Summary
The purpose of this study was to determine collagen type II and X immunohistochemical
staining characteristics of naturally-occurring fragmented medial coronoid processes
(FMCP) in order to help delineate potential pathophysiological events associated with
FMCP.
34 surgically excised FMCP from 21 client-owned dogs and 16 intact medial coronoid
processes from 8 mongrel dogs were examined. The specimens were categorized by the
dog's age: <12 months, 12–18 months, 18–24 months, >24 months.
The excised FMCP and normal medial coronoid processes were sectioned and stained with
haematoxylin and eosin, safranin-O fast green, and toluidine blue. Sections were subjectively
evaluated for tissue morphology, cell and matrix content, and proteoglycan staining.
Immunohistochemical staining was performed for collagen types II and X. Sections were
then subjectively evaluated for the location and intensity of staining.
FMCP tissue demonstrated a wide variety of histological and immunohistochemical characteristics
compared to normal medial coronoid processes. Significantly (P = 0.016) more normal
dogs stained positive for collagen type X than dogs with FMCP in the <12 months old
group. No other significant differences between affected and normal dogs were noted
for either collagen type in any age group. No significant difference in age was noted
for the presence or absence of collagen type II among affected dogs, and no statistically
significant correlation was observed between age of those with collagens type X and
type II present. Although not statistically significant (P = 0.100), there was a trend
for the presence of collagen type II when collagen type X was present. The results
of this study have not provided a definitive answer regarding the role of collagen
type X in the etiopathogenesis of FMCP, but suggest that it may be an important factor
in some cases, warranting further investigation.
Excised fragmented medial coronoid processes were examined to determine the collagen
immunohistochemical staining characteristics when compared to intact processes.
Keywords
Fragmented medial coronoid process - collagen type II - collagen type X - immunohistochemistry