ABSTRACT:A five-year-old dog was referred with a five-month history of lethargy, decreased appetite, cough and intermittent forelimb lameness. Radiographs revealed an intra-thoracic lesion and a marked periosteal bone apposition of the second digit on the left forelimb. As it was palisading and circumferential, the latter appeared typical of hypertrophic osteopathy (HO). A grass awn in a sub-lobar ramification of the right caudal bronchus was identified and removed by bronchoscopy. At three months follow-up, the digit appeared clinically normal. On radiographs the periosteal bone reaction had decreased, indicative of resolving hypertrophic osteopathy. Thoracic radiographs showed no abnormalities five months after foreign body removal and the bone lesion on the digit had disappeared. Successful treatment of the pulmonary foreign body abscess led to spontaneous regression of HO and eventually to complete resolution of clinical signs. To the authors' knowledge, this is the first reported case of HO secondary to a bronchial-pulmonary grass an abscess.Keywords: hypertrophic osteopathy; grass awn; foreign body; dog Hypertrophic osteopathy (HO) is an uncommon disorder characterised by a painful periosteal reaction and oedematous soft tissue swelling of the limbs usually associated with intrathoracic disease (Dunn et al. 2007). Radiographically, HO is characterised by new periosteal bone formation starting in the digits and extending toward the axial skeleton (Caywood et al. 1985;Dunn et al. 2007).Broncho-pulmonary inflammatory diseases such as abscesses rarely cause HO (Caywood et al. 1985). On the other hand, pyogranulomatous inflammation or abscessation in various body sites due to migration of grass awns, also referred to as "grass awn disease" is a rather common occurrence in Italy (Brennan and Ihrke 1983; Lotti and Niebauer 1992). The characteristic barbed shape of Hordeum spp. explains their tendency toward tissue migration. The most commonly affected sites include the external ear canal, the interdigital area, the nasal cavity and the third eyelid. There is also a relatively high incidence of intra-thoracic abscessation caused by awn inhalation followed by long-lasting broncho-pleural migration. Despite the fact that such chronic intra-thoracic foreign body abscesses may be seen relatively often in endemic areas an association with HO has not been described (Lotti and Niebauer 1992).We hereby report a case of HO secondary to bronchial grass awn inhalation, its successful treatment by bronchoscopic extraction and the ensuing spontaneous regression of HO. Case descriptionA five-year-old, male, German Shepherd dog, weighing 41 kg was referred with a five-month history of lethargy, decreased appetite, cough and intermittent forelimb lameness. A progressively increasing firm swelling of the distal thoracic extremities had developed over the course of the last five months. For one week before presentation the dog was treated with antibiotics and corticosteroids (enrofloxacine 5 mg/kg orally once a day and prednisone 0...
A 20-month-old male Rottweiler dog was presented with the complaint of chronic right forelimb lameness that was unresponsive to conservative treatment. Physical examination allowed for the topographical identification of the source of the problem as a firm enlargement of the soft tissues that was partially movable from humeral bone and compatible with an alteration of the triceps brachii muscle. Radiographic images showed signs that were highly suggestive of myositis ossificans. Computed tomography allowed for a more accurate characterization of the lesion, to exclude involvement of the elbow joint and humeral bone, and to localize anatomically the lesion in the caput accessorium and longum of the triceps brachii muscle. Surgical excision of the ossified portion of the triceps muscle was performed. Histological examination of the excised tissue substantiated the diagnosis of myositis ossificans. A one year clinical and radiographic follow-up examination showed a complete recovery, with no evidence of complications or recurrence. Despite myositis ossificans in dogs having previously been identified in the hindlimbs, this case of myositis ossificans circumscripta of the triceps muscle suggests that it may also occur in the muscles of the forelimb.
Background: The present study aims to analyse the in vivo behaviour of nanohydroxyapatite and to assess its regenerative capacity in dogs affected by periodontal disease. Methods and findings: The dogs employed in the study were randomly subdivided into a control group and an experimental group. After clinical, instrumental and radiological examinations, all the subjects underwent dental prophylaxis and a bioptic sample was taken. A histopathological examination of the periodontal tissues, in correspondence to teeth with periodontopathy ranging between stages 2 and 3, followed. Regenerative therapy with applications of nanohydroxyapatite was administered only to the dogs of the experimental group. After a period of between 35 and 40 days, a further clinical, instrumental and radiological examination was carried out and a bioptic sample taken solely on the dogs whose histological examinations showed changes ascribable to periodontal disease. The results of the histopathological examination demonstrated that only the dogs in the experimental group, who underwent dental prophylaxis together with the administration of nanohydroxyapatite, showed clear signs of improvement with respect to their initial condition. Conclusions: In conclusion the study demonstrated that the nanohydroxyapatite represents a valid osteoconductive and osteoinductive graft product and confirmed its regenerative potential in periodontal therapy in dogs.
Objectives: To assess the value of the intra-articular Wallace distractor in stifle arthroscopy in the dog. Methods-Ex-vivo study: ten cadaver limbs of dogs were used to explore the stifle joints by arthroscopy each once without and once with the aid of a Wallace distractor. Radiographs and observational data were used to assess the degree of joint distraction and to evaluate any collateral intra-articular damages. In vivo study: distractor-assisted arthroscopy was thereafter performed in 12 consecutive clinical cases of dogs with cranial cruciate ligament rupture. The use of the Wallace distractor, clinical setting, time to complete joint evaluation were recorded. Results: In the cadaver study, radiographic findings showed a significant increase of the joint space after the insertion of the distractor. Visual range during arthroscopy employing the Wallace distractor increased substantially and facilitated the assessment of all visible intra-articular structures. Mean time to evaluate the femoropatellar space was 4,1 minutes, to observe cruciate ligaments 6,5 minutes and to complete joint inspection 10,1 minutes. In the clinical study, the use of Wallace distractor allowed improved arthroscopic observation of all relevant structures, without sub-patellar fat pad removal. Mean time to complete joint inspection was 28,5 minutes. Clinical significance: The use of the Wallace joint distractor may be helpful in the arthroscopic assessment of the canine stifle. It is easy to insert, it allows a considerable distraction of the joint making it easier visibility and reducing the possible need to remove the sub patellar fat pad. With its blunt pins Wallace joint distractor limits the risk of iatrogenic damage and can be easy to use even for surgeons who do not have much experience in knee arthroscopy
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