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CC BY 4.0 · VCOT Open 2024; 07(01): e59-e68
DOI: 10.1055/s-0044-1787563
Case Report

Long-Term Clinical Outcome of Medial Shoulder Instability in a Dog Treated with Synthetic Implant, Cortical Button, and Interference Screw

Julien Letesson 
1   Clinique Vétérinaire Lameilhé, Castres, France
,
Antonin Crumière 
2   Novetech Surgery, Nice, France
,
Bastien Goin 
2   Novetech Surgery, Nice, France
3   Université de Lyon, VetAgro Sup, Interactions Cellules Environnement, Marcy l'Etoile, France
4   Univ Lyon, Univ Gustave Eiffel, Univ Claude Bernard Lyon 1, Laboratoire de Biomécanique et Mécanique des Chocs, Lyon, France
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Funding This study received no external funding.
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Erratum zu diesem Artikel:

Corrigendum: Long-Term Clinical Outcome of Medial Shoulder Instability in a Dog Treated with Synthetic Implant, Cortical Button, and Interference ScrewVCOT Open 2024; 07(01): e1-e1
DOI: 10.1055/s-0044-1788640

Abstract

Objective The objective of this study was to describe the surgical procedure and long-term outcome of traumatic medial shoulder instability in one dog treated with an ultra-high molecular weight polyethylene implant.

A Fox Terrier had traumatic medial shoulder instability caused by the disruption of the subscapularis muscle and medial glenohumeral ligament. The joint was stabilized through a medial approach with an ultra-high molecular weight polyethylene implant secured on the glenoid by a cortical button and on the humerus by an interference screw. Postoperative and follow-up examinations were performed at 1, 2, 4.5 months, and 2.5 years.

Results The patient bore weight after surgery and resumed normal gait after 2 months. Both the scapular and humeral tunnels had widened, essentially at their medial entrance, at 1 month postoperatively.

Entrance diameter increased for 2 months and remained unchanged thereafter. An increase of 35 degrees in the abduction angle was observed in the long term at the 2.5-year control with minor osteoarthritis. No implant loosening, medial laxity, excessive abduction angle, inflammation, or septic reaction were observed.

Conclusion The treatment of this case resulted in a satisfactory clinical outcome despite tunnel widening. This modified method using an interference screw could thus be considered as an alternative treatment of medial shoulder instability.

Keywords

dog - interference screw - medial glenohumeral ligament - medial shoulder instability - synthetic ligament reconstruction

Author Contributions

J.L. examined the patient, diagnosed the pathology, performed surgery, performed follow-up visits, analysed data, and revised the manuscript. A.C. and B.G. analysed data, wrote and revised the manuscript.




