Traumatic fracture of the medial coronoid process in a dog

K. Görtz; B. Van Ryssen; O. Taeymans; M. Van Heerden; I. Gielen; M. Risselada

doi:10.1055/s-0038-1632807

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2004; 17(03): 159-162
DOI: 10.1055/s-0038-1632807

Case Reports

Schattauer GmbH

Traumatic fracture of the medial coronoid process in a dog

Radiographic, computed tomographic, arthroscopic and histological findings

Authors

K. Görtz

¹Department of Diagnostic Imaging, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium
B. Van Ryssen

¹Department of Diagnostic Imaging, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium
O. Taeymans

¹Department of Diagnostic Imaging, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium
M. Van Heerden

²Department of Pathology, Bacteriology and Poultry Diseases, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium
I. Gielen

¹Department of Diagnostic Imaging, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium
M. Risselada

¹Department of Diagnostic Imaging, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium

Abstract

Summary

This case report describes an acute traumatic fracture of the medial coronoid process (MCP) in an immature male Rottweiler. On routine radiographs of the left elbow joint, clear abnormalities could not be detected. The definitive diagnosis was based on craniolaterocaudomedial oblique radiographs and a CT scan. The fragment was removed arthroscopically via a medial approach. Histologically the fragment did not show any signs of degeneration nor demineralisation, as seen in classical fragments of the medial coronoid process. One week after treatment, complete limb function had been regained. Follow-up radiographs after nine month showed a minimal increase of osteoarthrosis.

Keywords

Traumatic MPC - elbow arthroscopy

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Referenzen

References
1 Boudrieau RJ, Hohn RB, Bardet JF. Osteochondritis dissecans of the elbow in the dog. J Am Animal Hospital Assoc 1983; 19: 627-35.
2 Carpenter LG, Schwarz PD, Lowry JE, Park RD, Steyn PF. Comparison of radiologic imaging techniques for diagnosis of fragmented medial coronoid process of the cubital joint in dogs. J Am Vet Med Assoc 1993; 203: 78-83.
3 Flückiger M. Ellbogendysplasie. Schweiz Arch Tierheilk 1992; 134: 261-71.
4 Fox SM, Walker AM. Identifying and treating the primary manifestations of the osteochondrosis of the elbow. Veterinary Medicine 1993; 88 (02) 132-46.
5 Gielen I, van Bree H. CT in canine elbow disease. Proceedings 1. Düsseldorfer Vet-Imaging-Day. 1. Düsseldorfer Symposium für »Bildgebende Diagnostik in der Kleintiermedizin«. Düsseldorf, Germany: 1st of June 2002: 27-8.
6 Grøndalen J, Grøndalen T. Arthrosis with special reference to the elbow joint of young rapidly growing dogs. V. A pathoanatomical investigation. Nordisk Veterinærmedicin 1981; 33: 1-16.
7 Grøndalen J, Lingaas F. Arthrosis in the elbow joint of young rapidly growing dogs: a genetic investigation. J Small Anim Pract 1991; 32: 460-4.
8 Guthrie S, Plummer JM, Vaughan LC. Aetiopathogenesis of canine elbow osteochondrosis: a study of loose fragments removed at arthrotomy. Research Veterinary Science 1992; 52: 284-91.
9 Hazewinkel HA, Voorhout G. Onderzoek en behandeling van het losse processus coronoideus medialis bij de hond. Tijdschrift voor Diergeneeskunde 1986; 111: 1234-45.
10 Houlton JEF. Osteochondritis of the shoulder and elbow joints in dogs. J Small Anim Pract 1984; 25: 399-413.
11 Mason TA, Lavelle RB, Skipper SC, Wrigley WR. Osteochondrosis of the elbow joint in young dogs. J Small Anim Pract 1980; 21: 641-56.
12 Olsson SE. The early diagnosis of fragmented coronoid process and osteochondrosis dissecans of the canine elbow joint. J Am Animal Hospital Assoc 1983; 19: 616-26.
13 Read RA. Osteochondrose en arthrose van de elleboog bij de jonge hond: incidentie, diagnose en behandeling. Waltham International Focus 1993; 03: 2-10.
14 Robins GM. Some aspects of the radiographical examination of the canine elbow joint. J Small Anim Pract 1980; 21: 417-28.
15 Snaps FR, Balligand MH, Saunders JH, Park RD, Dondlinger RF. Comparison of radiography, magnetic resonance imaging, and surgical findings in dogs with elbow dysplasia. Am J Vet Res 1997; 58: 1367-70.
16 Van Bree HJJ, Van Ryssen B. Diagnostic imaging of the canine elbow joint including radiology, arthroscopy and computed tomography (CT). Vet Radiol Ultrasound 1994; 35: 248.
17 Van Bree HJJ, Van Ryssen B. De waarde van de arthroscopie bij de diagnose en behandeling van osteochondrose bij de hond. Tijdschr Diergeneeskd 1997; 122: 710-4.
18 Van Ryssen B. Treatment of fragmented coronoid process. Small Animal Arthroscopy workshop, advanced course. Gent, Belgium: 18^th and 19^th January 2002
19 Wosar MA, Lewis DD, Neuwirth L, Parker RB, Spencer CP, Kubilis PS, Preston WStubbs, Murphy ST, Shiroma JT, Stallings JT, Bertrand SG. Radiographic evaluation of elbow joints before and after surgery in dogs with possible fragmented medial coronoid process. J Am Veterinary Medical Assoc 1999; 214: 52-8.
20 Wind AP, Packard ME. Elbow incongruity and developmental elbow diseases in the dog. Part II. J Am Animal Hospital Assoc 1986; 22: 72430.
21 Yovich JC, Read RA. Traumatic fracture of the medial coronoid process in two dogs. Vet Comp Orthop Traumatol 1994; 07: 173-6.