Peer-reviewed veterinary case report
Best ways to diagnose medial coronoid disease in dogs' elbows
By Hersh-Boyle, Rebecca A et al.·Published in Veterinary surgery : VS·2021·William R Prichard Veterinary Medical Teaching Hospital, United States·View original on PubMed →
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Original publication title: Comparison of needle arthroscopy, traditional arthroscopy, and computed tomography for the evaluation of medial coronoid disease in the canine elbow.
- Species:
- dog
Plain-English summary
A group of dogs with elbow problems were evaluated for a condition called medial coronoid disease, which can cause pain and lameness. The veterinarians used different imaging techniques, including needle arthroscopy, traditional arthroscopy, and CT scans, to see which method was best at identifying issues in the elbow. They found that while all methods could detect certain problems, traditional arthroscopy was better at spotting fragments of bone compared to the other techniques. This information can help vets choose the best diagnostic tool for dogs with elbow dysplasia.
People also search for: dog elbow pain diagnosis · medial coronoid disease treatment · dog elbow dysplasia imaging
Abstract
OBJECTIVE: To evaluate the diagnostic value of still images of needle arthroscopy (SNAR), still images of traditional arthroscopy (STAR), and computed tomography (CT) to diagnose medial coronoid process (MCP) pathology. STUDY DESIGN: Prospective clinical trial. ANIMALS: Dogs (n = 17) presented for evaluation of elbow dysplasia. METHODS: For each case, two SNAR and STAR images of the MCP were reviewed independently and in random order by three board-certified surgeons. Computed tomographic images were reviewed by one board-certified radiologist. Reviewers were blinded to surgical and clinical findings. Surgical findings from real-time TAR with palpation were used as the gold standard. Receiver operating characteristic (ROC) curves and concordance statistics tests for the diagnostic accuracy of MCP fissure, MCP fragment, medial compartment condition, and cartilage score were calculated. RESULTS: Images of 27 elbows joints were reviewed. For MCP fissure detection, areas under the ROC curves for CT (0.84), STAR (0.73), and SNAR (0.57) did not differ. For the detection of MCP fragment, STAR had a larger area under the ROC curve (0.93) compared with SNAR (0.74, P = .015) and CT (0.54, P < .001). Still images of TAR and SNAR had comparable concordance for cartilage score (0.80 and 0.77, respectively) and medial compartment pathology (0.80 and 0.73, respectively). CONCLUSION: Still images of NAR, STAR, and CT had similar diagnostic value to identify MCP fissures. Still images of TAR was superior to SNAR and CT to identify MCP fragments. CLINICAL SIGNIFICANCE: The diagnostic accuracy of SNAR varied on the basis of the coronoid lesion being evaluated.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33576043/