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Tierarztl Prax Ausg K Kleintiere Heimtiere 2023; 51(03): 182-188
DOI: 10.1055/a-2110-0088
Case Report

Novel approach for the treatment of canine elbow hygroma with extracorporeal shockwaves

Neue Therapiemöglichkeit des Ellbogenhygroms mit extrakorporaler Stoßwellentherapie beim Hund
Anika Verhoeven
1   Clinic for Small Animals, University of Veterinary Medicine Hannover, Foundation
,
Nikolaus Huels
1   Clinic for Small Animals, University of Veterinary Medicine Hannover, Foundation
,
Oliver Harms
1   Clinic for Small Animals, University of Veterinary Medicine Hannover, Foundation
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Abstract

A hygroma is a fluid filled cavity, which appears due to repetitive traumata over bony prominences. For canine elbow hygroma there is no satisfactory treatment option available. Small hygromas should not be treated at all. Larger hygromas that restrict the dog in daily life, are infected, painful, or ulcerated should be treated surgically with drainage or total excision. Surgical treatment of hygromas results in long rehabilitation times and is associated with a high complication rate. Extracorporeal shockwave therapy (ESWT) is widely used in human and veterinary rehabilitation medicine since several years. Even the mechanisms of action are not fully understood it has a wide range of indications. ESWT provides anti-inflammatory effects, promotes microcirculation, and is used for pain relief. In this case series of 4 consecutive cases in 3 dogs we treated hygromas with extracorporeal shockwaves each for 3 to 6 times usually on a weekly basis. All hygromas regressed completely and no complications were noted. Overall ESWT seems to provide a safe, easy-to-use, as well as cost-effective alternative treatment option for canine elbow hygroma.

Zusammenfassung

Das Hygrom des Ellbogens beim Hund ist ein um flüssigkeitsgefüllter Hohlraum, der durch wiederholte Mikrotraumata über Knochenvorsprüngen entsteht. Für das Hygrom des Hundes gibt es bislang keine zufriedenstelle Behandlungsoption. Kleine Hygrome sollten unbehandelt belassen werden. Kommt es jedoch zur Größenzunahme, zur Infektion oder Ulzeration oder zeigt das Tier Schmerzen, sollte eine chirurgische Intervention mittels Drainage oder kompletter Exzision stattfinden. Oft kommt es bei der Wundheilung zu Komplikationen und auch ein Wiederauftreten der Problematik ist beschrieben. Die extrakorporale Stoßwellentherapie (ESWT) wird mit einem großen Spektrum an Indikationen seit vielen Jahren in der Human- und Tiermedizin eingesetzt. Der Wirkmechanismus ist nicht abschließend geklärt, jedoch besitzt die ESWT antiinflammatorische Effekte, verbessert die Mikrozirkulation und lindert Schmerzen. In dieser Fallserie von 4 Fällen bei 3 Hunden wurden Hygrome mit ESWT im wöchentlichen Abstand je 3- bis 6-mal behandelt. Die Behandlungen verliefen komplikationslos und erfolgreich. Die ESWT ist eine sichere und ökonomische Behandlungsoption für das Ellbogenhygrom des Hundes.

Key words

ESWT - physical therapy - rehabilitation - non-surgical - dog - small animal

Schlüsselwörter

ESWT - physikalische Therapie - Rehabilitation - nicht-chirurgisch - Hund - Kleintier


Publikationsverlauf

Eingereicht: 04. September 2022

Angenommen: 30. November 2022

Artikel online veröffentlicht:
11. August 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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