Caudal Elbow Luxation in a Dog Managed by Temporary Transarticular External Skeletal Fixation

Hamilton, K. A.; Langley‐Hobbs, Sorrel; Warren-Smith, Chris; Parsons, Kevin

doi:10.1155/2014/498329

Cited by 9 publications

(10 citation statements)

References 30 publications

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“…The elbow joint is inherently stable and difficult to luxate in dogs due to their strong periarticular muscles and ligamentous structures. Due to the large, square caudodistal corner of the humeral medial epicondyle, elbow joints are predominantly dislocated laterally, and medial luxation is extremely rare 3,8‐12 . The present case report details posttraumatic medial luxation of the triceps brachii tendon concomitant with medial humeroulnar subluxation in a dog.…”

Section: Introductionmentioning

confidence: 81%

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Traumatic medial luxation of the triceps brachii tendon with medial subluxation of the elbow joint in a dog

2020

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Objective: To describe the surgical reduction of luxation of the triceps brachii tendon in a dog. Animal: One 2.5-year-old 2.58 kg castrated male toy poodle. Study design: Clinical case report. Methods: The dog displayed intermittent, non-weight bearing lameness of the right forelimb for approximately 18 months before presenting at the veterinary medical center. Medial subluxation of the right elbow joint was detected by palpation. The Campbell test was consistent with an increased range of motion during supination. At ultrasonographic examination, medial luxation of the triceps brachii tendon was noted, whereas collateral ligaments appeared normal. No skeletal deformities were found on radiographs of the right forelimb. The luxation of the triceps brachii tendon was surgically corrected with antirotational suture, a stopper pin, medial retinaculum release, and imbrication of the lateral retinaculum. Results: The right triceps brachii tendon and elbow joint were successfully reduced. Gait returned to normal by 55 days postoperatively. No implant failure or recurrence were observed 3.5 years after surgery. Conclusion: Surgical reduction of a luxation of the triceps brachii tendon in a dog resolved lameness and restored the range of motion of the affected elbow, leading to good long-term outcome.

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Section: Introductionmentioning

confidence: 81%

“…Due to the large, square caudodistal corner of the humeral medial epicondyle, elbow joints are predominantly dislocated laterally, and medial luxation is extremely rare. 3,[8][9][10][11][12] The present case report details posttraumatic medial luxation of the triceps brachii tendon concomitant with medial humeroulnar subluxation in a dog.…”

Section: Introductionmentioning

confidence: 99%

Traumatic medial luxation of the triceps brachii tendon with medial subluxation of the elbow joint in a dog

2020

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“…2007) or use of external fixators that allow for some level of range of motion (Hamilton et al . 2014; Vedrine 2017) could be considered. Alternatively, no joint stabilisation may be required, particularly in animals older than 1–2 months of age (Jones 1995; Trostle et al .…”

Section: Discussionmentioning

confidence: 99%

Successful closed reduction and conservative management with traumatic elbow luxation and medial collateral ligament rupture in an equid

Collar

Watson²,

Whitmer³

et al. 2019

Equine Veterinary Education

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Summary A 9‐year‐old donkey jenny (212 kg) presented with an acute, nonweight‐bearing left forelimb lameness of 24‐ to 36‐h duration. The limb was held in flexion and abduction, with the toe above the ground, and was unable to be manually straightened. There was significant palpable swelling along the medial aspect of the elbow joint. Radiographic evaluation revealed a medial luxation of the elbow joint with rupture of the medial collateral ligament. Closed reduction was accomplished under injectable anaesthesia without complication. The patient was weight‐bearing and comfortable on the limb immediately upon recovery from anaesthesia. The jenny was tied and kept standing for 60 days. Full limb bandages, splints (extending proximal to the scapula), hobbles, NSAIDs and cold laser therapy were utilised, decreased and discontinued. At 74 days, a rehab programme was initiated. At 8 months post‐injury, the patient was not lame and was back to her previous level of exercise. Although elbow luxation has been described as having a guarded prognosis, there has now been success in 4/5 (80%) reported cases when treatment has been attempted. Closed reduction without surgical intervention in adult animals with elbow luxation can be successful, likely dependent on the level of associated injury.

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“…Transarticular fixation has been described in canines for augmentation of an elbow luxation in both a rigid form and an elasticated form to allow early limited motion in the elbow 12 13. Hinged fixators have been used as adjunctive fixation to protect a primary anatomical stabilisation or as a primary technique alone, as a secondary salvage procedure when primary stabilisation has failed 14 15.…”

Section: Discussionmentioning

confidence: 99%

“…A 3D system to aid placement of hinges on the tarsus has been described in greyhounds 16. For canine elbows and stifles, it is assumed that the hinge should be placed as close as possible to the centre of the elbow and stifle joints with no standard recommendations made in the literature 11–15. A custom‐made 3D aiming device has been used in human cadaveric studies for placement of the hinge in elbow trauma 17.…”

Section: Discussionmentioning

confidence: 99%

Transarticular hinged external skeletal fixation for revision surgery of stifle subluxation associated with multiple ligament injuries in a cat

Elliott

2019

Vet Record Case Reports

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Stifle subluxation with multiple ligamentous injuries are a rare but catastrophic injury seen most commonly in cats in the veterinary literature. There is often damage to both cruciate ligaments, the medial and lateral collateral ligaments and the menisci. The long-term prognosis for this injury is guarded due to the development of marked osteoarthritis after the injury. This paper describes the use of a commercially available range of motion hinge used as a secondary stabilisation for a failed primary anatomical stabilisation. None of the primary implants were removed or augmented at the time of revision surgery. A transarticular fixator was placed and increasing range of motion was allowed by adjusting the hinge at varying intervals over 8 weeks. This allowed fibrous tissue to stabilise the stifle while preventing articular cartilage degeneration. From this case report, transarticular hinge fixation can be considered a method of stabilisation in patients with stifle subluxation.

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Caudal Elbow Luxation in a Dog Managed by Temporary Transarticular External Skeletal Fixation

Cited by 9 publications

References 30 publications

Traumatic medial luxation of the triceps brachii tendon with medial subluxation of the elbow joint in a dog

Traumatic medial luxation of the triceps brachii tendon with medial subluxation of the elbow joint in a dog

Successful closed reduction and conservative management with traumatic elbow luxation and medial collateral ligament rupture in an equid

Transarticular hinged external skeletal fixation for revision surgery of stifle subluxation associated with multiple ligament injuries in a cat

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