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Vet Comp Orthop Traumatol 2019; 32(01): 010-017
DOI: 10.1055/s-0038-1672210
Original Research
Georg Thieme Verlag KG Stuttgart · New York

Quantitative Radiographic Evaluation of Elbow Incongruity in Labrador and Golden Retrievers with Confirmed Medial Coronoid Disease

Ayman Mostafa
1   Department of Small Animal Surgery and Radiology, College of Veterinary Medicine, Cairo University, Giza, Egypt
,
Ingo Nolte
2   Small Animal Hospital, University of Veterinary Medicine, Hannover, Foundation, Hannover, Germany
,
Patrick Wefstaedt
2   Small Animal Hospital, University of Veterinary Medicine, Hannover, Foundation, Hannover, Germany
› Author Affiliations Funding This project was financed by the University of Veterinary Medicine, Hannover, Foundation, Germany, and supported in part by a grant from the Bilateral Exchange of Academics and Scientists program by DAAD (Deutscher Akademischer Austauschdienst).
Further Information

Publication History

08 February 2018

20 July 2018

Publication Date:
15 January 2019 (online)

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Erratum to: “Quantitative Radiographic Evaluation of Elbow Incongruity in Labrador and Golden Retrievers with Confirmed Medial Coronoid Disease”Vet Comp Orthop Traumatol 2019; 32(02): 171-171
DOI: 10.1055/s-0039-1679941

Abstract

Objectives The purpose of this study was to objectively estimate humeroradial (HR), humeroulnar (HU) and radioulnar (RU) congruity on mediolateral elbow radiographs of Labrador and Golden Retrievers without and with medial coronoid disease (MCD), and to determine the correlation between traditional and modified RU-step assessment techniques.

Materials and Methods Extended mediolateral elbow radiographs of Labrador and Golden Retrievers without MCD (control group) and with confirmed MCD (diseased group) were investigated. Absolute and average HR and HU distances were determined and standardized by the radius of the corresponding humeral condyle. Traditional RU-step was measured, and a modified procedure of RU-step assessment was generated. The correlation between the two RU-step assessment procedures was tested.

Results A total of 131 (197 elbows) Labrador and Golden Retrievers met the criteria for inclusion in the control and diseased groups. The normalized HR and HU distances increased significantly (p ≤ 0.002) in dogs with MCD. There was a significant increase (p < 0.0001) in the traditional and modified RU-step in dogs with MCD. A significant correlation (r s = 0.74, p < 0.0001) was identified between traditional and modified RU-step calculated for control and diseased elbows.

Clinical Relevance Dogs with confirmed MCD had quantitative radiographic evidences of elbow incongruity. Modified RU-step procedure may be an alternative to the traditional technique and can be utilized during routine quantification of HR and HU congruity. Validation of the reported measurements is, however, warranted.

Keywords

elbow dysplasia - medial coronoid disease - radiography - osteoarthritis - canine

Authors Contribution

All authors contributed to conception of study, study design, and acquisition of data and data analysis and interpretation. All authors drafted, revised and approved the submitted manuscript.


 

