{"title":"Elbow Osteoarthritis Secondary to Adjacent Bone Remodeling and Fracture.","authors":"Kenneth A Johnson","doi":"10.1055/s-0044-1790529","DOIUrl":"10.1055/s-0044-1790529","url":null,"abstract":"","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":"37 5","pages":"v-vi"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johannes Maximilian Schmutterer, Peter Augat, Markus Greinwald, Andrea Meyer-Lindenberg
{"title":"Evaluation of Meniscal Load and Load Distribution in the Sound Canine Stifle at Different Angles of Flexion.","authors":"Johannes Maximilian Schmutterer, Peter Augat, Markus Greinwald, Andrea Meyer-Lindenberg","doi":"10.1055/s-0044-1782682","DOIUrl":"10.1055/s-0044-1782682","url":null,"abstract":"<p><strong>Objectives: </strong> The aim of the study was to investigate the contact mechanics and kinematic changes in the stifle in different standing angles.</p><p><strong>Study design: </strong> We performed a biomechanical <i>ex vivo</i> study using pairs of canine cadaver hindlimbs. Motion sensors were fixed to the tibia and the femur for kinematic data acquisition. Pressure mapping sensors were placed between the femur and both menisci. Thirty percent bodyweight was applied to the limbs with the stifle in 125, 135, or 145 degrees of extension.</p><p><strong>Results: </strong> Stifle flexion angle influences femoromeniscal contact mechanics significantly. The load on both menisci was significantly higher for 125 and 135 degrees in comparison to 145 degrees. Additionally, the center of force was located significantly more caudal when comparing 125 to 145 degrees in the medial meniscus as well as in both menisci combined.</p><p><strong>Conclusion: </strong> The angle of knee flexion significantly impacts the contact mechanics between the femur and the meniscus. As the knee flexes, the load on both menisci increases.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"230-235"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paula Lopez de la Oliva, Luke Arnott, Leonor Roses, William Marshall, Davinia Arnott
{"title":"Humeral Condylar Fractures in French Bulldogs: Prevalence of Contralateral Intracondylar Fissure, Treatment, and Outcome.","authors":"Paula Lopez de la Oliva, Luke Arnott, Leonor Roses, William Marshall, Davinia Arnott","doi":"10.1055/s-0044-1785446","DOIUrl":"10.1055/s-0044-1785446","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to report (1) the prevalence of contralateral humeral intracondylar GAP/HIF (HIF) in French Bulldogs with humeral condylar fractures (HCF) and (2) treatment and short- and long-term outcome in French Bulldogs with HCF.</p><p><strong>Materials and methods: </strong> Medical records of French Bulldogs treated surgically for HCF between January 2011 and November 2022 were reviewed. Perioperative imaging, surgical technique, complications, and long-term outcome were assessed.</p><p><strong>Results: </strong> Eighty-nine dogs with HCF were included and 36/89 were diagnosed with HIF. Surgical repair was performed in all HCF and a prophylactic transcondylar screw was placed in 20/36 HIF. For prophylactic transcondylar screw placement, two dogs required immediate revision surgery. Complications occurred in 12/89 HCF, and there were major complications in 6/89 HCF. Long-term outcome evaluated by owner questionnaire (<i>n</i> = 27) was rated as being excellent in 18/27 dogs, good in 8/27 dogs, and fair in 1/27 dogs.</p><p><strong>Clinical significance: </strong> Forty percent of French Bulldogs with HCF had a contralateral HIF. HIF as a cause of HCF should be considered in the French Bulldog, and a computed tomography (CT) scan of both elbows may be advisable prior to HCF repair. The complication rate of HCF surgery in the French Bulldog is significant.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"236-242"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca L Jones, Andrew W Tomlinson, Duncan M Barnes, Rebecca S Hood, Jamie P McClement, Daniel M Ogden, Mark A Owen, Jeremy R Onyett, Myles B Walton
