Peer-reviewed veterinary case report
Ultrasound accuracy for detecting elbow bone fragments in dogs
By Seyrek-Intas, Deniz et al.·Published in Journal of the American Veterinary Medical Association·2009·Department of Veterinary Clinical Sciences, Germany·View original on PubMed →
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Original publication title: Accuracy of ultrasonography in detecting fragmentation of the medial coronoid process in dogs.
- Species:
- dog
Plain-English summary
A group of 102 dogs suspected of having a problem with the elbow joint called fragmentation of the medial coronoid process (FMCP) underwent ultrasound exams before surgery. The ultrasound was not very effective, as it missed many cases where fragments were actually found during surgery. In fact, it failed to detect free fragments in 45% of the joints that had them and missed 91% of nondisplaced fragments. Overall, the study found that ultrasound was not a reliable tool for diagnosing this specific elbow issue in dogs.
People also search for: dog elbow joint pain · ultrasound for dog elbow problems · medial coronoid process fragmentation in dogs
Abstract
OBJECTIVE: To determine the accuracy of ultrasonography in detecting fragmentation of the medial coronoid process (FMCP) in dogs. DESIGN: Cross-sectional study. ANIMALS: 102 dogs (112 elbow joints) suspected to have FMCP. PROCEDURES: Elbows were examined ultrasonographically prior to surgery for evidence of fragmentation, fissuring, or deformation of the medial coronoid process; thickening of the joint capsule; joint effusion; and secondary new bone formation. Results were compared with intraoperative findings. RESULTS: At surgery, 51 (46%) joints had free fragments, 55 (49%) had nondisplaced fragments, and 6 (5%) did not have any fragments or fissures. Fragments were not seen ultrasonographically in 23 of the 51 (45%) joints in which a free fragment was found during surgery or in 50 of the 55 (91%) joints in which a nondisplaced fragment was found during surgery. Accuracy of using ultrasonographic evidence of any medial coronoid process abnormality (ie, a medial coronoid process fragment, deformation of the medial coronoid process, or both) for diagnosis of medial coronoid process fragmentation was 77%. The kappa coefficient for the level of agreement between ultrasonographic (ie, any medial coronoid process abnormality) and surgical findings was -0.014, indicating that there was no agreement. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that ultrasonography was of limited diagnostic value in detecting FMCP in dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19222356/