Download PDF
CC BY 4.0 · VCOT Open 2024; 07(01): e17-e22
DOI: 10.1055/s-0043-1778129
Case Report

Healing of Humeral Intracondylar Fissure Following Distal Ulnar Ostectomy to Treat Concurrent Elbow Joint Incongruity in a Dog

Rodrigo Alvarez 
1   Department of Surgery, Southern Counties Veterinary Specialists, Forest Corner Farm, Hangersley, Ringwood, Hampshire, United Kingdom of Great Britain and Northern Ireland
,
Claudio Motta
2   Department of Surgery, Southern Counties Veterinary Specialists, Ringwood, Hampshire, United Kingdom of Great Britain and Northern Ireland
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Comment on:

Erratum: Healing of Humeral Intracondylar Fissure Following Distal Ulnar Ostectomy to Treat Concurrent Elbow Joint Incongruity in a DogVCOT Open 2024; 07(01): e23-e23
DOI: 10.1055/s-0044-1780497

Abstract

A 22-week-old female Labrador retriever presented with intermittent bilateral forelimb lameness. Computed tomography (CT) study interpretation revealed bilateral humeral intracondylar fissures (HIF) surrounded by sclerotic epiphyseal bone. Other changes included bilateral distal ulna retained cartilage core, secondary negative radioulnar incongruity (RUI), and medial coronoid process disease. The patient underwent bilateral dynamic distal ulnar ostectomies (DUO) in an attempt to address the elbow incongruity. Follow-up CT studies were performed at 2, 4, and 10 months postoperatively, which showed a bilateral improvement of elbow congruence and complete healing of HIF on the left side. The degree of congruence correction in the right elbow was possibly suboptimal, and following an initial improvement, a transcondylar screw was placed due to HIF progression.

