Elbow Flashcards
Elbow dysplasia is common in what size and breed of dogs?
Medium-large dogs
Labs, Rottweilers, Bernese mountain dog
Elbow dysplasia is an umbrella term covering 4 disease entities. What are they?
Fragmentation of medial aspect of coronoid process
OCD of medial humeral condyle
Ununited anconeal process
Elbow incongruity
What is elbow incongruency?
Incompatible bone lengths due to premature closure of growth plates
Causes short radius or short ulna
Which is more common in elbow incongruency - short ulnar or short radius?
Short ulnar
How is elbow incongruency treated?
Osteotomies
Medial coronoid disease can be due to genetics nutrition or biomechanics and may also be due to incongruency. Which sex is predisposed?
Males
Medial coronoid diseases requires what for diagnosis? Why?
CT
Requires cross sectional view to see fragment as superimposed
Medial coronoid disease can be treated by many surgeries or conservatively. give examples of conservative management
Analgesia Nutraceuticals weight control Hydro/physiotherapy Controlled xercise
Give examples of surgical salvage procedures for medial coronoid disease
Total elbow replacement
Elbow arthrodesis
What clinical signs are seen with OCD of the humeral condyle?
Lameness
Joint effusions
How is OCD of the humeral head treated?
Surgery - cartilage flap removal and debridement of subchondral bone
Other surgeries available
Ununited anconeal processes are usually unilateral. What breeds and sex are predisposed?
Males Bassett Hounds GSD Bernese Mountain Dogs Mastiffs
What is the treatment for ununited anconeal process?
Conservative if mild lameness and smaller breed
Surgical pin/anconeal process reattachment surgery, may require removal of anconeal if treatment failing
Joint effusions are seen with both OCD and ununited anconeal processes. Which one produces the larger effusion?
Ununited anconeal process
Which breeds are over-represented for incomplete ossification of the humeral condyle, humeral intercondylar fissures and humeral condylar fractures?
English Springer spaniel
French bulldog