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膝關節站不穩

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建立日期:2012/12/04

更新日期:2014/01/22
內容說明
Stifle instability
  • 常見後肢跛行,尤其在較重的牛隻 Common hind limb lameness esp in heavy animals
  • 在公牛常見於托架損傷 A common mounting injury in bulls
  • 可能與十字韌帶損傷、側副韌帶斷裂、12個半月板損傷(撕裂等),或股-脛骨關節完全脫位有關 May be associated with damage to the cruciate ligaments, rupture of the collateral ligaments, injuries to one or both menisci (tears etc) or complete dislocation of the femoro-tibial joint
 
膝關節站不穩 - 臨床症狀Stifle instability - clinical signs
  • 突發、中度跛行 Sudden, moderate lameness:
Ø步伐縮短 Shortened stride
Ø負重在腳趾 Weight bearing on the toe
Ø壓抑而限制運動 Restricted movement of the stifle
 
  • 通常可以觸診,有時後能聽見後膝關節有咚咚聲 Can usually palpate, hear (and sometimes see) a clunk over the stifle
  • 為了檢測關節的咚咚聲,讓動物鎮定並走到牠旁邊,以你的手去感覺關節處 To detect the ‘clunk’, mild sedation and walk animal around the yard whilst feeling the joint with your hand
  • 通常無明顯腫脹或伴有關節疼痛 Often no obvious swelling or pain associated with the joint
 
處置Stifle instability - treatment -膝關節站不穩治療
  • 傳統治療及讓動物多休息 Conservative treatment and prolonged rest
  • 畜主若忽略患畜肢體關節的聲音而給予額外的壓力,可能會讓動物崩潰 Warn owner joint on sound limb may collapse under additional pressure
  • 預後的將來,在公牛的育種上需非常謹慎 Prognosis for future breeding soundness for a bull is very guarded
  • 通常建議淘汰 Culling is often recommended