medial humeral condyle. Among others, the \"Canine Unicompartmental Elbow\" (CUE) has been reported to be an effective treatment strategy for MCompD, with full in 47.6% and acceptable function in 43.7% at 6 months or later of follow-up.
    To report on our clinical experiences with the CUE system using the caudo-medial approach in terms of both complications and functional outcome.
    Medical records of dogs that underwent CUE procedure using a caudo-medial approach over a 3-year period were retrospectively reviewed. This covered epidemiological data, bi-planar radiographs, subjective gait analysis, owner questionnaire, surgical reports, as well as second-look arthroscopic findings when available.
    In total, 52 CUE procedures were performed in 44 dogs with a median age of 8.0 years (IQ: 5.0-10.0) and a median bodyweight of 31.9 kg (ranging 20-48 kg) at the surgery. Four cases never return for follow-up, but were included in the analysis to increase the number of cases with pre- and intra-operative data. Mean follow-up time available for the remaining 48 cases was 7.1 (SD: 5.2) months. Radiographic derived implant positioning and alignment proved to be satisfactory in the sagittal plane but parallelism in the frontal plane was only present in three cases. Second-look arthroscopy in five cases with delayed or disappointing functional improvement showed evidence of implant-related contact lesions and progressive erosion of the medial coronoid area in three elbows. Overall, complications occurred in 11 cases (21%), being major in eight (15%) and minor in three (6%). Major complications included refractory pain and lameness 6 to 12 months postoperatively in five cases. At last follow-up, 12 cases (25%) were considered to have full function, 35 cases (73%) acceptable function, and in one case, the function was considered unacceptable. As the only variable related to functional outcome, age had a negative predictive value for full function.
    The CUE procedure appears to be an effective treatment option for patients with MCompD. Older dogs might be at risk of having an inferior clinical outcome when compared to young patients. The reason for this is unknown and will have to be evaluated in future studies. Compared to a CUE case series of 103 elbows operated through a medial approach, using a caudo-medial approach decreased the incidence of approach-related complication. Nevertheless, the functional outcome in the current case series was less favorable than previously reported. These conflicting findings as well as the occurrence of potentially implant mechanical conflict at the medial joint compartment despite CUE warrants further studies.
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  • 文章类型: Journal Article
    A frog jump is both simple and difficult to comprehend. The center-of-mass (COM) follows a two-dimensional (2D) path; it accelerates diagonally upward, then traces a predictable arc in flight. Despite this simplicity, the leg segments trace intricate trajectories to drive the COM both upwards and forwards. Because the frog sits crouched with sprawled legs, segments must pivot, tilt, and twist; they solve a long-recognized problem of converting non-linear 3D motion of the leg segments to linear 2D motion of the COM. I use mathematical approaches borrowed from robotics to address: How do frogs manipulate the flow of kinetic energy through their body to influence jump trajectory? I address (1) transfer of motion through kinematic transmission and (2) transfer of motion through dynamic coupling of segment mass-inertia properties. Using a multi-body simulation, I explore how segment acceleration induces rotations at neighboring segments (even without accounting for bi-articular muscles). During jumps, this inertial coupling mechanism is likely crucial for modulating the direction of travel. The frog case study highlights a useful computational framework for studying how limb joints produce coordinated motion.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    四足类肢体是连续同源结构,代表了形态学整合研究的特别有趣的模型,即发育系统产生相关变异的趋势。在newts,四肢在幼体早期发育并持续生长,包括在变态后栖息地从水过渡到土地之后。然而,水生和陆地环境施加了不同的约束和运动模式,可能会影响形态整合和进化的模式。我们假设这将是new中替代异时变体的情况,即使g保持在成年阶段的水生小动物和能够在陆地上分散的成年变形。为此,我们分析了在高山new中两种表型的前肢和后肢的同源骨骼元素之间以及四肢内骨骼元素之间的相关性的模式和强度,阿尔皮斯特里希托拉。我们的结果表明,变质和paedomorphs具有相似的,肢体整合的一般模式。与变质动物相比,同源肢体元素与肢体元素之间的部分相关性更高。变质中同源肢体元素之间的部分相关性降低,伴随着陆生形态的更高的进化能力。所有这些结果表明,环境需求决定了高山new肢的形态整合模式,并且观察到的相关结构多样性可能与形态之间运动方式的质的差异有关。
