Osteochondrosis dissecans of the tarsus in Labrador Retrievers: Clinical signs, radiological data and force plate gait evaluation after surgical treatment

G. J. W. van der Peijl; I. G. F. Schaeffer; L. F. H. Theyse; N. A. Dijkshoorn; M. Schwencke; H. A. W. Hazewinkel

doi:10.3415/VCOT-11-03-0046

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2012; 25(02): 126-134
DOI: 10.3415/VCOT-11-03-0046

Original Research

Schattauer GmbH

Osteochondrosis dissecans of the tarsus in Labrador Retrievers: Clinical signs, radiological data and force plate gait evaluation after surgical treatment

G. J. W. van der Peijl

¹Specialists Referral Clinic for Small Animals ‘Binnenhof’, Almkerk, The Netherlands

,

I. G. F. Schaeffer

¹Specialists Referral Clinic for Small Animals ‘Binnenhof’, Almkerk, The Netherlands

,

L. F. H. Theyse

²Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands

,

N. A. Dijkshoorn

³Private Practice Dijkshoorn, Zeist, The Netherlands

,

M. Schwencke

²Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands

,

H. A. W. Hazewinkel

²Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands

› Institutsangaben

Abstract

Summary

Objectives: To report the outcome of unilateral surgery, by a plantaromedial approach, in 15 Labrador Retrievers with osteochondrosis dissecans (OCD) of the medial trochlear ridge of the talus. To evaluate the influence on outcome of age at surgery, bilateral involvement, periarticular soft tissue increase (PSI), osteophyte size (OS), decrease of range of joint motion and follow-up. To assess the extent of tarsal hyperextension in the standing dog.

Methods: A retrospective clinical and radiographic study was conducted and the posttreatment gait was analysed using a force plate. Ground reaction force (GRF) data were compared with data derived from 24 healthy Labrador Retrievers (control group).

Results: Six dogs had an excellent or good clinical result. Significant differences were found between the patients and the control group for many GRF data. Propulsive and vertical forces significantly decreased in the operated limb and increased in the contralateral pelvic and ipsilateral or both thoracic limbs. The lameness was significantly correlated to the OS postoperatively, the range-of-motion, the PSI, the length of the follow-up period, and the vertical ground force. No hyperextension in stance was recorded.

Clinical significance: Although most dogs improved, the prognosis remains guarded. This seems to be independent of age, bilateral involvement, or preoperative OS in these dogs. No relation between medial talar OCD and tarsal hyperextension in stance was found in these dogs.

