Medial joint line tenderness is an indicator for meniscal injuries in dogs.

IF 1.8 3区农林科学 Q2 VETERINARY SCIENCES Veterinary Record Pub Date : 2024-11-19 DOI:10.1002/vetr.4841

Daniel J McDonald, Nima Nakahara, Arnon Gal, Richard A S Mitchell

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Abstract

Background: Medial meniscal injury is an important aspect of cranial cruciate ligament disease in dogs. This study examines whether caudomedial joint line palpation of the stifle is correlated with medial meniscal injury in canine stifles with concurrent cranial cruciate ligament disease.

Methods: A total of 91 dogs (97 stifles) presenting with cranial cruciate ligament disease were assessed by palpation of the caudomedial joint line of the affected stifle by a single surgeon. Surgery was then performed to assess for injury to the medial meniscus. The odds of dogs with pain on palpation having a medial meniscal tear were then calculated, with the significance level set at p-value of 0.05.

Results: Dogs showing pain on caudomedial joint palpation had 34.5 times (95% confidence interval 9.7‒125) greater odds of having a medial meniscal tear. Pain on caudomedial joint line palpation had a sensitivity of 0.86, specificity of 0.85, positive predictive value of 0.94, negative predictive value of 0.70 and accuracy of 0.86 for identifying dogs with a medial meniscal tear.

Limitations: The amount of pressure placed on the caudomedial joint line was not assessed and a control group was not included.

Conclusion: Medial joint line tenderness has a significant relationship with medial meniscal tear in dogs with cranial cruciate ligament disease.

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内侧关节线压痛是狗半月板损伤的一个指标。

背景：内侧半月板损伤是犬颅十字韧带疾病的一个重要方面。本研究探讨了跗关节尾内侧关节线触诊是否与并发颅十字韧带疾病的犬跗关节内侧半月板损伤相关：方法：由一名外科医生对91只患有颅十字韧带疾病的犬（97只跗关节）的患跗关节尾内侧关节线进行触诊评估。然后进行手术，以评估内侧半月板是否受伤。然后计算触诊时疼痛的犬患内侧半月板撕裂的几率，显著性水平设定为P值为0.05：结果：尾内侧关节触诊时出现疼痛的狗患内侧半月板撕裂的几率是前者的34.5倍（95%置信区间为9.7-125）。尾内侧关节线触诊疼痛的灵敏度为0.86，特异度为0.85，阳性预测值为0.94，阴性预测值为0.70，识别犬内侧半月板撕裂的准确度为0.86：局限性：未评估尾内侧关节线所受压力的大小，也未纳入对照组：内侧关节线压痛与患有颅交叉韧带疾病的犬的内侧半月板撕裂有显著关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Record 农林科学-兽医学

CiteScore

2.10

自引率

9.10%

发文量

1181

审稿时长

6-12 weeks

期刊介绍： Veterinary Record (branded as Vet Record) is the official journal of the British Veterinary Association (BVA) and has been published weekly since 1888. It contains news, opinion, letters, scientific reviews and original research papers and communications on a wide range of veterinary topics, along with disease surveillance reports, obituaries, careers information, business and innovation news and summaries of research papers in other journals. It is published on behalf of the BVA by BMJ Group.