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Peer-reviewed veterinary case report

Minimally invasive shoulder surgery for OCD in 164 dogs

By Vezzoni, Aldo et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2021·Clinica Veterinaria Vezzoni, Italy·View original on PubMed

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Original publication title: A Modification of the Cheli Craniolateral Approach for Minimally Invasive Treatment of Osteochondritis Dissecans of the Shoulder in Dogs: Description of the Technique and Outcome in 164 Cases.

Species:
dog

Plain-English summary

A group of 141 dogs with shoulder pain due to osteochondritis dissecans (OCD) underwent a new, less invasive surgical technique to treat the condition. This modified approach allowed the veterinarians to see and access the affected area without causing as much trauma as traditional methods. After surgery, the dogs showed good recovery, with many owners reporting improved mobility and reduced pain. This technique is a promising option for treating shoulder OCD in dogs, offering a reliable alternative to more invasive surgeries.

People also search for: dog shoulder pain treatment · minimally invasive surgery for dog OCD · osteochondritis dissecans in dogs · dog shoulder surgery recovery

Abstract

OBJECTIVE:  The aim of this study was to describe a novel minimally invasive surgical approach for the treatment of shoulder osteochondritis dissecans (OCD) in dogs and to retrospectively review our clinical cases treated with this approach. STUDY DESIGN:  The study describes a modification of Cheli surgical approach (1985), developed to reduce the degree of invasiveness as well as the incidence of postoperative complications observed in other surgical approaches to the shoulder joint. Medical records of dogs that underwent our minimally invasive approach to the scapulohumeral joint for treatment of OCD from May 2001 to May 2019 were retrospectively reviewed for intraoperative findings and complications. Clinical outcome and complications were also evaluated in the operated dogs with a minimum of a 2-month-follow-up evaluation. RESULTS:  A total of 164 shoulders in 141 dogs (23 bilateral), 103 males and 38 females, were examined and treated with our modified craniolateral approach for the treatment of OCD of the humeral head. In all cases, the modified craniolateral approach allowed visibility and adequate exposure of the caudal humeral head surface. Radiographic and clinical follow-up evaluations were available in 123/164 (75%) cases. The clinical outcome was consistent with other reports using different surgical approaches for OCD lesions of the humeral head in dogs. CLINICAL SIGNIFICANCE:  This technique provided a reliable approach for surgical treatment of canine shoulder OCD and can be considered a valid alternative to other surgical approaches including arthroscopy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33232983/