Ultrasonographic investigation of the atlanto-occipital articulation in the horse.
Ultrasonographic investigation of the atlanto-occipital articulation in the horse.
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马寰枕关节的超声检查。
DOI：
10.2746/042516402776181196
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发表时间：
2010
影响因子：
2.2
通讯作者：
C. Wurnig
中科院分区：
文献类型：
--
作者：
E. Gollob;H. Edinger;C. Stanek;C. Wurnig
本研究的目的是评估超声成像作为一种简单和无创诊断马寰枕关节和关节周围结构的手段；找到通往寰枕关节的安全通道。对6匹健康马和16匹年龄为2 ~ 17岁（平均9.56岁）的人为破坏马进行了超声检查。初步检查包括解剖研究和准备横截面。对4匹马标本，在超声引导下穿刺寰枕关节，并采用新的外侧入路。超声检查根据解剖和临床表现将颈部分为4个区：1)颈索插入区；2)寰椎后方结核；3)寰枕关节和4)大孔上方区域。从颅部到尾部，在横向和纵向平面上检查每个区域。超声检查对该区域的软组织成像是有用的，并向下进行到寰枕关节，在两个平面上都可以描绘关节表面，关节囊和副韧带。我们认为，超声检查颈部是一种有用的技术，代表了一种易于使用和安全的方法。然而，进一步的研究表明，这些研究应该在活体上进行。
The purpose of this study was to evaluate ultrasonographic imaging as a means of easy and noninvasive diagnosis of articular and periarticular structures of the atlanto-occipital articulation in the horse; and to find a safe approach to the atlanto-occipital joint. Ultrasonographic investigations were performed on 6 healthy horses and 16 specimens from horses humanely destroyed age 2-17 years (mean 9.56 years). Preliminary examinations included anatomical studies and preparation of cross-sections. On 4 horse specimens, puncture of the atlanto-occipital joint under ultrasonographic guidance was performed and a new lateral approach undertaken. For ultrasonographic investigations, the neck was divided into 4 zones according to anatomical and clinical modalities: 1) insertion of the funiculus nuchae; 2) tuberculum dorsale of the atlas; 3) atlanto-occipital joint and 4) region above the foramen alare. Each zone was examined in transverse and longitudinal planes proceeding from cranial to caudal. Ultrasonography was found to be useful for soft tissue imaging of this region and was performed down to the atlanto-occipital joint of which the joint surfaces, joint capsule and collateral ligament could be delineated in both planes. We conclude that ultrasonography of the neck is a useful technique, representing an easy to use and safe method. However, further studies are indicated which should be performed on live subjects.