Defne Joan ŞADALAK, Suphi Erdem ACAR, Kemal ALTUNATMAZ, Yalçın DEVECİOĞLU

Köpeklerde eklem içi hastalıkların tanısında direkt ve indirekt radyografiler (Artrografi) ile arstroskopi' nin karşılaştırılması

Çalışmada; toplam 36 köpeğin değişik eklemlerinin radyografık ve artroskopik değerlendirmesi yapıldı. Olguların tamamında direkt radyografi ve artroskopik muayene, omuz eklemlerine de indirekt radyografik muayene (artrografi) yapılarak ilgili bölgelerdeki hastalıkların tanısında kullanılan yöntemler karşılaştırıldı. Çalışmada 29 diz, 19 omuz ve 11 dirsek eklemi olmak üzere toplam 59 ekleme artroskopi ve direk radiografi, 19 omuz eklemine de artrografi yapıldı. Diz eklemlerinin artroskopik incelemesinde 14 (l'inde bilateral), omuz eklemlerinde 6 ve dirsek eklemlerinin artroskopik muayenesinde de 5 olguda lezyon saptandı. Artroskopik inceleme yapılan diğer diz, omuz ve dirsek eklemleri sağlıklıydı. Sonuç olarak, artrografık muayenenin bütün eklemlerde yapılamıyacağı gerçeğinden hareketle modern bir görüntüleme tekniği olan artroskopik muayenenin, tereddüte yer bırakmadan tanıyı kesinleştirdiği ve sağaltıma yön verdiği görülmüştür. Ayrıca eklem hastalıklarının tanısında direkt ve indirekt radyografiye göre daha güvenli bir yöntem olduğu kanısına varılmıştır.

Comparison of direct and indirect radiographies (Arthrography) with arthroscopy in diagnosis of intra articular diseases in the dog

In this study; radiographic and arthroscopic evaluations of different joints were made in 36 dogs. Direct radiography and arthroscopic examinations was carried out in all cases and indirect radiography (Arthrography) in shoulder joints, in order to determine the differences between diagnostic methods for diseases in this region. Direct radiography and arthroscopic examinations was carried out in all cases, as well as indirect radiography of the shoulder joints, and 29 stifle, 19 shoulder and 11 elbow joints, making a total of 59 joints, were examined arthroscopicaly. Fourteen (1 bilateral) lesions were arthroscopicaly observed in the stifle, 6 in the shoulder and 5 in the elbow joint. The remaining stifle, shoulder, and elbow joints were sound. As a result, in view of the fact that arthrographic examination cannot be made in all joints, it was seen that the modern imaging technique of arthroscopic examination presented definitive diagnosis and directed treament. Arthroscopic examination was also considered to be more reliable method in diagnosis of joint diseases compared to direct and indirect radiography.

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