Keywords

elbow dysplasia - humeral intracondylar fissure - dog


Publication History

Received: 30 October 2023

Accepted: 28 November 2023

Article published online:
15 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Butterworth SJ, Innes JF. Incomplete humeral condylar fractures in the dog. J Small Anim Pract 2001; 42 (08) 394-398
    CrossrefPubMedGoogle Scholar
  • 2 Carrera I, Hammond GJ, Sullivan M. Computed tomographic features of incomplete ossification of the canine humeral condyle. Vet Surg 2008; 37 (03) 226-231
    CrossrefPubMedGoogle Scholar
  • 3 Charles EA, Ness MG, Yeadon R. Failure mode of transcondylar screws used for treatment of incomplete ossification of the humeral condyle in 5 dogs. Vet Surg 2009; 38 (02) 185-191
    CrossrefPubMedGoogle Scholar
  • 4 Farrell M, Trevail T, Marshall W, Yeadon R, Carmichael S. Computed tomographic documentation of the natural progression of humeral intracondylar fissure in a cocker spaniel. Vet Surg 2011; 40 (08) 966-971
    CrossrefPubMedGoogle Scholar
  • 5 Marcellin-Little DJ, DeYoung DJ, Ferris KK, Berry CM. Incomplete ossification of the humeral condyle in spaniels. Vet Surg 1994; 23 (06) 475-487
    CrossrefPubMedGoogle Scholar
  • 6 Witte PG, Bush MA, Scott HW. Propagation of a partial incomplete ossification of the humeral condyle in an American cocker spaniel. J Small Anim Pract 2010; 51 (11) 591-593
    CrossrefPubMedGoogle Scholar
  • 7 Walton MB, Crystal E, Morrison S. et al. A humeral intracondylar repair system for the management of humeral intracondylar fissure and humeral condylar fracture. J Small Anim Pract 2020; 61 (12) 757-765
    CrossrefPubMedGoogle Scholar
  • 8 Strickland AL, Sprinz H. Studies of the influence of estradiol and growth hormone on the hypophysectomized immature rat epiphyseal cartilage growth plate. Am J Obstet Gynecol 1973; 115 (04) 471-477
    CrossrefPubMedGoogle Scholar
  • 9 Larsen LJ, Roush JK, McLaughlin RM, Cash WC. Microangiography of the humeral condyle in Cocker Spaniel and non-Cocker Spaniel dogs. Vet Comp Orthop Traumatol 1999; 12 (03) 134-137
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Denny HR. Condylar fractures of the humerus in the dog; a review of 133 cases. J Small Anim Pract 1983; 24 (04) 185-197
    CrossrefPubMedGoogle Scholar
  • 11 Gnudi G, Martini FM, Zanichelli S. et al. Incomplete humeral condylar fracture in two English Pointer dogs. Vet Comp Orthop Traumatol 2005; 18 (04) 243-245
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Danielski A, Yeadon R. Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: arthroscopic findings. Vet Surg 2022; 51 (01) 117-124
    CrossrefPubMedGoogle Scholar
  • 13 Schmidt TH, Fischer M, Böttcher P. Three dimensional in vivo kinematography of the canine elbow joint in sound dogs and in dogs with elbow dysplasia. Vet Surg 2014; 43 (05) e123
    PubMedGoogle Scholar
  • 14 Meyer-Lindenberg A, Heinen V, Fehr M, Nolte I. Incomplete ossification of the humeral condyle as the cause of lameness in dogs. Vet Comp Orthop Traumatol 2002; 15 (03) 187-194
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Gabriel P, Pfeil A, Ludewig E, Böttcher P, Oechtering G. Magnetic resonance imaging diagnosis: incomplete ossification of the humeral condyle in a German shepherd dog. J Small Anim Pract 2009; 50 (02) 92-94
    CrossrefPubMedGoogle Scholar
  • 16 Robin D, Marcellin-Little DJ. Incomplete ossification of the humeral condyle in two Labrador retrievers. J Small Anim Pract 2001; 42 (05) 231-234
    CrossrefPubMedGoogle Scholar
  • 17 Moores AP, Agthe P, Schaafsma IA. Prevalence of incomplete ossification of the humeral condyle and other abnormalities of the elbow in English Springer Spaniels. Vet Comp Orthop Traumatol 2012; 25 (03) 211-216
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Strohmeier UW, Harris KP. Humeral intracondylar fissures in French bulldogs. Vet Rec 2021; 189 (11) e504
    CrossrefPubMedGoogle Scholar
  • 19 Rørvik AM. Risk factors for humeral condylar fractures in the dog: a retrospective study. J Small Anim Pract 1993; 34 (06) 277-282
    CrossrefPubMedGoogle Scholar
  • 20 Hare WC. The age at which the centers of ossification appear roentgenographically in the limb bones of the dog. Am J Vet Res 1961; 22: 825-835
    PubMedGoogle Scholar
  • 21 Ticer JW. . Radiographic Technique in Small Animal Practice. W.B. Saunders Company; 1975
    PubMed
  • 22 Piola V, Posch B, Radke H, Telintelo G, Herrtage ME. Magnetic resonance imaging features of canine incomplete humeral condyle ossification. Vet Radiol Ultrasound 2012; 53 (05) 560-565
    CrossrefPubMedGoogle Scholar
  • 23 Johnson KA. Surgical correction of premature closure of ulnar growth plate. J S Afr Vet Assoc 1978; 49 (03) 255
    PubMedGoogle Scholar
  • 24 Evans LB. Surgical correction of premature closure of the ulnar growth plate in the dog. J S Afr Vet Assoc 1977; 48 (04) 287-288
    PubMedGoogle Scholar
  • 25 Loewen KG, Holmberg DL. Surgical management of premature closure of the distal ulnar growth plate in a growing dog. Can Vet J 1982; 23 (04) 113-116
    PubMedGoogle Scholar
  • 26 Vezzoni A. Ulnar osteotomies in elbow dysplasia: from 4 months of age to adulthood. Paper presented at: 4th World Veterinary Orthopaedic Congress, March 1–8, 2014, Breckenridge, CO
    PubMedGoogle Scholar
  • 27 Fitzpatrick N, Smith TJ, O'Riordan J, Yeadon R. Treatment of incomplete ossification of the humeral condyle with autogenous bone grafting techniques. Vet Surg 2009; 38 (02) 173-184
    CrossrefPubMedGoogle Scholar
  • 28 Garland BW, Dumitru EA, Ororbia A, Oxley B. Spontaneous resolution of a humeral intracondylar fissure in a skeletally immature French Bulldog. VCOTOpen 2023; 6: e37-e40
    PubMedGoogle Scholar
  • 29 Karydas S, Danielski A. Proximal ulnar osteotomy as a treatment for humeral intracondylar fissure in a Shetland Sheepdog. Animals (Basel) 2023; 13 (03) 519
    CrossrefPubMedGoogle Scholar
  • 30 Danielski A, Yeadon R. Proximal ulnar osteotomy as a treatment for humeral intracondylar fissure in spaniel breed dogs: preliminary results. Paper presented at: Proceedings of the ESVOT 2022 Congress, September 21–24, 2022, Nice, France
    PubMedGoogle Scholar