Orthopaedic conditions of the shoulder in the dog

McKee, Malcolm; Macias, Cathaleene

doi:10.1136/inpract.26.3.118

Cited by 13 publications

(23 citation statements)

References 1 publication

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“…Orthopedic conditions of the shoulder joint are an important cause of thoracic limb lameness in the dog. [1][2][3][4] Articular and comminuted fractures of the proximal aspect of the humerus or distal aspect of the scapula have a guarded prognosis after surgical repair, with approximately 50% of articular scapular fractures resulting in long-term lameness. 5,6 Management of recurrent shoulder luxations may be similarly challenging, with a high incidence of reluxation or persistent instability.…”

Section: Objectivesmentioning

confidence: 99%

Shoulder Arthrodesis in14 Dogs

Fitzpatrick¹,

Yeadon

Smith

et al. 2012

Veterinary Surgery

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Section: Objectivesmentioning

confidence: 99%

Shoulder Arthrodesis in14 Dogs

Fitzpatrick¹,

Yeadon

Smith

et al. 2012

Veterinary Surgery

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“…Determining the exact cause of shoulder lameness is often challenging, and various imaging techniques have been described . Principal pathologies include bicipital tenosynovitis, biceps brachii tendon rupture, bicipital mineralizing tendinopathy, subscapularis tendon rupture, medial and lateral glenohumeral ligament rupture, osteochondrosis, osteochondrosis dissecans of the humeral head and intertubercular groove joint mice, fractures, luxations, arthritis, and neoplasia . Arthroscopy has been advocated as the ‘gold standard’ for assessment of intraarticular structures of the canine shoulder …”

Section: Introductionmentioning

confidence: 99%

Computed tomographic arthrography is a useful adjunct to survey computed tomography and arthroscopic evaluation of the canine shoulder joint

Eivers

Corzo-Menéndez

Austwick³

et al. 2018

Vet Radiology Ultrasound

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The aim of this retrospective, methods comparison study was to assess the diagnostic utility of computed tomographic arthrography in the assessment of various intraarticular shoulder pathologies in dogs in comparison with survey computed tomography (CT), using arthroscopic examination as the reference standard. Computed tomography, computed tomographic arthrography, and arthroscopic findings of 46 scapulohumeral joints of dogs with forelimb lameness were reviewed retrospectively. Predefined sites were assessed for the presence or absence of disease. If a lesion was present, a prespecified pathology was designated. Computed tomographic arthrography was found to be a safe technique which provided a superior diagnostic efficacy relative to survey CT for the assessment of the biceps tendon and biceps tendon sheath (sensitivity 71%, specificity 75%, positive likelihood ratio 2.9, negative likelihood ratio 0.38) and humeral head cartilage (sensitivity 65%, specificity 97%, positive likelihood ratio 19, negative likelihood ratio 0.37). Computed tomography and computed tomographic arthrography provided additional diagnostic information to arthroscopy in regard to osteophytosis, subchondral defects, and joint mice. Computed tomographic arthrography alone was of limited diagnostic value for assessment of the medial and lateral glenohumeral ligaments (sensitivity 13% and 0%, specificity 1% and 78%, positive likelihood ratios unmeasurable and 0, negative likelihood ratios 0.88 and 1.29, respectively) and the subscapularis tendon (sensitivity 14%, specificity 98%, positive likelihood ratio 5.7, negative likelihood ratio 0.88). Computed tomographic arthrography is therefore a useful adjunct to survey CT and arthroscopic evaluation of the canine shoulder joint, however, is not a replacement for these techniques.

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“…Bennett & Campbell () described placement of a mattress suture of orthopaedic wire across the intertubercular groove via bone tunnels drilled in the greater and lesser tubercles, which was successful in a pet Border collie. Use of a single cancellous bone screw placed medial to the intertubercular groove to act as a medial buttress has been described (McKee & Macias ).…”

Section: Discussionmentioning

confidence: 99%

Bilateral medial displacement of the biceps tendon of origin: repair using polypropylene mesh and staples

Barnes

2013

J of Small Animal Practice

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A three-year-old male greyhound was presented with acute onset right forelimb lameness because of medial displacement of the biceps tendon of origin. Ultrasonographic examination confirmed the diagnosis, and a concomitant partial tear of the medial glenohumeral ligament was detected during arthroscopy. To stabilise the biceps tendon, polypropylene mesh was fixed across the intertubercular groove to replace the torn transverse humeral retinaculum. Recovery was uneventful and lameness resolved. Fifteen months later, the dog was presented with medial displacement of the biceps tendon of origin of the left shoulder, and was treated successfully using the same technique.

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Orthopaedic conditions of the shoulder in the dog

Cited by 13 publications

References 1 publication

Shoulder Arthrodesis in14 Dogs

Shoulder Arthrodesis in14 Dogs

Computed tomographic arthrography is a useful adjunct to survey computed tomography and arthroscopic evaluation of the canine shoulder joint

Bilateral medial displacement of the biceps tendon of origin: repair using polypropylene mesh and staples

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