{"title":"Clinical Assessment of a Lateral Epicondylar Anatomical Plate for the Stabilization of Humeral Condylar Fractures in Dogs.","authors":"Rebecca L Jones, Andrew W Tomlinson, Duncan M Barnes, Rebecca S Hood, Jamie P McClement, Daniel M Ogden, Mark A Owen, Jeremy R Onyett, Myles B Walton","doi":"10.1055/s-0044-1786181","DOIUrl":"10.1055/s-0044-1786181","url":null,"abstract":"<p><strong>Objective: </strong> To report the use of a Lateral Epicondylar Anatomical Plate for the management of humeral condylar fractures (HCF) in dogs.</p><p><strong>Study design: </strong> Medical records of dogs with HCF stabilized using the Lateral Epicondylar Anatomical Plate at six UK veterinary referral centres between April 2018 and February 2021 were reviewed. Long-term follow-up (>6 months) was obtained via owner questionnaire, which incorporated the Liverpool Osteoarthritis in Dogs clinical metrology instrument.</p><p><strong>Results: </strong> Sixty-two HCF were treated in 61 dogs (44 lateral condylar fractures [LCF] and 18 intracondylar (T/Y) fractures [ICF]). Fifty-one dogs were Spaniels or Spaniel crossbreeds. Intraoperative contouring of the plate was required for one dog-a French Bulldog. Postoperative complications occurred in 14/42 LCF and 6/18 ICF; overall there were 14 minor, 8 major, and 2 catastrophic complications. On final follow-up imaging, there was evidence of partial or complete osseous continuity of the condylar part of the fracture 32/53 HCF (24/39 LCF and 8/14 ICF) and lateral epicondylar part of the fracture in 53/53 HCF (39/39 LCF and 14/14 ICF). At final reexamination, 20/28 dogs with LCF and 5/13 dogs with ICF were not lame and the remaining dogs demonstrated mild lameness. According to the owner questionnaire, 17/17 dogs with LCF and 8/10 dogs with ICF returned to full limb use and median Liverpool Osteoarthritis in Dogs scores were 2/52 for LCF and 6.5/52 for ICF.</p><p><strong>Conclusion: </strong> The Lateral Epicondylar Anatomical Plate can be used successfully for the surgical stabilization of HCF in dogs.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"243-250"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luke F Ellis, Arthur K House, Kiyoko Shimura, Mika Frances
{"title":"Comparison of Hounsfield Units within the Humeral Trochlea and Medial Coronoid Process in a Population of Labrador X Golden Retriever Guide Dogs and Border Collies.","authors":"Luke F Ellis, Arthur K House, Kiyoko Shimura, Mika Frances","doi":"10.1055/s-0043-1778631","DOIUrl":"10.1055/s-0043-1778631","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to determine if variations in Hounsfield units (HU) are present within the elbow between asymptomatic dogs of two breeds of dogs susceptible to elbow dysplasia.</p><p><strong>Study design: </strong> Guide Dogs and Border Collies that presented for routine computed tomography (CT) screening for elbow dysplasia prior to breeding were evaluated. All dogs had no documented history of lameness. Dogs diagnosed with CT as being free of elbow dysplasia were included. The CT images were randomized and assessed by three blinded observers. A standardised approach to CT image reconstruction to create consistent image planes was used. Hounsfield units were measured within a standardised region of interest (ROI) at the humeral trochlea and medial coronoid process. The minimum, mean and maximum HU within each ROI was recorded.</p><p><strong>Results: </strong> Eighty-six elbows were included in the study with 32 Guide Dogs, and 11 Border Collies. Guide Dogs had significantly higher minimum (99.75 HU, 95% confidence interval [CI]: 15.02-184.48, <i>p</i> = 0.022), mean (115.09 HU, 95% CI: 80.53-149.64, <i>p</i> < 0.01) and maximum (74.00 HU, 95% CI: 44.58-103.42, <i>p</i> < 0.01) difference in HU within the medial coronoid process ROI, and significantly higher mean (146.49 HU, 95% CI: 100.12-192.87, <i>p</i> < 0.01) and maximum (147.77 HU, 95% CI: 102.57-192.97, <i>p</i> < 0.01) difference in HU within the humeral trochlea ROI.</p><p><strong>Conclusion: </strong> In this dataset breed variations in elbow HU were present between asymptomatic Guide Dogs and Border Collies. This needs to be considered in breeding screening programmes to avoid over-interpretation of elbow sclerosis, in the absence of elbow pathology.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"223-229"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stress Changes in the Canine Radius after Locking Plate Fixation Using Finite Element Analysis.","authors":"Norihiro Muroi, Sawako Murakami, Nobuo Kanno, Yasuji Harada, Yasushi Hara","doi":"10.1055/s-0044-1782194","DOIUrl":"10.1055/s-0044-1782194","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to evaluate the stress changes in the radii beneath the locking plates (LP) of dogs implanted with LP using finite element analysis (FEA).