한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제30권5호
  • /
  • Pages.366-370
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  • 2013
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

초기 허혈성 대퇴골두 괴사증을 보이는 개에서 임상학적, 수술적, 방사선학적, 컴퓨터단층촬영, 조직학적 소견

Early Stage Legg-Calve-Perthes Disease in a Dog: Clinical, Surgical, Radiological, Computed Tomography and Histological Findings

  • 탁민애 (건국대학교 수의과대학 수의외과학 교실, 수의과학연구소) ;
  • 윤헌영 (건국대학교 수의과대학 수의외과학 교실, 수의과학연구소) ;
  • 정순욱 (건국대학교 수의과대학 수의외과학 교실, 수의과학연구소)
  • Thak, Min-Ae (Department of Veterinary Surgery, College of Veterinary Medicine and the Veterinary Science Research Institute, Konkuk University) ;
  • Yoon, Hun-Young (Department of Veterinary Surgery, College of Veterinary Medicine and the Veterinary Science Research Institute, Konkuk University) ;
  • Jeong, Soon-Wuk (Department of Veterinary Surgery, College of Veterinary Medicine and the Veterinary Science Research Institute, Konkuk University)
  • 심사 : 2013.10.22
  • 발행 : 2013.10.31
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초록

7개월령 암컷 포메라니안견이 오른쪽 후지 파행 증상으로 내원하였다. 내원시 신체 검사에서 오른쪽 대퇴 관절을 신장하였을 때 통증을 호소하였고 일반 방사선 사진에서 오른쪽 대퇴골두에 미약한 방사선 투과성 병변과 오른쪽 대퇴관절 공간의 확장을 확인하였다. 14일 후 일반 방사선 사진에서 오른쪽 대퇴골두 골단의 변위를 확인하였고 컴퓨터단층촬영에서 오른쪽 대퇴골두에 저음영의 병변과 골절선을 확인하였다. 오른쪽 대퇴골두 절제술을 실시하였고 조직학적 검사에서 골두 골간단과 골단의 괴사를 확인하였다. 본 증례는 초기 허혈성 대퇴골두 괴사증이 있는 개의 방사선학적, 컴퓨터단층촬영, 수술적, 조직학적 소견을 기술하였다.

A 7-month-old Pomeranian presented with non-weight bearing lameness on the right pelvic limb. Physical examination revealed pain on extension of the right hip joint, and serum chemistry results showed an increased concentration of creatine kinase. Radiographic findings at admission included a weak radiolucent line on the right femoral head and widening of the right hip joint space, and mild displacement of the right capital femoral epiphysis was additionally identified on day 14. Computed tomography (CT) showed a decreased Hounsfield Unit measurement and a fracture line on the right femoral head. Early stage Legg-Calve-Perthes disease (LCPD) was diagnosed and femoral head and neck ostectomy was performed on the right femur. A fracture fissure and osteophytes at the epiphyseal plate of the femoral head were identified surgically. Necrosis in the femoral metaphysis and epiphysis was observed histologically. This case report describes the radiography, CT images, and surgical and histological findings in a dog with early stage LCPD.

키워드

참고문헌

  1. Bae SH, Seong YS, Eom KD, Kim JH, Jang KH. Computed Tomographic Assessment of Experimentally Induced Legg-Calve-Perthes Disease in Dogs. J Vet Clin 2008; 25: 9-14.
  2. Bluemm RG, Falke THD, Ziedses des Plantes BG, Steiner RM. Early legg-perthes disease (ischemic necrosis of the femoral head) demonstrated by magnetic resonance imaging. Skeletal Radiol 1985; 14: 95-98. https://doi.org/10.1007/BF00349742
  3. Borrelli J, Goldfarb C, Catalano L, Evanoff L. Assessment of articular fragment displacement in acetabular fractures: A comparison of computerized tomography and plain radiographs. J Orthop Trauma 2002; 16: 449-456. https://doi.org/10.1097/00005131-200208000-00001
  4. Demko J, McLaughlin R. Developmental Orthopedic Disease. Vet Clin Small Anim 2005; 35: 1111-1135. https://doi.org/10.1016/j.cvsm.2005.05.002
  5. Hunt DA, Snyder JR, Morgan JP, Stover SM, Pool RR, Pascoe JR. Evaluation of an Interfragmentary Compression System for the Repair of Equine Femoral Capital Physeal Fractures. Vet Surg 1990; 19: 107-16. https://doi.org/10.1111/j.1532-950X.1990.tb01150.x
  6. Lee R. A study of the radiographic and histological changes occurring in Legg-Calve-Perthes disease (LCP) in the dog. J Small Anim Pract 1970; 11: 621-638. https://doi.org/10.1111/j.1748-5827.1970.tb05623.x
  7. Ljunggren G. Legg-Perthes' disease in the dog. (Monograph) Acta Orthop scand Suppl 1967; 95: 1-79.
  8. Ljunggren G. Legg-Perthes disease in the dog. A case report with special reference to initial radiographic changes. Clin Orthop Relat Res 1969; 62: 31-36.
  9. Moores AP, Owen MR, Fews D, Coe RJ, Brown PJ, Butterworth SJ. Slipped capital femoral epiphysis in dogs. J Small Anim Pract 2004; 45: 602-608. https://doi.org/10.1111/j.1748-5827.2004.tb00182.x
  10. Ohlerth S, Scharf G. Computed tomography in small animals - Basic principles and state of the art applications. Vet J 2007; 173: 254-271. https://doi.org/10.1016/j.tvjl.2005.12.014
  11. Paster ER, Pacchiana PD, Gillings SL. What is your diagnosis? Avascular necrosis of the left femoral head with secondary osteoarthritis of the hip joint. J Am Vet Med Assoc 2002; 220: 745-746. https://doi.org/10.2460/javma.2002.220.745
  12. Piek CJ, Hazewinkel HAW, Wolvekamp WTC, Nap RC, Mey BP. Long term follow-up of avascular necrosis of the femoral head in the dog. J Small Anim Pract 1996; 37: 12-18. https://doi.org/10.1111/j.1748-5827.1996.tb01926.x
  13. Piermattei DL, Flo GL. The hip joint. In: Brinker, Piermattei, and Flo's handbook of small animal orthopedics and fracture repair, 3rd ed. Philadelphia: WB Saunders Co. 1997: 465-466.
  14. Slatter DH. Stifle joint. In: Textbook of small animal surgery, 3rd ed. Philadelphia: WB Saunders Co. 2002: 2090-2133.
  15. Wallace LJ, Olmstead ML. Disabling conditions of the canine coxofemoral joint. In: Small animal orthopedics, Olmstead ML, ed. St Louis: The CV Mosby Co. 1995: 362-365.
  16. Warren DV, Dingwall JS. Legg-Perthes disease in the dog: a review. Can Vet J 1972; 13: 135-137.
  17. Yeh LR, Chen CKH, Huang YL, Pan HB, Yang CH. Diagnostic performance of MR imaging in the assessment of subchondral fractures in avascular necrosis of the femoral head. Skeletal Radiol 2009; 38: 559-564. https://doi.org/10.1007/s00256-009-0659-0