A modified Bell-Tawse Proceduter for surgical correction of congenital elbow luxation in a Dalmatian puppy

Summary

A four month old Dalmatian puppy affected by congenital luxation of the radial head was very lame on the right front limb and was not weight bearing after little exercise. The radiological examination revealed humero-radial articular incongruity, excessive humeral trochlea development, trochlear notch deformation, and medial deviation of the olecranon. The surgery performed was derived from a modification of a human orthopaedic procedure, the Bell-Tawse technique. It was intended to increase the articular contact surface between the humerus and radius, with ostectomy, rotation, and osteosynthesis of the radius; to treat the luxation, by reduction and elbow annular ligament reconstruction; to prevent its recurrence, by means of a Kirschner pin inserted through the lateral humeral epicondyle to the radial head. Over six months the patient completely recovered.

A congenital luxation of the radial head in a puppy was treated successfully employing a technique reported in human orthopaedics.

Keywords

Puppy - elbow - congenital elbow luxation - annular ligament

• REFERENCES

• 1 Bell AJSTawse. The treatment of malunited anterior Monteggia fractures in children. J Bone Joint Surg 1965; 47: 718-23.
• 2 Bingel SA, Riser WH. Congenital elbow luxation in the dog. Journal of Small Animal Practice 1977; 18: 445-56.
• 3 Cappellino A, Wolfe SW, Marsh JS. Use of a modified Bell-Tawse procedure for chronic acquired dislocation of the radial head. Journal of Pediatric Orthopedics 1998; 18: 410-4.
• 4 Gurevtich-R Hohn-RB. Surgical management of lateral luxation and subluxation of the canine radial head. Veterinary Surgery 1980; 09 (02) 49-57.
• 5 Kene ROC, Lee R, Bennet D. The radiological features of congenital elbow luxation/subluxation in the dog. Journal of Small Animal Practice 1982; 23 (10) 621-30.
• 6 Milton JL, Horne RD, Bartels JE, Henderson RA. Congenital elbow luxation in the dog. JAVMA 1979; 175 (06) 572-82.
• 7 Milton JL, Montgomery RD. Congenital elbow dislocation. Vet Clin North Am Small Animal Practice 1987; 17 (04) 873-89.
• 8 Seel MJ, Peterson HA. Management of chronic posttraumatic radial head dislocation in children. Journal of Pediatric Orthopedics 1999; 19: 306-12.
• 9 Stevens-DR Sande-RD. An elbow dysplasia syndrome in the dog. JAVMA 1974; 165 (12) 1065-9.