Subscribe to RSS
DOI: 10.1055/s-0038-1633080
Osteochondral Fragmentation (Osteochondrosis) of the Canine Patella
Clinical, Radiographic, Tomographic, and Pathological Findings and Surgical TreatmentPublication History
Received for publication:
08 April 1991
Publication Date:
06 February 2018 (online)
Summary
Three four-month-old female grey-hound siblings with osteochondral fragmentation of the lateral aspect of the patella are presented. One dog was affected unilaterally and two bilaterally. The dogs exhibited mild weight-bearing lameness, slight flexion of the stifle, and discomfort during full flexion and extension of affected stifles. A non-palpable, mild synovial effusion was cytologically consistent with chronic inflammation and compatible with osteochondrosis and degenerative joint disease. The hallmark clinical sign was a characteristic prominence of the patella. Cranioproximalcraniodistal oblique (skyline) radio-graphs and transverse CT scans revealed osteochondral fragments and defects of the patella. The osteochondral fragments were surgically excised in two dogs and one dog was necropsied. The osteochondral fragments and patellae were evaluated histologically. Macroscopic and microscopic features of the osteochondral tissues were characteristic of osteochondrosis.
Osteochondrosis of the patella was diagnosed in three sibling Greyhounds. The hallmark clinical sign was enlargement and prominence of the patella. Radiographic examination, cranioproximal-craniodistal oblique view, demonstrated the fragmented lateral border of the patella. Findings from computed tomography and histopathological examination are described. Surgical excision of the fragment in two dogs restored satisfactory function.
-
REFERENCES
- 1 Yatz JE. Nonarticular osteochondroses. Clin Orthop Rel Res 1981; 158: 70-6.
- 2 Siffert RS. Classification of the osteochondroses. Clin Orthop Rel Res 1981; 158: 10-8.
- 3 Resnick D, Goergen TG, Niwayama G. Physical injury. In: Diagnosis of Bone and Joint Disorders. Resnick D, Niwayama G. (eds). Philadelphia: Saunders; 1988: 2756-3008.
- 4 Smith RB, Vevelos AB. Osteochondritis occurring at multiple sites. Acta Orthop Scand 1980; 51: 445-9.
- 5 Montgomery RD, Milton JL, Henderson RA. et al. Osteochondritis dissecans of the canine stifle. Comp Cont Ed Pract Vet 1989; 11: 1199-205.
- 6 Milton JL. Osteochondritis dissecans in the dog. Vet Clin North Am [Small Anim Pract] 1983; 13: 117-34.
- 7 Hill MA, Ruth GR, Hilley HD. et al. Dyschondroplasias, including osteochondrosis, in boars between 25 and 169 days of age: Histologic changes. Am J Vet Res 1984; 45: 903-15.
- 8 Reiland S, Stromberg B, Olsson SE. et al. Osteochondrosis in growing bulls: Pathology, frequency, and severity on different feedings. Acta Radiol Suppl 1978; 358: 179-96.
- 9 Poulos PW, Reiland S, Elwinger K. et al. Skeletal lesions in the broiler, with special reference to dyschondroplasia (osteochondrosis). Acta Radiol Suppl 1978; 358: 229-75.
- 10 Mcllwraith CW. Incidence of developmental joint problems. Proceedings of the AQHA Development in Orthopedic Disease Symposium, Dallas April 21-22, 1988; 15-20.
- 11 Schwartz C, Blazina ME, Sisto DJ. et al. The results of operative treatment of osteochondritis dissecans of the patella. Am J Sports Med 1988; 16: 522-9.
- 12 Edwards DH, Bentley G. Osteochondritis dissecans patellae. J Bone Joint Surg 1977; 59 B 58-63.
- 13 Pantazopoulos T, Exarchou E. Osteochondritis dissecans of the patella. J Bone Joint Surg 1971; 53 A 1205-7.
- 14 Smillie IS. Diseases of the Knee Joint. London: Churchill Livingstone; 1974: 53.
- 15 Howie JL. Computed tomography in osteochondritis dissecans of the patella. J Can Assoc Radiol 1985; 36: 197-9.
- 16 Mcllwraith CW. Diagnostic and surgical arthroscopy of the femoropatellar and femorotibial joints. In: Diagnostic and Surgical Arthroscopy in the Horse. Mcllwraith CW. (ed). Philadelphia: Lea & Febiger; 1990: 113-59.
- 17 Mcllwraith CW. Diseases of joints, ten-dons, ligaments, and related structures. In: Adam’s Lameness in Horses. Stashak TS. (ed). Philadelphia: Lea & Febiger; 1987: 339-447.
- 18 Moore JN, Mcllwraith CW. Osteochondrosis of the equine stifle. Vet Rec 1977; 100: 133-6.
- 19 Verschooten F, DeMoor A. Subchondral cystic and related lesions affecting the equine pedal bone and stifle. Equine Vet J 1982; 14: 47-54.
