Assessment of medial coronoid disease in 180 canine lame elbow joints: a sensitivity and specificity comparison of radiographic, computed tomographic and arthroscopic findings

Villamonte-Chevalier, A.; Bree, Henri van; Broeckx, Bart J. G.; Dingemanse, Walter; Soler, Marta; Ryssen, Bernadette Van; Gielen, Ingrid

doi:10.1186/s12917-015-0556-9

Cited by 30 publications

(58 citation statements)

References 38 publications

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“…Single fragmentation of the apex of the MCP constituted the most common lesions detected by CT and arthroscopy in the current study, which is consistent with a previous review of MCD in large‐breed dogs . This type of lesion was diagnosed in 43%‐47% of our diseased elbows regardless of the diagnostic modality, confirming the overall association between CT and arthroscopic lesions in dogs with MCD . Because arthroscopic lesions were identified in all elbows of our study, our results also confirm the excellent sensitivity of arthroscopy in the diagnosis of MCD and support its use as a gold standard in clinical studies …”

Section: Discussionsupporting

confidence: 91%

Radiographic, computed tomographic, and arthroscopic diagnosis of radioulnar incongruence in dogs with medial coronoid disease

et al. 2018

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Objective: To characterize radioulnar incongruence (RUI) in large dogs with medial coronoid disease (MCD) and determine the agreement between radiography, computed tomography (CT), and arthroscopy.Study design: Prospective observational case series.Animals: Twenty-four large-breed dogs under 3 years of age with confirmed MCD.Methods: MCD and incongruence were evaluated by radiographs and CT. RUI was measured along the ulnar commissure, mid-body, and apex of the medial coronoid process (MCP) by CT and arthroscopy. Joints with RUI 2 mm were considered incongruent. Variables recorded during arthroscopic treatment included type of MCD, RUI, and modified Outerbridge score. Agreement between the 3 diagnostic imaging techniques was evaluated, and the association between RUI and cartilage damage was analyzed.Results: Single fragmentation was the most common MCD according to CT and arthroscopy. RUI was associated with degenerative joint disease according to CT and with cartilage damage according to arthroscopy. RUI was diagnosed in 26% of elbows by radiography, in 35% of elbows by CT, in 78% of elbows according to CT measurements of RUI 2 mm, and in 57% of joints by arthroscopy. RUI was most commonly detected at the ulnar commissure with CT and at the apex of the MCP with arthroscopy. Imaging modalities were in poor to fair agreement with arthroscopy when evaluating RUI.Conclusion: CT and arthroscopy provided similar detection of MCD and cartilage disease but disagreed in the assessment and localization of RUI.Clinical significance: CT does not reliably predict arthroscopic assessment of RUI and associated treatment decisions for MCD.

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Section: Discussionsupporting

confidence: 91%

Radiographic, computed tomographic, and arthroscopic diagnosis of radioulnar incongruence in dogs with medial coronoid disease

et al. 2018

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“…Elbow dysplasia frequently affects dogs bilaterally and lameness may not always be obvious in the orthopaedic examination. Also, radiographic examination is not considered to be the gold standard tool for selecting healthy joints . Thus, some dogs enrolled in our study could have been affected by subclinical elbow joint pathology without any evidence of radiographic signs.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, some dogs enrolled in our study could have been affected by subclinical elbow joint pathology without any evidence of radiographic signs. Authors attempted to minimize this limitation by excluding cases with equivocal findings . Radiographic positioning was performed manually and therefore some obliquity variability between radiographic views could have occurred and introduced outside effects for our statistical analyses .…”

Section: Discussionmentioning

confidence: 99%

Radiographic assessment of humeroulnar congruity in a medium and a large breed of dog

Alves‐Pimenta

Colaço

Fernandes

et al. 2017

Vet Radiology Ultrasound

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Elbow joint incongruity is recognized as an important factor in the development, treatment, and prognosis of canine elbow dysplasia. Elbow incongruity has been measured based on radiographic joint space widths, however these values can be affected by the degree of elbow joint flexion. Recent studies have reported radiographic curvature radii as more precise measures of humeroulnar congruity in dogs. The aim of this prospective observational study was to describe radiographic curvature radii measured from flexed and extended elbow radiographs for a sample of dogs representing a medium breed (Portuguese Pointing Dog) and a large breed (Estrela Mountain Dog). The curvature radii from the ulnar trochlear notch and humeral trochlea were measured in 114 mediolateral elbow extended radiographic views (30 Portuguese Pointing Dog and 27 Estrela Mountain Dog), and 84 mediolateral flexed views (22 Portuguese Pointing Dog and 20 Estrela Mountain Dog). The sampled animals' ages ranged from 12 to 84 months (34.6 ± 17.8 months). Good agreement was observed between curvature radii measurements for flexed vs. extended views in both breed groups. Ulnar trochlear notch curvature radii measurements were greater than humeral trochlea curvature radii measurements in both breed groups. Both curvature radii were greater in the large-breed dog group vs. the medium-breed dog group. Both breed groups had ulnar and humeral curves with similar typology. However, the large breed group had greater intermediate differences between the humeroulnar surface curvature radii. Results from this study supported the use of curvature radii as measures of humeroulnar congruity in mediolateral flexed elbow radiographs of medium and large breed dogs.

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“…To confirm or rule out OA, three standard radiographic views of both elbow joints (a lateral extension, lateral flexion, and a 15° oblique craniomedial caudolateral) [24] were taken under sedation with dexmedetomidine 10–20 μg/kg (Dexdomitor, zoetis, Spain)from dogs belonging to both study and control groups. Additional standard radiographs of knee and hip joints were taken in order to ensure that elbow OA was the unique reason for the observed clinical signs.…”

Section: Methodsmentioning

confidence: 99%

“…The term medial coronoid disease (MCD) encompasses all pathologic changes of articular cartilage and subchondral bone involving the medial coronoid process of the elbow joint [23,24]. MCD is the most common cause of thoracic limb lameness in large and giant breed dogs [25], and MCD lesions have traditionally been evaluated radiographically [26–28].…”

Section: Introductionmentioning

confidence: 99%

Static Posturography: A New Perspective in the Assessment of Lameness in a Canine Model

et al. 2017

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The aim of this study was to assess the static posturography in dogs as a useful tool for diagnosis of lameness by means of the use of a pressure platform. For this purpose, a series of different parameters (pressure distribution, area of support, mean pressure, maximum pressure and statokinesiograms) were obtained from five lame dogs with unilateral elbow osteoarthritis treated with plasma rich in growth factors. Data were obtained before and 3 months after treatment, and results were compared with a control group of sound dogs of similar conformation. Significant differences were found in the above mentioned parameters between sound and lame limbs. Improvement after 3 months of treatment was also detected, demonstrating that this multi-parametric technique is an effective and reliable method for the assessment of lameness in dogs.

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Assessment of medial coronoid disease in 180 canine lame elbow joints: a sensitivity and specificity comparison of radiographic, computed tomographic and arthroscopic findings

Cited by 30 publications

References 38 publications

Radiographic, computed tomographic, and arthroscopic diagnosis of radioulnar incongruence in dogs with medial coronoid disease

Radiographic, computed tomographic, and arthroscopic diagnosis of radioulnar incongruence in dogs with medial coronoid disease

Radiographic assessment of humeroulnar congruity in a medium and a large breed of dog

Static Posturography: A New Perspective in the Assessment of Lameness in a Canine Model

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