Peer-reviewed veterinary case report
How X-rays after surgery help treat young dogs with broken elbow bones
By Karydas, Stavros et al.·Published in Veterinary surgery : VS·2025·The Ralph Veterinary Referral Center, United Kingdom·View original on PubMed →
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Original publication title: Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs.
- Species:
- dog
Plain-English summary
A group of 139 young dogs under 12 months old that had surgery for a fractured humeral condyle (a part of the elbow) were studied to see if follow-up X-rays changed their treatment plans. It turned out that only 17% of these dogs needed a change in their care after surgery, and this was mostly due to owner concerns, ongoing pain, lameness, or other clinical issues rather than the X-ray results themselves. This suggests that if the dog is recovering well and there are no concerns from the owner, follow-up X-rays may not be necessary.
People also search for: dog elbow fracture recovery · puppy surgery follow-up care · humeral condyle fracture treatment
Abstract
OBJECTIVE: To evaluate the impact of postoperative radiographs on treatment decisions for skeletally immature dogs undergoing repair of a fractured humeral condyle. STUDY DESIGN: Retrospective observational multicenter study. SAMPLE POPULATION: A total of 139 dogs (<12 months of age). METHODS: Medical records of dogs who underwent humeral condylar fracture repair were retrieved and analyzed. Data collected included dog's signalment, fixation method, reported client's concerns, follow-up clinical examination findings, radiographic assessment, and any documented changes to the postoperative plan. RESULTS: Out of the 139 cases, 23 dogs (17%) required a change in their postoperative plan. Owner concerns (OR: 7.6), prolonged use of analgesic drugs (OR: 7.9), presence of lameness (OR: 5.9), abnormal clinical findings at the time of follow-up examination (OR: 44.8) and radiographic abnormalities (OR: 51.9) significantly increased the likelihood of a change in the postoperative plan. Most importantly, none of these postoperative plan changes were solely attributed to radiographic abnormalities at the time of the follow-up examination. CONCLUSION: Follow-up radiographs did not influence the postoperative management plan in cases where clients reported no concerns, the dogs did not require prolonged analgesic treatment, showed no lameness on examination, and had unremarkable clinical findings CLINICAL SIGNIFICANCE: In the absence of client concerns, prolonged use of analgesic drugs, lameness on examination, and clinical abnormalities, the necessity of follow-up radiographs in immature dogs that underwent humeral condylar fracture repair is debatable.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39698964/