개에서 전십자 인대 단열의 초음파적 평가

Ultrasonographic Evaluation of Surgically Induced Cranial Cruciate Ligament Rupture in the Dog

  • 성윤상 (경북대학교 수의과대학) ;
  • 엄기동 (경북대학교 수의과대학) ;
  • 장광호 (경북대학교 수의과대학)
  • 발행 : 2003.06.01

초록

Ultrasonographic examination of the stifle joint four clinically and radiographically normal adult dogs was performed before and after inducing the cranial cruciate ligament (CrCL) rupture of the bilateral stifle surgically. At Pre- or post-surgery, the hyperechoic patella ligament and the echogenic infrapatella fat interfered the visualization of the CrCL by the plain scanning method. However when the stifle joint was imaged by the scanning method injecting normal saline within the joint capsule, the hyperechogenic ligament was visualized by the separation of the infrapatella fat and the CrCL and the contrast effect of anechoic saline. When the stifle joint was imaged by the real time scanning method after the induction of the surgical rupture, fluttering of the ligament and anechoic area between the bone and the CrCL was identified due to the lack of tonicity and continuity of the ligament. Enlargement of the ligament because of its increased diameter as well as fluttering of the CrCL and the increased joint space's thickness was visualized. Consequently, confirming fluttering of the CrCL, increased ligament diameter and anechoic region between the CrCL and the bone, ultrasonographic examination is a valuable diagnostic tool as well as cranial drawer test and radiographic examination.

키워드

참고문헌

  1. Small animal radiology and ultrasonography(2nd ed.) The appendicular skeleton Burk,R.L.;Ackerman,N.
  2. Berl Munch Tierarztl Wochenschr v.110 Ultrasonography of the stifle joint in dogs Engelke,A.;Meyer-Lindenberg A;Notle,I.
  3. Ultrasound Med Biol v.28 Sonographic evaluation of ACL rupture signs compared to arthroscopic findings in acutely injured knees Fuchs,S.;Chylarecki,C. https://doi.org/10.1016/S0301-5629(01)00507-5
  4. Vet Radiol Ultrasound v.42 Echography examination of the stifle joint affected by cranial cruciate ligament rupture in the dog Gnudi,G.;Bertoni,G. https://doi.org/10.1111/j.1740-8261.2001.tb00938.x
  5. Small animal surgery(2nd ed.) Disease of the joints Johnson,A.L.;Hulus,D.A.
  6. Vet Radiol Ultrasound v.40 Sonography of the canine stifle Kramer,M.;Stengel,H.;Gerwing,M.;Schimke,E.;Sheppard,C. https://doi.org/10.1111/j.1740-8261.1999.tb00363.x
  7. European J of Ultrasound v.12 Diagnosis of acute rupture of the anterior cruciate ligament of the knee by sonography Larsen,L.P.S.;Rasmussen,O.S. https://doi.org/10.1016/S0929-8266(00)00109-9
  8. skeletal radiol v.31 Sonography of injury of the posterior oruciate ligament of the knee Miller,T.T. https://doi.org/10.1007/s00256-001-0454-z
  9. An atlas and textbook of diagnostic ultrasonography of the dog and cat Limbs and spine Nautrup,C.P.;Tobias,R.;Cartee,R.E.
  10. Radiographic interpretation for the Small Animal Clinician(2nd ed.) Owens,J.M.;Biery,D.N.
  11. Vet Radiol Ultrasound v.36 Ultrasonography anatomy of the normal canine stifle Reed,A.L.;Payne,J.T.;Constantinescu,G.M. https://doi.org/10.1111/j.1740-8261.1995.tb00268.x
  12. Equine diagnostic ultrasound Musculoskeletal ultrasonography Reef,V.B.;Sertich,P.L.;Turner,R.M.
  13. Small animal diagnostic ultrasound(2nd ed.) Musculoskeletal system Samii,V.F.;Long,C.D.
  14. J Am Vet Med Assoc v.196 Partial rupture of the cranial cruciate ligament of the stifle in dogs:25 cases(1982-1988) Scavelli,T.D.;Schrader,S.C.;Matthiesen,D.T.;Skorup,D.E.