- 20 Pascoe JR, Pool RR, Wheat JD. et al. Osteochondral defects of the lateral troch-lear ridge of the distal femur of the horse. Clinical, radiographic, and pathologic examination and results of surgical treatment. Vet Surg 1984; 13: 99-110.
- 21 Trotter GW, Mcllwraith CW, Nordin RW. A comparison of two surgical approaches to the equine femoropatellar joint for the treatment of osteochondritis dissecans. Vet Surg 1983; 12: 33-40.
- 22 Wyburn RS. Degenerative joint disease in the horse. NZ Vet J 1977; 25: 321-35.
- 23 Mcllwraith CW. Osteochondral fragmentation of the distal aspect of the patella in horses. Equine Vet J 1990; 22: 157-63.
- 24 Butler HC, Wallace LJ, Ladds PW. Osteochondritis dissecans of the distal end of the radius in a dog. J Am Anim Hosp Assoc 1971; 7: 81-6.
- 25 McDonald M. Osteochondritis dissecans of the femoral head: A case report. J Small Anim Pract 1988; 29: 49-54.
- 26 Boudrieau RJ, Hohn RB, Bardet JF. Osteochondritis dissecans of the elbow in the dog. J Am Anim Hosp Assoc 1983; 19: 627-35.
- 27 Mason TA, Lavelle RB, Skipper SC. et al. Osteochondrosis of the elbow joint in young dogs. J Small Anim Pract 1980; 21: 641-6.
- 28 Lee R. Proximal femoral epiphyseal separation in the dog. J Small Anim Pract 1976; 11: 669.
- 29 Rosenblum GP, Robins GM, Carlisle CH. Osteochondritis dissecans of the tibiotarsal joint in the dog. J Small Anim Pract 1978; 19: 759-67.
- 30 Bennett D. Joint disease. In: Canine Medicine and Therapeutics. Chandler EA, Sutton JB, Thompson DJ. (eds). Oxford: Blackwell; 1984
- 31 Resnick D, Niwayama G. Articular anatomy and histology. In: Diagnosis of Bone and Joint Disorders. Resnick D, Niwayama G. (eds). Philadelphia: Saunders; 1988: 625-755.
- 32 Resnick D, Niwayama G, Feingold ML. The sesamoid bones of the hand and feet: Participators in arthritis. Radiol 1977; 123: 57-62.
- 33 Arey LB. Developmental Anatomy. Philadelphia: Saunders; 1954: 395-425.
- 34 Hare WCD. The ages at which the center of ossification appears roentgenographically in the limb bones of the dog. Am J Vet Res 1961; 22: 825-30.
- 35 Smith RN. Fusion of ossification centres in the cat. J Small Anim Pract 1969; 10: 523.
- 36 Denny HR, Gibbs C. Osteochondritis dissecans of the canine stifle joint. J Small Animal Pract 1980; 21: 317-22.
- 37 Milton JL, Rumph PP, Reed AD. Osteochondritis dissecans of the shoulder in a racing greyhound: A report of two cases and a survey of 109 greyhound anatomy specimens. J Am Anim Hosp Assoc 1981; 17: 617-22.
- 38 Lenehan TM, Van Sickle DC. Canine osteochondrosis. In: Textbook of Small Animal Orthopedics. Newton CD, Nunamaker DM. (eds). Philadelphia: Lippincott; 1985: 981-97.
- 39 Smith MM, Vasseur PB, Morgan JP. Clinical evaluation of dogs after surgical and nonsurgical management of osteochondritis dissecans of the talus. J Am Vet Med Assoc 1985; 187: 31-5.
- 40 Olsson SE. Pathophysiology, Morphology and Clinical Signs of Osteochondrosis (Chondrosis) in the Dog. In: Pathophysiology in Small Animal Surgery. Bojrab MJ. (ed). Philadelphia: Lea & Febiger; 1981: 604-18.
- 41 Grondalen J, Grondalen T. Arthrosis in the elbow joint of young rapidly growing dogs. V. A Pathoanatomical Investigation. Nord Vet Met 1981; 33: 1-16.
- 42 Evans HE, Christensen GC. Miller’s Anatomy of the Dog. Philadelphia: Saunders; 1979: 209.
- 43 Brecsk LW. An Atlas of the Osteochon-droses. Springfield: Charles C. Thomas; 1971: 84 103.
- 44 Howard PE, Wilson JM, Robbins TA. et al. Normal blood supply of the canine patella. Am J Vet Res 1986; 47: 401-3.
- 45 Tirgari M. The surgical significance of the blood supply of the canine stifle joint. J Small Anim Pract 1978; 19: 451-62.
- 46 Knecht CD, Van Sicklc DC, Blevins WE. et al. Osteochondrosis of the shoulder and stifle in 3 of 5 Border Collie litter mates. J Am Vet Med Assoc 1977; 170: 58-60.
- 47 DePalma A, Flynn JJ. Joint changes follow-ing experimental partial and total patellectomy. J Bone Joint Surg 1958; 40A: 395-413.