A case of an 18-year-old gardener who sustained an anterior-superior dislocation of the sternoclavicular joint while playing handball and falling on his right shoulder is presented. Non-surgical treatment failed, and the patient could willingly dislocate the right clavicle while abduction and external rotation of the arm. This painful condition was finally treated with surgical reconstruction of the sternoclavicular joint using gracilis tendon autograft and repair of the discus. Level of evidence Therapeutic study, case report and technical note, Level IV.

The present study aimed at testing the feasibility and on-farm test-retest reliability of the Welfare Quality Assessment protocol for pigs applied to sows and piglets. The study was conducted on 13 farms in Northern Germany, which were visited 5 times by the same observer, and included 2 experimental setups: first, the complete Welfare Quality Assessment protocol for sows and piglets was applied to the farms. Second, additional assessments in the gestation unit considered all sows. The complete protocol assessments were used to evaluate the feasibility of the protocol. Furthermore, the data were analyzed with regard to on-farm test-retest reliability. The present publication focuses on the Welfare Quality principles good feeding, good housing, and good health, which are based on individual indicators (IN). The second experimental setup was utilized to verify the test-retest reliability of IN in the gestation unit with an increased number of animals under assessment. The test-retest reliability was calculated using Spearman's rank correlation coefficient (RS), intraclass correlation coefficient (ICC), smallest detectable change (SDC), and limits of agreement (LoA). Farm visit 1 (F1; day 0) was set as a reference and compared with farm visits 2 to 5 (F2 to 5; day 3, week 7, month 5, month 10). The IN of the above-named Welfare Quality principles achieved mostly acceptable test-retest reliability (e.g., wounds on the body F1 to F4: RS 0.34 to 0.57, ICC 0.40 to 0.41, SDC 0.02 to 0.12, LoA [−0.03; 0.02] to [−0.09; 0.14]) in terms of the on-farm test-retest reliability. Poor test-retest reliability was detected for body condition score concerning the principle good feeding, for bursitis and panting in sows and for huddling and panting in piglets within the principle good housing, and finally for vulva lesions, metritis, and local infections in sows and for scouring and lameness in piglets in the principle good health. Variations among the farm visits, which resulted in poor test-retest reliability, may be explained by seasonal effects (panting), moving animals (bursitis, lameness, huddling), rare occurrences of diseases (metritis, local infections, scouring), and differently conditioned sow groups (body condition score). The second experimental setup confirmed the results for IN in the gestation unit. Thus, the reported test-retest reliability determines the Welfare Quality Assessment protocol for sows and piglets to be a reliable approach to assess welfare in sows and piglets.

The present study’s aim was to assess the test−retest reliability (TRR) of the ‘Welfare Quality® animal welfare assessment protocol for sows and piglets’ focusing on the welfare principle ‘appropriate behavior’. TRR was calculated using Spearman’s rank correlation coefficient (RS), intraclass correlation coefficient (ICC), smallest detectable change (SDC), and limits of agreement (LoA). Principal component analysis (PCA) was used for deeper analysis of the Qualitative Behavior Assessment (QBA). The study was conducted on thirteen farms in Northern Germany, which were visited five times by the same observer. Farm visits 1 (F1; day 0) were compared to farm visits 2 to 5 (F2–F5). The QBA indicated no TRR when applying the statistical parameters introduced above (e.g., ‘playful‘ (F1–F4) RS 0.08 ICC 0.00 SDC 0.50 LoA [−0.62, 0.38]). The PCA detected contradictory TRR. Acceptable TRR could be found for parts of the instantaneous scan sampling (e.g., negative social behavior (F1–F3) RS 0.45 ICC 0.37 SDC 0.02 LoA [−0.03, 0.02]). The human−animal relationship test solely achieved poor TRR, whereas scans for stereotypies showed sufficient TRR (e.g., floor licking (F1–F4) RS 0.63 ICC 0.52 SDC 0.05 LoA [−0.08, 0.04]). Concluding, the principle ‘appropriate behavior’ does not represent TRR and further investigation is needed before implementation on-farm.

The aim of this study was to assess the interobserver reliability of the measures forming the Welfare Quality® animal welfare assessment protocol for sows and piglets. The study was carried out at nine farms in Northern Germany. Two trained observers evaluated identical animals simultaneously but independently in 40 joint farm visits. Interobserver reliability was calculated at individual animal level using Cohen's kappa, weighted kappa and the prevalence-adjusted, bias-adjusted kappa (PABAK) and at farm level using Spearman's rank correlation coefficient (RS), the intraclass correlation coefficient (ICC), smallest detectable change (SDC) and limits of agreement (LoA). While a direct comparison of the adjectives of the qualitative behaviour assessment showed poor interobserver reliability, a Principal Component Analysis detected good interobserver reliability. The assessment of social and exploratory behaviours showed acceptable interobserver reliability, while the assessment of stereotypies displayed good interobserver reliability. The human-animal relationship test showed only poor interobserver reliability at individual animal and farm levels. In most cases, measures of health and physical state assessed in sows and piglets exhibited acceptable or good interobserver reliability. In conclusion, after some measures are revised, particularly those examining the human-animal relationship, the Welfare Quality® protocol for sows and piglets will represent a reliable approach in terms of interobserver reliability to assess the welfare of sows and piglets.

This study identifies iceberg indicators for welfare assessment in sows and piglets to enhance feasibility and sustainability of available protocols. Indicators of the Welfare Quality® protocol and of a German protocol were collected over 65 farm visits to 13 farms in Germany between September 2016 and April 2018. Data were analysed using partial least square structural equation modelling (PLS-SEM). A hierarchical component model was built (animal welfare = higher-order, Welfare Quality® principles = lower-order components). In sows, welfare was revealed to be most influenced by the principles good housing, good health and appropriate behaviour (path coefficients = 0.77, 0.86, 0.91). High coefficients of determination R² indicated a large amount of explained variance (good housing R² = 0.59, good health R² = 0.75, appropriate behaviour R² = 0.83). Stereotypies was the indicator most valuable to assess sow welfare. Additionally, the final model included the indicators panting, shoulder sores, metritis, mortality and an indicator assessing stereotypies in resting animals (indicator reliabilities 0.54–0.88). However, the model did not include the indicators lameness and body condition, which may be due to the farm sample. Welfare of piglets was most explained by the indicators carpal joint lesions, mortality, sneezing and undersized animals (indicator reliabilities 0.48–0.86).