</p><p><strong>Study design: </strong> The study included radii harvested from eight dogs. After computed tomography (CT) scans of the forelimb, the articular surface of the radius was fixed using resin. Material tests were conducted to identify the yield and fracture points and for verification with FEA. The CT data of the radius were imported into FEA software. The radii were classified into three groups based on the placement of the LP (nonplate placement, intact group; 1 mm above the radial surface, LP + 1 mm group; 3 mm above the radial surface, LP + 3 mm group). Equivalent, maximum, and minimum principal stresses and minimum principal strain were measured after FEA at the radial diaphysis beneath the plate.</p><p><strong>Results: </strong> In shell elements, the LP + 1 mm and LP + 3 mm groups showed a significantly lower maximum principal stress compared with the intact group. In solid elements, the LP + 1 mm and LP + 3 mm groups showed a significantly higher equivalent stress and a significantly lower maximum principal stress compared with the intact group.</p><p><strong>Conclusion: </strong> When an axial load is applied to the radius, LP placement reduces the tension stress on the cortical bone of the radius beneath the plate, possibly related to implant-induced osteoporosis and bone formation in the cortical bone beneath the plate.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"213-222"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oliver Anderson, Sophie Martin, Darren Carwardine, Kevin Parsons
{"title":"Permanent Iatrogenic Fibular Nerve Injury following Tibial Plateau Levelling Osteotomy.","authors":"Oliver Anderson, Sophie Martin, Darren Carwardine, Kevin Parsons","doi":"10.1055/s-0044-1782240","DOIUrl":"10.1055/s-0044-1782240","url":null,"abstract":"<p><p>The aim of this study was to describe three dogs with permanent fibular nerve injury following tibial plateau levelling osteotomy (TPLO). Fibular nerve injury following TPLO led to atrophy of the cranial tibial muscle, absent hock flexion and a mild lameness. Fibular nerve injury was confirmed in one case with electrodiagnostics. All three cases had a drill tract in the same location, on the caudal aspect of the tibia, immediately distal to the tibial osteotomy. Permanent fibular nerve injury following TPLO occurred with a more caudally positioned plate and care should be taken when drilling the tibia from medial to lateral in the region described. Careful gait assessment at routine follow-up was required to identify this complication.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"251-255"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ed Crystal, Alice Brettle, Thomas W Maddox, Dan Jones, Myles Benjamin Walton
{"title":"Effect of Medial Opening Wedge and External Rotational Humeral Osteotomies on Medial Elbow Compartment Pressure: An Ex Vivo Study.","authors":"Ed Crystal, Alice Brettle, Thomas W Maddox, Dan Jones, Myles Benjamin Walton","doi":"10.1055/s-0044-1779711","DOIUrl":"10.1055/s-0044-1779711","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to assess if the level of osteotomy (50 or 75% the length of the humerus), osteotomy angle (5, 10, or 20 degrees), direction of bone alteration (external rotational or medial opening wedge osteotomies), or orientation of osteotomy (perpendicular to the humeral long axis or perpendicular to the weight-bearing axis of the limb) affect pressure through the medial compartment of the elbow.</p><p><strong>Study design: </strong> Humeral osteotomies were performed at 50 and 75% the length of the humerus on 12 canine cadaver thoracic limbs and patient-specific three-dimensional (3D) printed plates applied to induce the desired alteration. Sensors were placed into the medial and lateral aspects of the elbow joint and the limb compressed to 90 N in a universal testing system.</p><p><strong>Results: </strong> Increasing the angle of the induced change had a significant effect on the decreased load through the medial compartment. Performing the osteotomy at 75% of humeral length from proximal was significantly more effective at reducing the medial elbow load than performing it at 50%. Opening wedge osteotomies were more effective than external rotational osteotomies, but both were effective. Changing the direction of the osteotomy (comparing transverse to oblique) did not significantly affect the load reduction through the medial compartment.