Keywords

Osteochondrosis dissecans - tarsus - force plate gait analysis - dog

Volltext

Referenzen

References
1 Fitch RB, Beale BS. Osteochondrosis of the canine tibiotarsal joint. Vet Clin North Am Small Anim Pract 1998; 28: 95-113.
2 Smith MM, Vasseur PB, Morgan JP. Clinical evaluation of dogs after surgical and nonsurgical management of osteochrondritis dissecans of the talus. J Am Vet Med Assoc 1985; 187: 31-35.
3 Poulos PW. Canine osteochondrosis. Vet Clin North Am Small Anim Pract 1982; 12: 313-328.
4 Beale BS, Goring RL, Herrington J. et al. A prospective evaluation of four surgical approaches to the talus of the dog used in treatment of osteochondritis dissecans. J Am Anim Hosp Assoc 1991; 27: 221-229.
5 Fox SM, Walker AM. The etiopathogenesis of osteochondrosis. Vet Med 1993; 88: 116-122.
6 Bennett D. Developmental joint disease- osteochondrosis- specific joints- hock joint. Proceedings of the FECAVA continuing education course: Aspects of Arthrology. 1999. March 11-14 Lillehammer, Norway: pg. 7-13.
7 Maley JR, Dvorak LD, Bahr A. Diagnosis and management of a fracture of the lateral trochlear ridge of the talus in a dog. Vet Comp Orthop Traumatol 2010; 23: 284-288.
8 Johnson KA, Howlett CR, Pettit GD. Osteochondrosis in the hock joints in dogs. J Am Anim Hosp Assoc 1980; 16: 103-113.
9 Rosenblum GP, Robins GM, Carlisle CH. Osteochondritis dissecans of the tibio-tarsal joint in the dog. J Small Anim Pract 1978; 19: 759-767.
10 Olsson NC, Mostosky UV, Flo GL. et al. Osteochondritis dissecans of the tarsocrural joint in three canine siblings. J Am Vet Med Assoc 1980; 176: 635-637.
11 Aron DN, Gorse MJ. Clinical use of N-butyl 2 cyanoacrylate for stabilization of osteochondral fragments: preliminary report. J Am Anim Hosp Assoc 1991; 27: 203-210.
12 Kippenes H, Johnston G. Diagnostic imaging of osteochondrosis. Vet Clin North Am Small Anim Pract 1998; 28: 137-160.
13 Alexander JW, Richardson DC, Selcer BA. Osteochondritis dissecans of the elbow, stifle and hock - a review. J Am Anim Hosp Assoc 1981; 17: 51-56.
14 Miyabayashi T, Biller DS, Manley PA. et al. Use of a flexed dorsoplantar radiographic view of the talocrural joint to evaluate lameness in two dogs. J Am Vet Med Assoc 1991; 199: 598-600.
15 Mason TA, Lavelle RB. Osteochondritis dissecans of the tibial tarsal bone in dogs. J Small Anim Pract 1979; 20: 423-432.
16 Vaughan LC. Disorders of the tarsus in the dog. Br Vet J 1987; 143: 388-401.
17 Fox SM, Walker AM. The diagnostic procedures and therapy for OCD of the hindlimbs. Vet Med 1993; 88: 147-153.
18 Breur GJ, Spaulding KA, Braden TD. Osteochondritis dissecans of the medial trochlear ridge of the talus in the dog. Vet Comp Orthop Traumatol 1989; 4: 168-176.
19 Gielen I, Van Ryssen B, Coopman F. et al. Comparison of subchondral lesion size between clinical and non-clinical medial trochlear ridge talar osteochondritis dissecans in dogs. Vet Comp Orthop Traumatol 2007; 20: 8-11.
20 Rudd RG, Visco DM, Kincaid SA. et al. The effects of bevelling the margins of articular cartilage defects in immature dogs. Vet Surg 1987; 16: 378-389.
21 Jaeger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in Labrador Retrievers. Am J Vet Res 2002; 63: 979-986.
22 Newton CD. Normal joint range of motion in the dog and cat: Appendix B. In: Textbook of Small Animal Orthopedics. Newton CD, Nunamaker DM. editors. Philadelphia: J.B. Lippincott Company; 1985. pg. 1101-1106.
23 Budsberg SC, Verstraete MC, Soutas-Little RW. Force plate analysis of the walking gait in healthy dogs. Am J Vet Res 1987; 48: 915-918.
24 Kirpensteijn J, van den Bos R, van den Brom WE. et al. Ground reaction force analysis of large breed dogs when walking after amputation of a limb. Vet Rec 2000; 146: 155-159.
25 Theyse LFH, Hazewinkel HAW, van den Brom WE. Force plate analysis before and after surgical treatment of unilateral fragmented coronoid process. Vet Comp Orthop Traumatol 2000; 13: 135-140.
26 Van Klaveren NJ, Suwakong N, de Boer S. et al. Force plate analysis before and after dorsal decompression for treatment of degenerative lumbosacral stenosis in dogs. Vet Surg 2005; 34: 450-456.
