Subscribe to RSS
DOI: 10.1055/s-0044-1793942
Computed Tomography and Magnetic Resonance Imaging Features of Gracilis Myopathy in Dogs

Abstract
Objectives Gracilis myopathy is a well-recognized syndrome of weight-bearing gait abnormality; however, detailed description of computed tomography (CT) and magnetic resonance imaging (MRI) features of gracilis myopathy is lacking in the literature. This study aims to describe in detail CT and MRI features of gracilis myopathy.
Study design This is a retrospective study. Medical records of dogs with characteristic gait and available pelvic limb MRI or CT, presenting to four referral institutions, were reviewed.
Results Seven cases with MRI (3/7) or CT (4/7) were included, all German Shepherd dogs. MRI findings in all cases included a well-defined, T1-/T2-/proton density-weighted hypointense band along the axial margin of the gracilis muscle, shorter affected muscles, thickening and T2W/STIR hyperintensity with contrast enhancement at the symphyseal tendon, and concurrent focal indentation of the axial border of the gracilis muscle. CT findings included a hyperattenuating band (4/4), single instances of contrast enhancement at the origin of the muscle, thickening of the tendon at the origin and insertion, and concurrent thickening at the musculotendinous muscle.
Conclusion CT and MRI can present advantages in correctly identifying the specific muscles affected within the gracilis–semitendinosus muscle complex. Both modalities can localize anatomically lesions in detail, for instance at the origin or insertion of the muscle, which could present advantages in novel treatment strategies for this condition.
Authors' Contribution
Acquisition of data, analysis and interpretation of data, drafting the article, and revising article for intellectual content: E.F., E.A., and K.F. Analysis and interpretation of data, drafting the article, and revising article for intellectual content: C.G. Conception and design, acquisition of data, analysis and interpretation of data, drafting the article, and revising article for intellectual content: H.G., C.L., and S.A.G. All authors gave final approval for the version to be submitted.
Publication History
Received: 04 March 2024
Accepted: 04 October 2024
Article published online:
15 November 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Capello V, Mortellaro CM, Fonda D. Myopathy of the “Gracilis-semitendinosus muscle complex” in the dog. Eur J Companion Anim Pract 1993; 3: 57-68
- 2 Vaughan LC. Muscle and tendon injuries in dogs. J Small Anim Pract 1979; 20 (12) 711-736
- 3 Taylor J, Tangner CH. Acquired muscle contractures in the dog and cat. A review of the literature and case report. Vet Comp Orthop Traumatol 2007; 20 (02) 79-85
- 4 Denny HR, Butterworth SJ. eds. Chapter 42: The stifle. In: a Guide to Canine and Feline Orthopaedic Surgery. 4th ed. Oxford, UK:: Blackwell Science;; 2000: 512-553
- 5 Carmicheal S, Marshall WG. Muscle and tendon disorders. In: Johnston SA, Tobias KM. eds. Veterinary Surgery: Small Animal. 2nd ed., Vol. 1. St. Louis MO:: Elsevier Health Sciences;; 2017: 1316-1323
- 6 Steiss JE. Muscle disorders and rehabilitation in canine athletes. Vet Clin North Am Small Anim Pract 2002; 32 (01) 267-285
- 7 Moore RW, Rouse GP, Piermattei DL, Ferguson HR. Fibrotic myopathy of the semitendinosus muscle in four dogs. Vet Surg 1981; 10 (04) 169-174
- 8 Wilson SA, Binversie EE, Kohler N, Patterson MM, Sample SJ, Muir P. Fibrotic myopathy and contracture of the caudal thigh musculature: a prospective study of 41 dogs (2019-2022). J Am Vet Med Assoc 2023; 261 (11) 1-6
- 9 Spadari A, Spinella G, Morini M, Romagnoli N, Valentini S. Sartorius muscle contracture in a German shepherd dog. Vet Surg 2008; 37 (02) 149-152
- 10 Vidoni B, Hassan J, Bockstahler B, Dupre G. Fibrotic gracilis, myopathy-clinical signs, diagnostic imaging, therapy in a German shepherd dog. Wien Tierarztl Monatsschr 2008; 95 (1–2): 8-14