</p><p><strong>Conclusion: </strong> Performing an osteotomy at a more distal location along the humerus and increasing the angle of the induced change increased the effectiveness of load-shifting humeral osteotomies.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"196-205"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Canine Shoulder Arthroscopy for Anatomical and Safety Considerations.","authors":"Emily J Kennedy, Kayla M Corriveau, Ray Wilhite","doi":"10.1055/s-0044-1779497","DOIUrl":"10.1055/s-0044-1779497","url":null,"abstract":"<p><strong>Introduction: </strong> Arthroscopy is a well-established diagnostic modality for various orthopaedic conditions in veterinary medicine. The aim of this study was to describe the relationship of canine shoulder arthroscopy portals to major muscular, ligamentous, and neurovascular structures for anatomical and safety considerations.</p><p><strong>Materials and methods: </strong> Arthroscopic exploration of 20 adult canine cadaver shoulders was performed. Each shoulder region was dissected layer by layer to the level of the joint. Musculotendinous, ligamentous, and cartilaginous lesions were documented. The distance was measured from each portal to neurovascular structures encountered.</p><p><strong>Results: </strong> Muscular lesions included the deltoideus, cleidobrachialis, omotransversarius, supraspinatus, infraspinatus, and teres minor muscles. The neurovascular structures identified were the omobrachial vein, the caudal circumflex humeral artery, axillobrachial vein, and branches of the axillary nerve. Lesions to the lateral glenohumeral ligament were noted from the caudal instrument portal and the middle arthroscope portal. Iatrogenic articular cartilage injuries were identified on the caudal humeral head and the glenoid.</p><p><strong>Conclusion: </strong> This study supports the safety of lateral shoulder arthroscopy in dogs. Most local neurovascular structures are unaffected with traditional scope portal positions. Musculotendinous lesions are unavoidable due to the extensive muscling surrounding the shoulder but are unlikely to cause severe complications postoperatively.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"181-188"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-Term Outcome and Complications after Transcondylar Screw Placement for Canine Humeral Intracondylar Fissure.","authors":"Daniel Low, Victoria Hutchings, Scott Rutherford","doi":"10.1055/s-0043-1777808","DOIUrl":"10.1055/s-0043-1777808","url":null,"abstract":"<p><strong>Objective: </strong> The aim of this study was to report postoperative complications and long-term outcomes following transcondylar screw placement for humeral intracondylar fissure (HIF).</p><p><strong>Study design: </strong> It was a retrospective single-centre case series. Medical records (2018-2022) were reviewed for dogs with HIF treated with transcondylar screw placement. Data collected included signalment, concurrent orthopaedic disease, partial or complete HIF, surgeon, surgical approach, surgical technique and implant type, transcondylar screw angulation, postoperative complications and outcomes. Long-term outcome was assessed with owner questionnaire, orthopaedic examination and follow-up radiography. Statistical analysis was performed to identify risk factors predisposing to a complication or a poor outcome.</p><p><strong>Results: </strong> Forty-seven dogs (57 elbows) met the inclusion criteria; long-term follow-up was available in 41 dogs (50 elbows). Minor and major medical complications were noted in seven and three elbows respectively. The total complication rate was 17.5%. Increasing age was significantly associated with a reduced risk of postoperative complications (<i>p</i> = 0.0051). No other risk factors were identified. A postoperative complication was not associated with a less than full outcome (<i>p</i> = 0.5698).</p><p><strong>Conclusion: </strong> Transcondylar screw placement for HIF is associated with a low complication rate and good outcome.</p>","PeriodicalId":51204,"journal":{"name":"Veterinary and Comparative Orthopaedics and Traumatology","volume":" ","pages":"206-212"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}