Peer-reviewed veterinary case report
CT scans show how fully dog elbow bone disease is cleaned by surgery
By Renner, Carina & Medl, Nikola·Published in The Veterinary record·2022·AniCura Kleintierklinik Babenhausen GmbH, Germany·View original on PubMed →
PetCaseFinder translated the abstract of this peer-reviewed paper into plain English so pet owners can read it. We do not publish original research — every detail traces back to the citation above. How we work →
Original publication title: Computed tomographic assessment of the completeness of arthroscopic subtotal coronoidectomy in dogs with medial coronoid disease.
- Species:
- dog
Plain-English summary
An 8-year-old Labrador was diagnosed with medial coronoid disease, which caused pain and limited movement in his elbow. He underwent a surgical procedure called arthroscopic subtotal coronoidectomy to remove the damaged tissue. After the surgery, scans showed that while most of the problematic tissue was removed, some remnants were still present, particularly in areas associated with additional lesions. The findings suggest that careful examination during surgery is crucial to ensure all affected areas are treated effectively.
People also search for: dog elbow pain surgery · medial coronoid disease treatment · Labrador elbow surgery recovery
Abstract
BACKGROUND: Until recent years, arthroscopic subtotal coronoidectomy has been the universally accepted treatment for medial coronoid disease but has variable clinical outcomes. The aim of this study was to evaluate the completeness of arthroscopic medial coronoid debridement and to detect the most vulnerable location of failure. METHODS: Eighty-three dogs with a diagnosis of medial coronoid disease were included in the study. Arthroscopic debridement was performed in 92 elbow joints, and the completeness of removal was assessed by postoperative computed tomography scans. RESULTS: Pathological changes were confined to the coronoid apex in 92/92 (100%) of cases and combined with radial incisure lesions in 39/92 (42%). Apical lesions were completely removed in 66/92 (72%) of cases and radial incisure lesions in 2/39 (5%). Bony remnants were detected at the apex (46%) and base (24%) of the medial coronoid process, free within the elbow joint (9%), and/or within the instrument port (84%). Fissures were positively associated with the occurrence of bony remnants (p = 0.038) and a 37% higher probability of incomplete removal of radial incisure lesions (p = 0.001). CONCLUSION: In this study, incomplete removal was more likely to occur in the presence of radial incisure lesions. Thorough assessment of this region during arthroscopy is strongly recommended.
Find similar cases for your pet
PetCaseFinder finds other peer-reviewed reports of pets with the same symptoms, plus a plain-English summary of what was tried across them.
Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34743341/