    Tetrapod limbs are serially homologous structures that represent a particularly interesting model for studies on morphological integration, i.e. the tendency of developmental systems to produce correlated variation. In newts, limbs develop at an early larval stage and grow continuously, including after the habitat transition from water to land following metamorphosis. However, aquatic and terrestrial environments impose different constraints and locomotor modes that could affect patterns of morphological integration and evolvability. We hypothesize that this would be the case for alternative heterochronic morphs in newts, i.e. aquatic paedomorphs that keep gills at the adult stage and adult metamorphs that are able to disperse on land. To this end, we analyzed patterns and strengths of correlations between homologous skeletal elements of the fore- and hindlimbs as well as among skeletal elements within limbs in both phenotypes in the alpine newt, Ichthyosaura alpestris. Our results showed that metamorphs and paedomorphs had similar, general patterns of limb integration. Partial correlations between homologous limb elements and within limb elements were higher in paedomorphs when compared to metamorphs. A decrease in partial correlation between homologous limb elements in metamorphs is accompanied with a higher evolvability of the terrestrial morph. All these results indicate that environmental demands shaped the patterns of morphological integration of alpine newt limbs and that the observed diversity in correlation structure could be related to a qualitative difference in the modes of locomotion between the morphs.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    The greyhound is a dog breed highly specialized to run fast (17 m/s) over short distances (Usherwood and Wilson, 2005). As a result, there are many anatomical structures correlated with this sprinting function. The branching patterns of vasculature supplying blood to the head, forelimbs and thorax (subclavian arteries and its branches) were described in 34 adult greyhound cadavers (22 male, 12 female) (donated with owner consent and used under a memorandum of understanding with the University of Adelaide Animal Ethics Committee) from silicone casts of the arch of the aorta and the cranial arteries. Chi-squared analysis was used to test for pattern frequency differences, and t-tests were used to analyse the differences between sex and symmetry. All measurements were scaled to a fixed measure, the Open Thorax Length (OTL), to correct for size variation between individuals. Significant differences were found between the left and right subclavian arteries in the greyhound. The length to the first branch as a percentage of the OTL was greater in the right subclavian artery than the left subclavian artery (P < 0.001). The interval between the first and last branches (branching interval) as a percentage of the OTL was larger in the left subclavian artery than the right subclavian artery (P < 0.001). The reason for these differences remains unclear. Nonetheless, intraspecific variations of the branching patterns of the subclavian arteries have been described in the greyhound, thus suggesting that breed-specific variations in the cardiovascular system are likely to occur throughout domestic dogs.
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  • 文章类型: Journal Article
    形态的趋同可能是由于生活在具有相似选择压力的环境中的物种的进化适应所致。这里,我们研究了前肢长骨的形状是否在施加类似功能约束的环境中收敛,用芥菜类食肉动物作模型.四足动物的四肢受到许多可能影响其形状的因素的影响。他们需要支撑身体质量而不塌陷或破裂,但同时抵抗运动引起的应力和应变。这可能对它们的形态施加了强烈的约束。我们的几何形态分析表明,运动,身体质量和系统发育都会影响前肢的形状。此外,我们发现:(I)水生和半物种之间有显著的趋同,两者都显示出健壮的前肢,具有响应于运动环境施加的物理阻力而提高稳定性和负荷转移的形状;和(ii)水生和树栖/半树栖物种,两组都表现出宽大的头颅。这增加了内旋/外旋的程度,攀爬以及抓握和操作能力的重要特征,水生和树栖物种常见的行为。总之,我们的研究结果强调了不同运动生态的芥菜在前肢骨骼解剖结构上的差异。然而,通过致密介质肢体运动的功能需求也导致不同群体之间前肢长骨形状的收敛,例如,水獭和badgers.
    Convergence in morphology can result from evolutionary adaptations in species living in environments with similar selective pressures. Here, we investigate whether the shape of the forelimb long bones has converged in environments imposing similar functional constraints, using musteloid carnivores as a model. The limbs of quadrupeds are subjected to many factors that may influence their shape. They need to support body mass without collapsing or breaking, yet at the same time resist the stresses and strains induced by locomotion. This likely imposes strong constraints on their morphology. Our geometric morphometric analyses show that locomotion, body mass and phylogeny all influence the shape of the forelimb. Furthermore, we find a remarkable convergence between: (i) aquatic and semi-fossorial species, both displaying a robust forelimb, with a shape that improves stability and load transfer in response to the physical resistance imposed by the locomotor environment; and (ii) aquatic and arboreal/semi-arboreal species, with both groups displaying a broad capitulum. This augments the degree of pronation/supination, an important feature for climbing as well as grasping and manipulation ability, behaviors common to aquatic and arboreal species. In summary, our results highlight how musteloids with different locomotor ecologies show differences in the anatomy of their forelimb bones. Yet, functional demands for limb movement through dense media also result in convergence in forelimb long-bone shape between diverse groups, for example, otters and badgers.
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