Publikationsverlauf

Eingereicht: 04. August 2023

Angenommen: 05. Mai 2024

Artikel online veröffentlicht:
14. Juni 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 Bardet JF. Diagnosis of shoulder instability in dogs and cats: a retrospective study. J Am Anim Hosp Assoc 1998; 34 (01) 42-54
    CrossrefPubMedSuche in Google Scholar
  • 2 Cogar SM, Cook CR, Curry SL, Grandis A, Cook JL. Prospective evaluation of techniques for differentiating shoulder pathology as a source of forelimb lameness in medium and large breed dogs. Vet Surg 2008; 37 (02) 132-141
    CrossrefPubMedSuche in Google Scholar
  • 3 Franklin SP, Devitt CM, Ogawa J, Ridge P, Cook JL. Outcomes associated with treatments for medial, lateral, and multidirectional shoulder instability in dogs. Vet Surg 2013; 42 (04) 361-364
    CrossrefPubMedSuche in Google Scholar
  • 4 Woolley ELE, Collyer TA, Finch SJ, House AK. Medial shoulder instability: prevalence and treatment outcomes in 17 poodles and 31 dogs of other breeds. VCOT Open 2023; 6 (02) e107-e113
    Thieme ConnectPubMedSuche in Google Scholar
  • 5 Cook JL, Renfro DC, Tomlinson JL, Sorensen JE. Measurement of angles of abduction for diagnosis of shoulder instability in dogs using goniometry and digital image analysis. Vet Surg 2005; 34 (05) 463-468
    CrossrefPubMedSuche in Google Scholar
  • 6 Diekmann C, Winkels P, Fehr M, von Freeden N, Harms O. Radiographische Lokalisation der Ansatz- und Ursprungspunkte des medialen glenohumeralen Bandes beim Hund. Tierarztl Prax Ausg K Klientiere Heimtiere 2016; 44 (06) 389-396
    Thieme ConnectPubMedSuche in Google Scholar
  • 7 O'Donnell EM, Canapp Jr SO, Cook JL, Pike F. Treatment of medial shoulder joint instability in dogs by extracapsular stabilization with a prosthetic ligament: 39 cases (2008-2013). J Am Vet Med Assoc 2017; 251 (09) 1042-1052
    CrossrefPubMedSuche in Google Scholar
  • 8 Devitt CM, Neely MR, Vanvechten BJ. Relationship of physical examination test of shoulder instability to arthroscopic findings in dogs. Vet Surg 2007; 36 (07) 661-668
    CrossrefPubMedSuche in Google Scholar
  • 9 Livet V, Harel M, Taroni M. et al. Stress radiography for the diagnosis of medial glenohumeral ligament rupture in canine shoulders. Vet Comp Orthop Traumatol 2019; 32 (06) 433-439
    Thieme ConnectPubMedSuche in Google Scholar
  • 10 Schaefer SL, Forrest LJ. Magnetic resonance imaging of the canine shoulder: an anatomic study. Vet Surg 2006; 35 (08) 721-728
    CrossrefPubMedSuche in Google Scholar
  • 11 De Rycke LM, Gielen IM, Dingemanse W, Kromhout K, van Bree H. Computed tomographic and low-field magnetic resonance arthrography: a comparison of techniques for observing intra-articular structures of the normal canine shoulder. Vet Surg 2015; 44 (06) 704-712
    CrossrefPubMedSuche in Google Scholar
  • 12 Pettitt RA, Clements DN, Guilliard MJ. Stabilisation of medial shoulder instability by imbrication of the subscapularis muscle tendon of insertion. J Small Anim Pract 2007; 48 (11) 626-631
    CrossrefPubMedSuche in Google Scholar
  • 13 Fitch RB, Breshears L, Staatz A, Kudnig S. Clinical evaluation of prosthetic medial glenohumeral ligament repair in the dog (ten cases). Vet Comp Orthop Traumatol 2001; 14 (04) 222-228
    Thieme ConnectPubMedSuche in Google Scholar
  • 14 Hammer M, Grand JG. Inverted V-shaped extracapsular stabilisation technique and arthroscopic findings in six dogs with medial shoulder instability. J Small Anim Pract 2021; 62 (09) 795-804
    CrossrefPubMedSuche in Google Scholar