- 11 Lewis DD, Shelton GD, Piras A. et al. Gracilis or semitendinosus myopathy in 18 dogs. J Am Anim Hosp Assoc 1997; 33 (02) 177-188
- 12 Ragetly GR, Griffon DJ, Johnson AL, Blevins WE, Valli VE. Bilateral iliopsoas muscle contracture and spinous process impingement in a German Shepherd dog. Vet Surg 2009; 38 (08) 946-953
- 13 Stepnik MW, Olby N, Thompson RR, Marcellin-Little DJ. Femoral neuropathy in a dog with iliopsoas muscle injury. Vet Surg 2006; 35 (02) 186-190
- 14 Pettit GD, Chatburn CC, Hegreberg GA, Meyers KM. Studies on the pathophysiology of infraspinatus muscle contracture in the dog. Vet Surg. 1978; 7 (01) 8-11
- 15 Orellana-James NG, Ginja MM, Regueiro M. et al. Sub-acute and chronic MRI findings in bilateral canine fibrotic contracture of the infraspinatus muscle. J Small Anim Pract 2013; 54 (08) 428-431
- 16 Kurtys K, Podgórski M, Gonera B, Vazquez T, Olewnik Ł. An assessment of the variation of the intramuscular innervation of the gracilis muscle, with the aim of determining its neuromuscular compartments. J Anat 2023; 242 (03) 354-361
- 17 Cullen R, Canapp D, Dycus D, Carr B, Ibrahim V, Canapp S. Clinical evaluation of iliopsoas strain with findings from diagnostic musculoskeletal ultrasound in agility performance canines – 73 Cases. Vet Evid 2017; 2 (02) 1-17
- 18 Nielsen C, Pluhar GE. Diagnosis and treatment of hind limb muscle strain injuries in 22 dogs. Vet Comp Orthop Traumatol 2005; 18 (04) 247-253
- 19 Gomes SA. Degenerative Lumbosacral Syndrome in Dogs–Surgical Management Strategies and New Insights on Outcome. Master of Research [dissertation]. Nottingham , England:: University of Nottingham;; ;202.
- 20 Platt SR, McConnell JF, Garosi LS, Ladlow J, de Stefani A, Shelton GD. Magnetic resonance imaging in the diagnosis of canine inflammatory myopathies in three dogs. Vet Radiol Ultrasound 2006; 47 (06) 532-537
- 21 Patil P, Dasgupta B. Role of diagnostic ultrasound in the assessment of musculoskeletal diseases. Ther Adv Musculoskelet Dis 2012; 4 (05) 341-355
- 22 Valberg SJ. Muscle conditions affecting sport horses. Vet Clin North Am Equine Pract 2018; 34 (02) 253-276
- 23 Gibson MA, Brown SG, Brown NO. Semitendinosus myopathy and treatment with adipose-derived stem cells in working German shepherd police dogs. Can Vet J 2017; 58 (03) 241-246
- 24 Termote JL, Baert A, Crolla D, Palmers Y, Bulcke JA. Computed tomography of the normal and pathologic muscular system. Radiology 1980; 137 (02) 439-444
- 25 Rai S, Meng C, Wang X. et al. Gluteal muscle contracture: diagnosis and management options. SICOT J 2017; 3: 1
- 26 Mikkelsen MA, Ottesen N. CT findings in a dog with subacute myopathy and later fibrotic contracture of the infraspinatus muscle. Vet Radiol Ultrasound 2021; 62 (02) E11-E15
- 27 Ogawa K, Takahashi M, Naniwa T. Deltoid contracture: MR imaging features. Clin Radiol 2001; 56 (02) 146-149
- 28 Zalcman AR, Cook C, Mai W. MRI of musculoskeletal diseases. In: Mai W. . ed. Diagnostic MRI in Dogs and Cats. Boca Raton, FL:: CRC Press;; 2018: 641-684
- 29 Huang CC, Ko SF, Ko JY. et al. Contracture of the deltoid muscle: sonographic evaluation with MRI correlation. AJR Am J Roentgenol 2005; 185 (02) 364-370
- 30 Chan O, Del Buono A, Best TM, Maffulli N. Acute muscle strain injuries: a proposed new classification system. Knee Surg Sports Traumatol Arthrosc 2012; 20 (11) 2356-2362
- 31 Ekstrand J, Askling C, Magnusson H, Mithoefer K. Return to play after thigh muscle injury in elite football players: implementation and validation of the Munich muscle injury classification. Br J Sports Med 2013; 47 (12) 769-774
- 32 Patel A, Chakraverty J, Pollock N, Chakraverty R, Suokas AK, James SL. British athletics muscle injury classification: a reliability study for a new grading system. Clin Radiol 2015; 70 (12) 1414-1420