27 Goddard AL. Morphology of the Canine Stance. [Honors Thesis Project]. Knoxville (TN, USA): University of Tennessee. 2005 Available from: http://trace.tennessee.edu/utk_chanhonoproj/855.
28 Post C, Guerrero T, Ohlerth S. et al. Joint mice migration into the deep flexor tendon sheath in dogs: clinical cases and anatomical study. Vet Comp Orthop Traumatol 2008; 21: 440-445.
29 Slater MR, Scarlett JM, Donoghue S. et al. Breed, gender, and age risk factors for canine osteochondritis dissecans. Vet Comp Orthop Traumatol 1991; 4: 100-106.
30 LaFond E, Breur GJ, Austin CC. Breed susceptibility for developmental orthopedic diseases in dogs. J Am Anim Hosp Assoc 2002; 38: 467-477.
31 Morgan J, Wind A, Davidson AP. Osteochondrosis of the talus. In: Hereditary Bone and Joint Diseases in the Dog. Morgan J, Wind A, Davidson AP. editors. Hannover: Schlütersche Verlag; 2000. pg. 239-245.
32 Nap RC, Hazewinkel HAW. Growth and skeletal development in the dog in relation to nutrition; a review. Vet Quart 1994; 16: 50-59.
33 Schoenmakers I, Nap RC, Mol JA. et al. Calcium metabolism: an overview of its hormonal regulation and interrelation with skeletal integrity. Vet Quart 1999; 21: 147-153.
34 Gielen I. The value of computed tomography in the clinical course of canine tarsocrural osteochondrosis. In: Gielen I. editor. Computed tomography in the diagnosis and treatment of canine tarsocrural osteochondrosis. PhD [Thesis]. Ghent (Belgium): University Gent; 2003. pg. 163-179.
35 Dew TL, Martin RA. A caudal approach to the tibiotarsal joint. J Am Anim Hosp Assoc 1993; 29: 117-121.
36 Gielen I, van Bree H, Van Ryssen B. et al. Radiographic, computed tomographic and arthroscopic findings in 23 dogs with osteochondrosis of the tarsocrural joint. Vet Rec 2002; 150: 442-447.
37 Van Bree HJJ, van Ryssen B. Diagnostic and surgical arthroscopy in osteochondrosis lesions. Vet Clin North Am Small Anim Pract 1998; 28: 161-189.
38 Van Ryssen B, van Bree HJJ, Vyt P. Arthroscopy of the canine hock joint. J Am Anim Hosp Assoc 1993; 29: 107-115.
39 Miller J, Beale B. Tibiotarsal arthroscopy: applications and long-term outcome in dogs. Vet Comp Orthop Traumatol 2008; 21: 159-165.
40 Cook JL, Tomlinson JL, Stoll MR. et al. Arthroscopic removal and curettage of osteochondrosis lesion on the lateral and medial trochlear ridges of the talus in two dogs. J Am Anim Hosp Assoc 2001; 37: 75-80.
41 Voss K, Wiestner T, Galeandro L. et al. Effect of dog breed and body conformation on vertical ground reaction forces, impulses and stance times. Vet Comp Orthop Traumatol 2011; 24: 106-112.
42 Voss K, Imhof J, Kaestner S. et al. Force plate gait analysis at the walk and trot in dogs with low-grade hindlimb lameness. Vet Comp Orthop Traumatol 2007; 20: 229-304.
43 Beraud R, Moreau M, Lussier B. Effect of exercise on kinetic gait analysis of dogs afflicted by osteoarthritis. Vet Comp Orthop Traumatol 2010; 23: 87-92.
44 Demko J, McLaughlin R. Developmental orthopedic disease. Vet Clin North Am; Small Anim Pract 2005; 35: 1111-1135.
45 Trostel CT, MacLaughlin RM, Pool RR. Canine lameness caused by developmental orthopedic diseases: osteochondrosis. Compend Contin Educ Pract Vet 2002; 24: 836-854.
46 Kumai T, Takakura Y, Higashiyama I. et al. Arthroscopic drilling for the treatment of osteochondral lesions of the talus. J Bone Joint Surg Am 1999; 81: 1229-1235.
47 Dew TL, Martin RA. Functional, radiographic, and histologic assessment of healing of autogenous osteochondral grafts and full-thickness cartilage defects in the talus of dogs. Am J Vet Res 1992; 53: 2141-2152.
48 Palierne S, Bilmont A, Raymond-Letron I. et al. A case of stifle osteochondrosis treated by osteochondral autogenous grafting: one month morphological follow-up. Vet Comp Orthop Traumatol 2010; 23: 190-195.
49 Fitzpatrick N, van Terheijden C, Yeadon R. et al. Osteochondral autograft transfer for treatment of osteochondritis dissecans of the caudocentral humeral head in dogs. Vet Surg 2010; 39: 925-935.
50 Van Dyck GE, Dejardin LM, Flo G. et al. Cancellous bone grafting of large osteochondral defects: an experimental study in dogs. Arthroscopy 1998; 14: 311-320.