Diagnostic findings in a lame-free dog with complete rupture of the biceps brachii tendon

Summary

A case of a complete rupture of the biceps brachii tendon in a lame-free three-year-old Labrador Retriever is described. The dog had a history of chronic lameness following a trauma, but had become lame-free shortly before presentation. Clinical examination, biceps tendon test and shoulder instability tests under general anaesthesia were inconspicuous for shoulder instability. Routine radiographs, arthrography and ultrasound were suspicious for bicipital tendopathy. The definite diagnosis of a complete rupture of the biceps brachii tendon was made upon arthroscopic inspection of the glenohumeral joint.

Keywords

Biceps brachii - tendon - rupture - diagnostic findings - dog

• References

• 1 Bardet JF. Shoulder diseases in dogs. Vet Med 2002; 12: 909-918.
• 2 Kramer M, Schimke E, Gerwing M. et al. Bizeps- sehnenerkrankungen beim Hund als Lahmheitsur- sache. DerpraktischeTierarzt 1997; 78: 274-292.
• 3 Muir P, Goldsmid SE, Rothwell TL, Bellenger CR. Calcifying tendinopathy ofthe biceps brachii in a dog. J Am Anim Hosp Assoc 1992; 201: 1747-1749.
• 4 Davidson EB, Griffey SM, Vasseur PB. et al. His- topathological, radiographic, and arthrographic comparison of the biceps tendon in normal dogs and dogs with biceps tenosynovitis. J Am Anim Hosp Assoc 2000; 36: 522-530.
• 5 Gilley RS, Wallace LJ, Hayden DW. Clinical and pathologic analyses of bicipital tenosynovitis in dogs. Am JVet Res 2002; 63: 402-407.
• 6 Lincoln Lincoln, Potter K. Tenosynovitis of the biceps brachii tendon in dogs. J Am Anim Hosp Assoc 1984; 20: 385-392.
• 7 Stobie D, Wallace LJ, Lipowitz AJ. et al. Chronic bicipital tenosynovitis in dogs: 29 cases (1985-1992). JAVMA 1995; 207: 201-207.
• 8 Goring RL, Parker RB, Dee LG. et al. Medial displacement of the tendon of origin of the biceps brachii tendon in the racing greyhound. J Am Anim Hosp Assoc. 1984 20. 933.
• 9 Brunnberg L, Kostlin RG, Waibl H. Zum Abriss des Musculus biceps brachii am Tuberculum supraglenoidale scapulae beim Hund. Kleintierpraxis 1981; 26: 257-260.
• 10 Innes Innes, Brown G. Rupture of the biceps brachii tendon sheath in two dogs. J Small Anim Pract 2004; 45: 25-28.
• 11 Bardet JF. Lesions of the biceps tendon: Diagnosis and classification. Vet Comp Orthop Traumatol 1999; 12: 188-195.
• 12 Piermattei Piermattei, Flo GL. The shoulder joint: Handbook of Small Animal Orthopedics and Fracture Treatment. Eds. Brinker WO, Piermattei DL, Flo GL. Philadephia: Saunders; 1997: 228-260.
• 13 Bardet JF. Diagnosis of shoulder instability in dogs and cats: a retrospective study. J Am Anim Hosp Assoc 1998; 34: 42-54.
• 14 Cook JL. Shoulder instability in dogs. Proceed. BVOA; Bath, UK: 2003: 24-28.
• 15 Wall Wall, Taylor R. Arthroscopic biceps brachii tenotomy as a treatment for canine bicipital tenosynovitis. J Am Anim Hosp Assoc 2002; 38: 169-175.
• 16 Brunnberg L. Lahmheitsdiagnostik beim Hund - Untersuchung - Diagnose - Therapiehinweise. Boehringer-Ingelheim: Boehringer; 1998
• 17 Kasa F, Kasa G, Kasa A. Bewegungsapparat: Praktikum der Hundeklinik. Eds. Niem and HG Suter PF. Berlin: Blackwell-Parey; 2001: 995-1050.
• 18 Scharvogel S. Chirurgische Propadeutik: Kom pendium der Allgemeinen Veterinarchirurgie. Ed. Kramer M. Hannover: Schluetersche; 2004: 28-29.
• 19 Lechleitner Lechleitner, Mayrhofer E. Tendopathien der Ur- sprungssehne des M. biceps brachii beim Hund - rontgenologische, pathoanatomische and pathoh- istologische Befunde. Kleintierpraxis 1993; 38: 161-178.
• 20 Barthez Barthez, Morgan JP. Bicipital tenosynovitis in the dog - evaluation with positive contrast arthrography. Vet Radiol Ultrasound 1993; 34: 325-330.
• 21 van Bree H. Evaluation of the prognostic value of positive-contrast shoulder arthrography for bilateral osteochondrosis lesions in dogs. Am J Vet Res 1990; 51: 1121-1125.
• 22 van Bree H. Comparison of the diagnostic accuracy of positive-contrast arthrography and arthrotomy in evaluation of osteochondrosis lesions in the scapulohumeral joint in dogs. JAVMA 1993; 203: 84-88.
• 23 Kramer M, Gerwing M, Hach V. et al. Sonography of the musculoskeletal system in dogs and cats. Vet Radiol Ultrasound 1997; 38: 139-149.
• 24 Kramer M, Gerwing M, Sheppard C. et al. Ultrasonography for the diagnosis of diseases of the tendon and tendon sheath of the biceps brachii muscle. Vet Surg 2001; 30: 64-71.
• 25 Person Person. Arthroscopy of the shoulder joint. Comp Cont Edu 1986; 8: 537-47.
• 26 van Bree H, van Ryssen B. Arthroscopy in the diagnosis and treatment of front leg lameness. Am J VetRes 1995; 17 Suppl. 1 S32-S34.
• 27 van Ryssen B, van Bree H, Vyt P. Arthroscopy of the shoulder joint in the dog. J Am Anim Hosp Assoc 1993; 29: 101-105.
• 28 Vasseur PB, Pool RR, Klein K. Effects of tendon transfer on the canine scapulohumeral oint. Am J VetRes 1983; 44: 811-815.
• 29 Cook Cook, Kenter K. Arthroscopic biceps tenodesis in dogs: Scientific basis, technique, and outcome in clinical cases. Proceed. World Veterinary Orthopaedic Congress. Munich, Germany: 2002: 64.
• 30 Meyer DJ, Harvey JW. Examination of synovial fluid: Veterinary laboratory medicine. Philadelphia: WB. Saunders; 2000: 261-264.
• 31 Dee JF, Dee LG, Eaton-Wellis RD. Injuries of high performance dogs: Canine orthopaedics. Ed.: Whittlick WG. Philadelphia: Lea & Febiger; 1974
• 32 Mahoney Mahoney, Lamb CR. Articular, periarticular and juxtaarticular calcified bodies in a cat and dog: a radiologic review. Vet Radiol Ultrasound 1996; 37: 3-19.
• 33 Lechleitner E. Tendopathien der Ursprungssehne des M. biceps brachii beim Hund - Rontgenol- ogische, Pathoanatomische und Pathohistol- ogische Befunde. Dissertation/Thesis. Vienna, Austria: 1991