Treatment of fragmented coronoid process in young dogs by proximal ulnar osteotomy

Abstract

Fragmented coronoid process in 13 elbows (10 dogs) was treated by medial elbow arthrotomy plus osteotomy of the proximal ulnar diaphysis. All the dogs were skeletally immature and had a lameness of at least four weeks' duration. An attempt was made to measure the disease-modifying effect of this procedure by estimating the development of osteophytosis. Complications were infrequent and never serious. Clinical outcome, overall, was good. This preliminary work indicates that proximal ulnar diaphyseal osteotomy may have a place in the management of fragmented coronoid process in young dogs.

Working Algorithm for Treatment Decision Making for Developmental Disease of the Medial Compartment of the Elbow in Dogs

“…Whereas the implications of this have been suggested as being clinically insignificant, 57 prevention by intramedullary stabilization has been proposed, 58 but has been associated with some increase in morbidity (e.g. pin breakage).…”

Subtotal Coronoid Ostectomy for Treatment of Medial Coronoid Disease in 263 Dogs

“…9 Surgical techniques reported for MCD broadly adopt one of two approaches: osteotomy or focal treatment of the MCP, either by arthrotomy or arthroscopy. Osteotomies have also been proposed with or without fragment removal 4 either to correct perceived elbow incongruity or to alter force distribution across contact areas of the elbow joint.…”

“…The exact cause of MCD is debated but elbow incongruence has been reported as a primary contributor to pathogenesis of MCD. [3][4][5][6] Management of MCD remains controversial and currently no universally agreed approach exists. Results from reported studies vary but in general, describe a [233][234][235][236][237][238][239][240][241][242][243][244][245] 2009 return to normal function in the short-term with progression of OA in the medium-and long-term.…”

“…Results from reported studies vary but in general, describe a [233][234][235][236][237][238][239][240][241][242][243][244][245] 2009 return to normal function in the short-term with progression of OA in the medium-and long-term. 1,4,[7][8][9] Some authors report that surgical intervention does not alter the long-term prognosis and favor solely nonsurgical management. …”

“…Results from reported studies vary but in general, describe a return to normal function in the short-term with progression of OA in the medium-and long-term. 1,4,[7][8][9] Some authors report that surgical intervention does not alter the long-term prognosis and favor solely nonsurgical management. 9 Surgical techniques reported for MCD broadly adopt one of two approaches: osteotomy or focal treatment of the MCP, either by arthrotomy or arthroscopy.…”