Short‐ and Long‐Term Outcomes After Arthroscopic Treatment of Young Large Breed Dogs With Medial Compartment Disease of the Elbow

Barthélémy, Nicolas; Griffon, Dominique J.; Ragetly, Guillaume; Carrera, Inés; Schaeffer, David J.

doi:10.1111/j.1532-950x.2014.12255.x

Cited by 24 publications

(34 citation statements)

References 37 publications

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“…Determining the agreement between the severity of cartilage damage assessed on radiographs, CT, and arthroscopy was beyond the scope of this study. However, we have previously reported a moderate agreement between radiographic evidence of subchondral bone sclerosis and severity of Outerbridge scores in a subset of the population reported here . Others have confirmed the relationship between radiographic or CT signs of elbow osteoarthritis and arthroscopic evidence of cartilage pathology .…”

Section: Discussionsupporting

confidence: 71%

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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: 71%

“…Arthroscopic RUI was detected in only 6 of 21 (about 29%) joints at the level of the commissure, reducing the indications for dynamic osteotomies compared with quantitative CT assessment. Evaluation of postoperative outcomes was beyond the scope of this study but has been reported on a subset of this population in a separate article …”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…It is not clear whether osteoarthritis was the cause of the elbow lameness after the first treatment or whether osteoarthritis was a consequence of the problem that caused a negative outcome. Progression of radiographic osteoarthritis has also been described in joints with a good clinical outcome after arthroscopic treatment . A large longitudinal study, including CT and arthroscopic findings, comparing treated joints with and without favorable outcomes might answer this question.…”

Section: Discussionmentioning

confidence: 99%

“…,30 A large longitudinal study, including CT and arthroscopic findings, comparing treated joints with and without favorable outcomesVeterinary Surgery 45 (2016) 246-253 © Copyright 2016 by The American College of Veterinary Surgeons might answer this question. Radiography is insufficient to diagnose coronoid lesions because of superimposition of joint structures.…”

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confidence: 99%

Arthroscopic, Computed Tomography, and Radiographic Findings in 25 Dogs With Lameness After Arthroscopic Treatment of Medial Coronoid Disease

et al. 2016

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“…Elbow dysplasia is an important cause of forelimb lameness in large breed dogs (Fitzpatrick et al, 2009a; Michelsen, 2013; Barthélémy et al, 2014). The elbow cartilage damage (Fitzpatrick et al, 2009;Michelsen, 2013;Barthélémy et al, 2014).…”

Section: A Introductionmentioning

confidence: 99%

Artroscopische bevindingen bij 84 caniene ellebogen met erosie van het mediale gewrichtscompartiment

Coppieters¹,

Bakker²,

Broeckx³

et al. 2018

Vlaams Diergeneeskundig Tijdschrift

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Elbow dysplasia is an important cause of forelimb lameness in large breed dogs. The aim of this study was to report on the arthroscopic findings associated with medial compartment erosion (MCE) of the canine elbow joint. Retrospectively, records of 84 elbow joints from 66 dogs diagnosed arthroscopically with MCE were retrieved from a medical records database (2008 - 2012). The radiographic degree of osteoarthritis was determined. Arthroscopic images and videos were evaluated in detail. In nine joints (10.7%), MCE was the only pathological finding (= group 1). Group 2 (n = 50, 59.5%) consisted of elbows with MCE concomitant with medial coronoid process (MCP) pathology. In group 3 (n = 25 joints, 29.8%), MCE was diagnosed during a second- look arthroscopy in dogs presented with lameness after arthroscopic treatment for medial coronoid disease. There was a significant age difference (p < 0.001) between the groups, with dogs in group 1 being the oldest. Complete erosion of the medial compartment was most commonly found in group 1, whereas focal cartilage erosion was mostly identified in group 2. Overall, additional cartilage pathology of the lateral part of the humeral condyle and/or the radial head was recognized in 58.3% of the joints (49/84).

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Short‐ and Long‐Term Outcomes After Arthroscopic Treatment of Young Large Breed Dogs With Medial Compartment Disease of the Elbow

Cited by 24 publications

References 37 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

Arthroscopic, Computed Tomography, and Radiographic Findings in 25 Dogs With Lameness After Arthroscopic Treatment of Medial Coronoid Disease

Artroscopische bevindingen bij 84 caniene ellebogen met erosie van het mediale gewrichtscompartiment

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