  • 15 Penelas A, Pozzi A, Stańczyk E, Gutbrod A. Arthroskopisch-assistierte Stabilisation einer medialen Schulterinstabilität bei einem Zwergpudel. Schweiz Arch Tierheilkd 2018; 160 (09) 533-538
    PubMedSuche in Google Scholar
  • 16 Buttin P, Santoro V, Agbalé M. et al. Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog. Open Vet J 2022; 12 (03) 375-382
    CrossrefPubMedSuche in Google Scholar
  • 17 Fauqueux F, Goin B, Agbalé M. et al. Intra-articular replacement of the caudal cruciate ligament using a UHMWPE ligament under arthroscopic guidance in a dog: a case report. Open Vet J 2023; 13 (07) 948-954
    CrossrefPubMedSuche in Google Scholar
  • 18 Hohn RB, Rosen H, Bohning Jr RHJ, Brown SG. Surgical stabilization of recurrent shoulder luxation. Vet Clin North Am 1971; 1 (03) 537-548
    CrossrefPubMedSuche in Google Scholar
  • 19 Cook JL, Tomlinson JL, Fox DB, Kenter K, Cook CR. Treatment of dogs diagnosed with medial shoulder instability using radiofrequency-induced thermal capsulorrhaphy. Vet Surg 2005; 34 (05) 469-475
    CrossrefPubMedSuche in Google Scholar
  • 20 Kerwin SC, Taylor AR. Neurologic causes of thoracic limb lameness. Vet Clin North Am Small Anim Pract 2021; 51 (02) 357-364
    CrossrefPubMedSuche in Google Scholar
  • 21 King R. Advanced imaging of the forelimb: use of musculoskeletal ultrasound and MRI of the shoulder and brachial plexus. Vet Clin North Am Small Anim Pract 2021; 51 (02) 383-399
    CrossrefPubMedSuche in Google Scholar
  • 22 Smith PA, Bozynski CC, Kuroki K, Henrich SM, Wijdicks CA, Cook JL. Intra-articular biocompatibility of multistranded, long-chain polyethylene suture tape in a canine ACL model. J Knee Surg 2019; 32 (06) 525-531
    Thieme ConnectPubMedSuche in Google Scholar
  • 23 Buttin P, Goin B, Crumière AJJ. et al. Ex-vivo biomechanical analysis of an original repair of canine calcaneal tendon rupture using a synthetic implant as mechanical support fixed by sutures in the proximal tendinous part and by an interference screw in the bone distal part. Open Vet J 2023; 13 (05) 645-653
    CrossrefPubMedSuche in Google Scholar
  • 24 Goin B, Buttin P, Lafon Y, Massenzio M, Viguier E, Cachon T. Biomechanical cyclic loading test of a synthetic ligament fixation system used for intra-articular stabilization of deficient canine stifles. Open Vet J 2022; 12 (03) 341-350
    CrossrefPubMedSuche in Google Scholar
  • 25 Letesson J, Goin B, Viguier E, Cachon T. Validation of a biomechanical testing protocol of craniodorsal hip luxation in feline cadavers and comparison of two ultra-high molecular weight polyethylene materials used for extra-articular hip stabilisation. J Feline Med Surg 2022; 24 (10) e360-e369
    CrossrefPubMedSuche in Google Scholar
  • 26 Fujita Y, Yamaguchi S, Agnello KA, Muto M. Effects of transection of the cranial arm of the medial glenohumeral ligament on shoulder stability in adult Beagles. Vet Comp Orthop Traumatol 2013; 26 (02) 94-99
    Thieme ConnectPubMedSuche in Google Scholar
  • 27 Llido M, Livet V, Carozzo C, Viguier É, Cachon T. Treatment of medial shoulder joint instability by stabilization with an arthroscopically guided prosthetic ligament: a cadaveric feasibility study in dogs. Vet Comp Orthop Traumatol 2023; 36 (01) 1-9
    Thieme ConnectPubMedSuche in Google Scholar
  • 28 Baltzer WI, Schulz KS, Stover SM, Taylor KT, Kass PH. Biomechanical analysis of suture anchors and suture materials used for toggle pin stabilization of hip joint luxation in dogs. Am J Vet Res 2001; 62 (05) 721-728
    CrossrefPubMedSuche in Google Scholar
