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Peer-reviewed veterinary case report

Dog with left front leg tendon pain helped by steroid elbow injection

By Kim, Hyunsoo et al.·Published in Veterinary medicine and science·2023·Department of Veterinary Clinical Sciences, South Korea·View original on PubMed

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Original publication title: Insertional biceps tendinopathy palliated successfully with intra-articular triamcinolone acetonide injection in a dog: A case report.

Species:
dog

Plain-English summary

A 6-year-old spayed female Chihuahua was brought in for limping on her left front leg, which had been bothering her for three months. After examining her, the vet found that she had pain in her elbow and issues with her biceps tendon, confirmed by imaging tests. To help her, the vet injected a combination of triamcinolone acetonide (a steroid) and hyaluronic acid into her elbow joint. After the first injection, her pain and ability to move improved significantly, and she received a second injection three months later due to mild lameness returning. Following this treatment, she showed no further signs of lameness during follow-up.

People also search for: Chihuahua limping treatment · dog elbow pain injection · triamcinolone for dogs

Abstract

This report describes a dog diagnosed with insertional biceps tendinopathy that was palliated with intra-articular triamcinolone acetonide injections. The patient was a 6-year-old spayed female Chihuahua dog that had left thoracic limb lameness for 3 months before presentation. On physical examination, moderate pain was elicited by performing the biceps test and isolated full elbow extension on the left thoracic limb. Gait analysis showed asymmetrical peak vertical force and vertical impulse between thoracic limbs. Computed tomography (CT) revealed enthesophyte formation on the ulnar tuberosity of the left elbow joint. Ultrasonography showed a heterogeneous fibre pattern at the biceps tendon insertion site on the left elbow joint. These findings confirmed insertional biceps tendinopathy based on physical examination, CT and ultrasonography results. The dog received an intra-articular triamcinolone acetonide injection with hyaluronic acid in the left elbow joint. Clinical signs improved after the first injection, including a range of motion, pain and gait. A second injection was given in the same manner because of recurring mild lameness 3 months later. No clinical signs were observed during the follow-up period.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37327466/