Peer-reviewed veterinary case report
Forelimb lameness from infraspinatus tendon ossification
By Ungru, Julia et al.·Published in Tierarztliche Praxis. Ausgabe K, Kleintiere/Heimtiere·2018·View original on PubMed →
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Original publication title: Diagnosis and treatment of infraspinatus tendon-bursa ossification in a Eurasian Dog.
- Species:
- dog
Plain-English summary
A 4-year-old male Eurasian Dog was brought to the vet because he was limping in both front legs and in pain when pressure was applied to a specific tendon. Initial treatments like rest and anti-inflammatory medications didn't help, so the vet did imaging tests that revealed ossification (bone formation) in the tendon area. The dog was diagnosed with infraspinatus tendon-bursa ossification and chronic tendinopathy. After five months of physiotherapy and injections of autologous conditioned plasma (ACP), he no longer showed any signs of limping and was back to normal activity.
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Abstract
A 4-year-old male Eurasian Dog presented at our veterinary clinic with a history of perpetual forelimb lameness in both thoracic limbs. In the clinical exploration, direct pressure over the infraspinatus tendon of insertion caused pain in both thoracic forelimbs and a firm band-like structure was palpable. No improvement was observed after treatment with rest, non-steroidal anti-inflammatory drugs and an intralesional injection of a long-acting glucocorticoid. Radiographic examination, ultrasonographic exploration and computed tomography were performed, identifying ossified structures lateral to the proximal humerus and an irregular roughened periosteum at the insertion and tendon of the infraspinatus muscle on both sides. There were more distinct alterations on the right thoracic limb. The imaging results led to a diagnosis of an infraspinatus tendon-bursa ossification accompanied by a chronic tendinopathy/tendovaginitis, accentuated on the right side. The dog was subjected to physiotherapy and autologous conditioned plasma (ACP) was injected into the insertion of the infraspinatus muscle of both thoracic limbs. After 5 months of physiotherapy and two injections of ACP with an interval of one week in both forelimbs, the dog showed no signs of lameness. This case report describes the diagnosis and management of infraspinatus tendon-bursa ossification in a Eurasian Dog. To the authors' knowledge, this condition has previously not been described in this breed of dog.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/29727900/