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Venous Drainage of the Femoral Neck in Legg Perthes Disease and in Hip Dysplasia
Det venösa flödet i femurhalsen vid Legg-Perthes sjukdom och vid höftledsdysplasi. En klinisk och experimentell undersökning hos hund och svin
A Clinical and Experimental Study in the Dog and Pig
Acta Veterinaria Scandinavica volume 24, pages 247–251 (1983)
Abstract
Three clinical cases of canine avascular femoral head necrosis and 4 cases of hip dysplasia were examined using intraosseus femoral neck venography. The contrast medium passed initio the diaphyseal bone marrow in all cases. Three growing dogs and 7 growing pigs were examined with the same method, before and after experimental ligation of the femoral veins. Before the venous tamponade, no contrast medium was visible in the femoral neck. The venography performed immediately after ligation showed contrast flow into the femoral neck similar to that seen in the clinical cases of Legg Perthes disease or hip dysplasia. However, a collateral circulation developed within 7 weeks. No more contrast-flow into the diaphysis was observed after that time.
Although osteomedullography shows that both in Perthes disease and in hip dysplasia venous drainage has failed, venous tamponade may not induce the onset of the disease.
Sammanfattning
Tre kliniska fall av avaskulär caput femoris nekros hos hund och 4 fall av höftledsdysplasi umditrsöktes genom intraosseal venografi i collum femoris. I alla fall trängde sig kontrastmedlet till den diafysära benimärgen. Experimenteilt undersöktes 3 växande hundar och 7 växande svin med samma metod före och efter ligering av femorala vener. Före avstänigningen av det venösa flödet kunde inget kontrast-medel ses i collum femoris. Vid venografi utförd genast efter ligering kunde ett likadant kontrastflöde till collum femoris konstateras som vid kliniska fall av Legg Perthes sjukdom eller höftledsdysplasi. Inom 7 veckor utvecklades dock kollateral cirkulation, varefter inget kon-trastflöde till diafysen kunde iakttagas.
Fastän osteomedullografi visar att det venösa flödet både i Legg Perthes sjukdom och höftledsdysplasi är insufficient kan enbart av-stängning av det venösa flödet inte förorsaka sjukdomen.
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Alitalo, I., Heikkinen, E., Paatsama, S. et al. Venous Drainage of the Femoral Neck in Legg Perthes Disease and in Hip Dysplasia. Acta Vet Scand 24, 247–251 (1983). https://doi.org/10.1186/BF03546727
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DOI: https://doi.org/10.1186/BF03546727