  • 29 Scheffler SU, Südkamp NP, Göckenjan A, Hoffmann RFG, Weiler A. Biomechanical comparison of hamstring and patellar tendon graft anterior cruciate ligament reconstruction techniques: the impact of fixation level and fixation method under cyclic loading. Arthroscopy 2002; 18 (03) 304-315
    CrossrefPubMedSuche in Google Scholar
  • 30 Penelas A, Gutbrod A, Kühn K, Pozzi A. Feasibility and safety of arthroscopic medial glenohumeral ligament and subscapularis tendon repair with knotless anchors: a cadaveric study in dogs. Vet Surg 2018; 47 (06) 817-826
    CrossrefPubMedSuche in Google Scholar
  • 31 Rocheleau PJ, Holz KA, Peura AH. Ex vivo evaluation of arthroscopically assisted shoulder stabilization in dogs using an intra-articular aiming device. Vet Surg 2023; 52 (04) 564-574
    CrossrefPubMedSuche in Google Scholar
  • 32 Barber FA, Herbert MA, Beavis RC. Cyclic load and failure behavior of arthroscopic knots and high strength sutures. Arthroscopy 2009; 25 (02) 192-199
    CrossrefPubMedSuche in Google Scholar
  • 33 Kunkel KAR, Rusly RJ, Basinger RR, DesJardins JD, Gerard PD. In vitro acute load to failure and eyelet abrasion testing of a novel veterinary screw-type mini-anchor design. Vet Surg 2013; 42 (02) 217-222
    CrossrefPubMedSuche in Google Scholar
  • 34 Knell SC, Longo F, Wolfer N, Schmierer PA, Hermann A, Pozzi A. Outcome and complications following stabilization of coxofemoral luxations in cats using a modified hip toggle stabilization-a retrospective multicentre study. Vet Comp Orthop Traumatol 2023; 36 (04) 218-224
    Thieme ConnectPubMedSuche in Google Scholar
  • 35 Kieves NR, Lotsikas PJ, Schulz KS, Canapp SO. Hip toggle stabilization using the TightRope® system in 17 dogs: technique and long-term outcome. Vet Surg 2014; 43 (05) 515-522
    CrossrefPubMedSuche in Google Scholar
  • 36 Buelow JU, Siebold R, Ellermann A. A prospective evaluation of tunnel enlargement in anterior cruciate ligament reconstruction with hamstrings: extracortical versus anatomical fixation. Knee Surg Sports Traumatol Arthrosc 2002; 10 (02) 80-85
    CrossrefPubMedSuche in Google Scholar
  • 37 Mayr R, Smekal V, Koidl C. et al. ACL reconstruction with adjustable-length loop cortical button fixation results in less tibial tunnel widening compared with interference screw fixation. Knee Surg Sports Traumatol Arthrosc 2020; 28 (04) 1036-1044
    CrossrefPubMedSuche in Google Scholar
  • 38 Mediouni M, Kucklick T, Poncet S. et al. An overview of thermal necrosis: present and future. Curr Med Res Opin 2019; 35 (09) 1555-1562
    CrossrefPubMedSuche in Google Scholar
  • 39 Kandahari AM, Yang X, Laroche KA, Dighe AS, Pan D, Cui Q. A review of UHMWPE wear-induced osteolysis: the role for early detection of the immune response. Bone Res 2016; 4 (01) 16014
    CrossrefPubMedSuche in Google Scholar
  • 40 Palmisano AC, Tai BL, Belmont B, Irwin TA, Shih A, Holmes JR. Comparison of cortical bone drilling induced heat production among common drilling tools. J Orthop Trauma 2015; 29 (05) e188-e193
    CrossrefPubMedSuche in Google Scholar
  • 41 Corse M, Holsworth IG. Complications associated with extracapsular stabilization using multifilament material. In: Ben-Amotz R, Dycus DL. , editors. Complications in Canine Cranial Cruciate Ligament Surgery. Hoboken:: Wiley-Blackwell;; 2022: 121-143
    Suche in Google Scholar
  • 42 Blanc Q, Goin B, Rafael P. et al. Effect of the number of interference screws for the fixation of an intra-articular cranial cruciate ligament prosthesis in dogs: biomechanical study. Comput Methods Biomech Biomed Engin 2019; 22 (01) S102-S104
    CrossrefPubMedSuche in Google Scholar