  • References

  • 1 Samoy Y, Van Ryssen B, Gielen I, Walschot N, van Bree H. Review of the literature: elbow incongruity in the dog. Vet Comp Orthop Traumatol 2006; 19 (01) 1-8
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Moores AP, Benigni L, Lamb CR. Computed tomography versus arthroscopy for detection of canine elbow dysplasia lesions. Vet Surg 2008; 37 (04) 390-398
    CrossrefPubMedGoogle Scholar
  • 3 Peremans K, Vermeire S, Dobbeleir A. , et al. Recognition of anatomical predilection sites in canine elbow pathology on bone scans using micro-single photon emission tomography. Vet J 2011; 188 (01) 64-72
    CrossrefPubMedGoogle Scholar
  • 4 Michelsen J. Canine elbow dysplasia: aetiopathogenesis and current treatment recommendations. Vet J 2013; 196 (01) 12-19
    CrossrefPubMedGoogle Scholar
  • 5 Fitzpatrick N, Smith TJ, Evans RB, Yeadon R. Radiographic and arthroscopic findings in the elbow joints of 263 dogs with medial coronoid disease. Vet Surg 2009; 38 (02) 213-223
    CrossrefPubMedGoogle Scholar
  • 6 Vermote KA, Bergenhuyzen AL, Gielen I, van Bree H, Duchateau L, Van Ryssen B. Elbow lameness in dogs of six years and older: arthroscopic and imaging findings of medial coronoid disease in 51 dogs. Vet Comp Orthop Traumatol 2010; 23 (01) 43-50
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Coppieters E, Seghers H, Verhoeven G. , et al. Arthroscopic, computed tomography, and radiographic findings in 25 dogs with lameness after arthroscopic treatment of medial coronoid disease. Vet Surg 2016; 45 (02) 246-253
    CrossrefPubMedGoogle Scholar
  • 8 Keller GG, Kreeger JM, Mann FA, Lattimer JC. Correlation of radiographic, necropsy and histologic findings in 8 dogs with elbow dysplasia. Vet Radiol Ultrasound 1997; 38 (04) 272-276
    CrossrefPubMedGoogle Scholar
  • 9 Smith TJ, Fitzpatrick N, Evans RB, Pead MJ. Measurement of ulnar subtrochlear sclerosis using a percentage scale in Labrador Retrievers with minimal radiographic signs of periarticular osteophytosis. Vet Surg 2009; 38 (02) 199-208
    CrossrefPubMedGoogle Scholar
  • 10 Temwichitr J, Leegwater PA, Hazewinkel HA. Fragmented coronoid process in the dog: a heritable disease. Vet J 2010; 185 (02) 123-129
    CrossrefPubMedGoogle Scholar
  • 11 Blond L, Dupuis J, Beauregard G, Breton L, Moreau M. Sensitivity and specificity of radiographic detection of canine elbow incongruence in an in vitro model. Vet Radiol Ultrasound 2005; 46 (03) 210-216
    CrossrefPubMedGoogle Scholar
  • 12 Griffon DG. Surgical diseases of the elbow. Chapter 53. In: Tobias KM, Johnston SA. , eds. Veterinary Surgery; Small Animal: 2-volume set, 1st ed. Canada: WB Saunders-Elsevier; 2012: 724–759
    Google Scholar
  • 13 Samoy Y, Gielen I, Saunders J, van Bree H, Van Ryssen B. Sensitivity and specificity of radiography for detection of elbow incongruity in clinical patients. Vet Radiol Ultrasound 2012; 53 (03) 236-244
    PubMedGoogle Scholar
  • 14 Alves-Pimenta S, Ginja MM, Fernandes AM, Ferreira AJ, Melo-Pinto P, Colaço B. Computed tomography and radiographic assessment of congruity between the ulnar trochlear notch and humeral trochlea in large breed dogs. Vet Comp Orthop Traumatol 2017; 30 (01) 8-14
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Wind AP. Elbow incongruity and developmental elbow disease in the dog: part 1. J Am Anim Hosp Assoc 1986; 22: 711-724
    PubMedGoogle Scholar
  • 16 Wind AP. Elbow incongruity and developmental elbow disease in the dog: part II. J Am Anim Hosp Assoc 1986; 22: 725-730
    PubMedGoogle Scholar
  • 17 Gemmill TJ, Clements DN. Fragmented coronoid process in the dog: is there a role for incongruency?. J Small Anim Pract 2007; 48 (07) 361-368
    CrossrefPubMedGoogle Scholar
  • 18 Alves-Pimenta S, Ginja MM, Colaço J, Fernandes AM, Melo-Pinto P, Colaço B. Curvature radius measurements from the ulnar trochlear notch in large dogs. Anat Rec (Hoboken) 2015; 298 (10) 1748-1753
    CrossrefPubMedGoogle Scholar
  • 19 Thomson MJ, Robins GM. Osteochondrosis of the elbow: a review of the pathogenesis and a new approach to treatment. Aust Vet J 1995; 72 (10) 375-378
    CrossrefPubMedGoogle Scholar
  • 20 Ness MG. Treatment of fragmented coronoid process in young dogs by proximal ulnar osteotomy. J Small Anim Pract 1998; 39 (01) 15-18
