Humero-anconeal incongruity theory

Question 1

Danielski VS 2022

Prospective controlled - dogs with HIF and without

Novel arthroscope port caudal to medial epicondyle and parallel to medial surface of AP

Answer 1

All HIF elbows
-Focal cartilage lesion caudal aspect of HUMERAL CONDYLE
-Humero-anconeal incongruity identified (lack of joint space at point of contact between tip of AP and humero-anconeal cartilage lesion)

May be a/w stress #

Question 2

Danielski VS 2024

Oblique PUO 51 Spaniels HIF
Interosseous lig disrupted completely
F/U measurement of HU of HIF

Answer 2

Oblique PUO results in healing and resolution of pain in 80%

640 -> 835 HU
Young dogs <14mo highest increase in HU

10% complication rate relating to PUO
12% major comlication
8% nonunion/lack of healing

Question 3

Danielski Animals 2023

PUO for bilateral HIF in Shetland

Answer 3

Postop CT confirmed healing and resolution of lameness