Needle arthroscopy for exploration of the elbow joint: a case series of six dogs with preliminary cadaveric study

Garnier, Paul; Decambron, Adeline; Viateau, Véronique

doi:10.1080/00480169.2022.2090457

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…However, a lower quality of vision, limited fluid inflow and fragility of the device were considered major limitations. 3 Similarly, on comparison of needle arthroscopy, traditional arthroscopy and CT images of the MCP 4 whilst all three were found to have similar diagnostic value, traditional arthroscopic images were superior to needle arthroscopy and CT in identifying MCP fragmentation. This corroborates findings by Groth et al 5 where, for dogs that had a stable MCP fissure diagnosed on arthroscopy, the fissure was only evident in 43% of cases on preoperative CT.…”

Section: Arthroscopic Assessment Of the Elbow Jointmentioning

confidence: 93%

“…No osteochondral scarification lesions were noted as a result of arthroscope placement. However, a lower quality of vision, limited fluid inflow and fragility of the device were considered major limitations 3 . Similarly, on comparison of needle arthroscopy, traditional arthroscopy and CT images of the MCP 4 whilst all three were found to have similar diagnostic value, traditional arthroscopic images were superior to needle arthroscopy and CT in identifying MCP fragmentation.…”

Section: Arthroscopic Assessment Of the Elbow Jointmentioning

confidence: 99%

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Review of minimally invasive surgical procedures for assessment and treatment of medial coronoid process disease

Burton

2023

Veterinary Surgery

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ObjectiveTo summarize the current peer‐reviewed publications on minimally invasive surgery (MIS) for medial coronoid process disease (MCPD) in dogs.Study designInvited review.MethodsPubmed, CAB Abstracts and Scopus databases were utilized for literature review (1990–2023).ResultsMore than 60 papers have been published that involve MIS evaluation or treatment of MCPD. Six prospective trials incorporated quantitative gait analysis evaluating outcome following MCPD debridement, of which three included a control group. Whilst case numbers were limited, all studies employing a control group failed to demonstrate superiority of surgery over nonsurgical management. Of three studies employing gait analysis and no control group, all documented some improvement in function compared to pretreatment lameness. Multiple studies document progression of osteoarthritis in dogs following MCPD debridement although this may not be synonymous with worsened function. Subtotal coronoid osteotomy (SCO) is described as an alternative to MCP fragment removal, although the long‐term biomechanical consequences are currently unclear and quantitative data on the efficacy of this treatment in isolation for MCPD is awaited.ConclusionArthroscopy of the canine elbow joint is a safe means by which to evaluate MCP pathology. Quantitative longitudinal analysis of outcome following minimally invasive surgery for MCPD is required. Correlation with clearly defined subclassification inclusion criteria such as age, incongruity and the precise arthroscopic findings in each case are required to more accurately differentiate any superiority of surgery over nonsurgical management for this disease.

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Section: Arthroscopic Assessment Of the Elbow Jointmentioning

confidence: 93%

Section: Arthroscopic Assessment Of the Elbow Jointmentioning

confidence: 99%

Review of minimally invasive surgical procedures for assessment and treatment of medial coronoid process disease

Burton

2023

Veterinary Surgery

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“…Needle scopes are small arthroscopes, typically between 1.0–1.9 mm in diameter are often more flexible than traditional arthroscopes and are often disposable (but can typically be reused multiple times in veterinary patients). Needle arthroscopy for evaluation of the canine stifle, 11 shoulder 23,24 and elbow 25 joints has been described but, to date, has not been described for cats.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: A cadaveric study

Bounds,

Hudson

2023

Veterinary Surgery

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ObjectiveTo evaluate the feasibility of feline diagnostic coxofemoral arthroscopy.Study designEx vivo feline cadaveric descriptive study.AnimalsSeven feline cadavers (14 hips).MethodsGross dissection of two feline hips was performed to evaluate anatomic landmarks, guide arthroscopic portal development, and determine optimal limb positioning. A 1.9 mm, 0° arthroscope, inserted through a supratrochanteric lateral portal, was used to assess intraarticular structures in 12 feline cadaver hips. Arthroscopy was followed by gross dissection of periarticular soft tissues. Relative portal locations and damage to periarticular structures were recorded. Hips were disarticulated, and an India ink assay was performed to assess whether there was iatrogenic cartilage injury (ICI).ResultsScope insertion was achieved in all hips. Articular cartilage of the femoral head and acetabulum, round ligament, joint capsule, transverse acetabular ligament, and dorsal acetabular rim were identified arthroscopically in all hips. Probe insertion and intra‐articular structure palpation was achieved in all hips. Scope and instrument portals resulted in minimal periarticular muscle trauma. No sciatic nerve damage was detected. Minor partial thickness ICI was observed in all hips at the site of scope insertion. Focal full thickness ICI was noted in one hip.ConclusionArthroscopy of the feline coxofemoral joint allowed visual and probe evaluation of intra‐articular structures without evidence of major periarticular neurovascular trauma. Iatrogenic cartilage injury occurred in all hips but severity of lesions was considered mild.Clinical significanceCoxofemoral arthroscopy is feasible in cats and can be utilized as a diagnostic tool for minimally invasive joint evaluation.

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Evaluation of a small-bore needle arthroscope for diagnosis and treatment of medial coronoid disease in dogs: a pilot study with short-term assessment

Garnier

Dekerle

Vial

et al. 2023

New Zealand Veterinary Journal

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Needle arthroscopy for exploration of the elbow joint: a case series of six dogs with preliminary cadaveric study

Cited by 3 publications

References 33 publications

Review of minimally invasive surgical procedures for assessment and treatment of medial coronoid process disease

Review of minimally invasive surgical procedures for assessment and treatment of medial coronoid process disease

Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: A cadaveric study

Evaluation of a small-bore needle arthroscope for diagnosis and treatment of medial coronoid disease in dogs: a pilot study with short-term assessment

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