Long-term evaluation of bicipital tenodesis with T-staple in three dogs: a case report

Abstract

ABSTRACT:The purpose of this report is to describe the T-staple tenodesis of biceps brachii in three client-owned dogs and long-term ultrasonographic follow-ups. The orthopaedic examination revealed grade 2/4 (n = 2) and 3/4 (n = 1) lameness, moderate pain on passive movement and positivity to the tendon biceps test with a complete extension of the elbow during the flexion of the shoulder (Cases 1 and 2). Ultrasound examination was crucial for diagnosis of partial or complete rupture and tenosynovitis of biceps tendon. Surgical tenodesis was carried out with a metal T-staple. One-year ultrasound follow-up was performed, confirming the correct integration of the staple on the bicipital fibres and the absence of macroscopic tendon injury or degenerative disease. The results suggest that the metal T-staple could be a good alternative for bicipital tenodesis in dogs.

Ultrasonographic and CT arthrography findings in two dogs with biceps brachii tendon avulsion

“…The stabilising function of the biceps brachii tendon remains controversial; therefore, management of biceps brachii tendon rupture varies among surgeons and includes medical treatment (non‐steroidal anti‐inflammatories or intra‐articular corticosteroid injection), tenotomy or tenodesis. Favourable long‐term outcome has been described for both surgical treatment options 4 5. Different modalities have been reported to investigate shoulder joint disorders and include radiography, conventional arthrography,6–8 ultrasonography,9 10 magnetic resonance,11 CT12 and arthroscopy 3 13 14.…”