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牛 股神经损伤

完整评审: 4月 2023 作者:Peter D. Constable, BVSc (Hons), MS, PhD, DACVIM, College of Veterinary Medicine, University of Illinois at Urbana-Champaign
上次更新: 9月 2024
v21902100_zh

In femoral nerve injury, paralysis of the quadriceps muscles, which extend the stifle joint, and partial paralysis of the psoas major muscle, which flexes the hip joint, occur.

牛股神经损伤的临床表现和诊断

In large, newborn calves (eg, Charolais or Simmental), use of mechanical force during an assisted birth can stretch and damage the femoral nerve. The resultant reduction in quadriceps tone reduces tension on the patella, with the result that a lateral patellar luxation may develop. The patella reflex is absent because the reflex requires an intact femoral nerve. Atrophy of the quadriceps soon becomes obvious and, although the luxated patella can be manually reduced with ease, the animal has extreme difficulty walking. The condition may affect one or both limbs. Prognosis is related to the severity of clinical signs and is better in unilateral cases.

牛股神经损伤的治疗

Despite a fair or good prognosis, a calf with femoral nerve paralysis may be unable to suckle unaided. The patient should be maintained in a well-bedded area, and colostrum should be given as soon as possible after birth. A radiographic study should be done to exclude the possibility of fractures, particularly slipped capital physis or proximal femoral fractures, which clinically can appear similar before neurogenic atrophy is present. Administration of anti-inflammatory drugs may be useful.