Jennifer Yuchi Huang 寫:Hello,
DiDi's hip X-ray films show only mild arthritic change on right femoral neck. Right hip seems to have more joint laxity compared to left hip. His walking showed on the video is normal and no limping nor leg favoring noticed. Please keep in mind that the severity of arthritic change showing on the x-ray films does no necessarily match the severity of clinical signs such as joint pain and lameness. In DiDi's case, I think we need to first make sure the pain is from right hip. Palpation on the other joints is very important to rule out other possibility causing "sudden onset/fast recovery" kind of lameness such as patella luxation. I cannot evaluate the position of patella bones on the X-ray films very well because the hip is tilted and the hind legs are not parallel to each other. Please make sure your doctor check all the other joints for DiDi.
Jennifer Huang
譯:
從DiDi的臀/髖部X光片看來,只有顯示右大腿骨窩有輕微的關節炎,右髖部似乎較左髖部更有關節鬆弛的問題,
他的走路影片看起來是正常的,也沒有跛行或是屈膝,
請記得,關節炎變化的嚴重性,從X光片顯示的結果不必然與臨床症狀例如關節痛或是跛行相當,
在DiDi的案例中,我想我們必須先確認疼痛是來自右髖部,
觸診其他關節處是很重要的,特別是要[s]整理[/s]
排除(rule out)[s]出[/s]其他可能導致突發性攻擊或是快速復原的跛行,例如膝蓋骨/髖骨脫臼,
我無法適切地從這張X光片中評估髖骨的位置,因為X光片顯示的臀部是傾斜的而且後腿也沒有平行對稱,
請確認你的醫師有檢查過DiDi的其他關節處。
Jennifer Huang醫師
譯者註:先排除其他導致突發性攻擊或是快速復原的跛行原因(例如膝蓋骨/髖骨脫臼)後,才可以探究是不是僅為髖關節因素造成的。