    CrossrefPubMedGoogle Scholar
  • 21 Lau SF, Wolschrijn CF, Hazewinkel HA, Siebelt M, Voorhout G. The early development of medial coronoid disease in growing Labrador Retrievers: radiographic, computed tomographic, necropsy and micro-computed tomographic findings. Vet J 2013; 197 (03) 724-730
    CrossrefPubMedGoogle Scholar
  • 22 Lau SF, Hazewinkel HA, Grinwis GC. , et al. Delayed endochondral ossification in early medial coronoid disease (MCD): a morphological and immunohistochemical evaluation in growing Labrador Retrievers. Vet J 2013; 197 (03) 731-738
    CrossrefPubMedGoogle Scholar
  • 23 Berzon JL, Quick CB. Fragmented medial coronoid process: anatomical, clinical, and radiographic considerations with case analyses. J Am Anim Hosp Assoc 1980; 16: 241-251
    PubMedGoogle Scholar
  • 24 De Rycke LM, Gielen IM, van Bree H, Simoens PJ. Computed tomography of the elbow joint in clinically normal dogs. Am J Vet Res 2002; 63 (10) 1400-1407
    CrossrefPubMedGoogle Scholar
  • 25 Meyer-Lindenberg A, Langhann A, Fehr M, Nolte I. Prevalence of fragmented medial coronoid process of the ulna in lame adult dogs. Vet Rec 2002; 151 (08) 230-234
    CrossrefPubMedGoogle Scholar
  • 26 Tromblee TC, Jones JC, Bahr AM, Shires PK, Aref S. Effect of computed tomography display window and image plane on diagnostic certainty for characteristics of dysplastic elbow joints in dogs. Am J Vet Res 2007; 68 (08) 858-871
    CrossrefPubMedGoogle Scholar
  • 27 Proks P, Necas A, Stehlik L, Srnec R, Griffon DJ. Quantification of humeroulnar incongruity in Labrador Retrievers with and without medial coronoid disease. Vet Surg 2011; 40 (08) 981-986
    PubMedGoogle Scholar
  • 28 Brunnberg L, Viehmann B, Waibl H. Computergestützte Auswertung von Röntgenbildern zur Erfassung von Parametern der Ellbogengelenksdysplasie—Teil 2 Stufenbildungen im Gelenk (Computer-assisted evaluation of X-ray images to record parameters of elbow dysplasia-Part 2 Stage formations in the joint). Kleintierpraxis 1999; 44: 637-646
    PubMedGoogle Scholar
  • 29 Mostafa AA, Nolte I, Wefstaedt P. The prevalence of medial coronoid disease is high in lame breed dogs and quantitative radiographic assessments contribute to the diagnosis. Vet Radiol Ultrasound 2018; 59 (05) 516-528
    CrossrefPubMedGoogle Scholar
  • 30 Griffon DJ, Mostafa AA, Blond L, Schaeffer DJ. Radiographic, computed tomographic, and arthroscopic diagnosis of radioulnar incongruence in dogs with medial coronoid disease. Vet Surg 2018; 47 (03) 333-342
    CrossrefPubMedGoogle Scholar
  • 31 Mostafa AA, Drüen S, Nolte I, Wefstaedt P. Radiographic evaluation of early periprosthetic femoral bone contrast and prosthetic stem alignment after uncemented and cemented total hip replacement in dogs. Vet Surg 2012; 41 (01) 69-77
    CrossrefPubMedGoogle Scholar
  • 32 Mostafa AA, Lucas K, Nolte I, Wefstaedt P. Radiographic evaluation of early periprosthetic acetabular bone contrast and prosthetic head acetabular coverage after uncemented and cemented total hip prosthesis in dogs. BMC Vet Res 2016; 12 (01) 271-279
    CrossrefPubMedGoogle Scholar
  • 33 Daniel WW, Cross CL. Biostatistics. A Foundation for Analysis in Health Science. 10th ed. United States: John Wiley & Sons Inc.; 2013
    Google Scholar
  • 34 Fitzpatrick N, Yeadon R. Working algorithm for treatment decision making for developmental disease of the medial compartment of the elbow in dogs. Vet Surg 2009; 38 (02) 285-300
    CrossrefPubMedGoogle Scholar
  • 35 Hornof WJ, Wind AP, Wallack ST, Schulz KS. Canine elbow dysplasia. The early radiographic detection of fragmentation of the coronoid process. Vet Clin North Am Small Anim Pract 2000; 30 (02) 257-266 , v
    CrossrefPubMedGoogle Scholar
  • 36 Cook CR, Cook JL. Diagnostic imaging of canine elbow dysplasia: a review. Vet Surg 2009; 38 (02) 144-153
    CrossrefPubMedGoogle Scholar
  • 37 Janach KJ, Breit SM, Künzel WW. Assessment of the geometry of the cubital (elbow) joint of dogs by use of magnetic resonance imaging. Am J Vet Res 2006; 67 (02) 211-218
    CrossrefPubMedGoogle Scholar
  • 38 Preston CA, Schulz KS, Kass PH. In vitro determination of contact areas in the normal elbow joint of dogs. Am J Vet Res 2000; 61 (10) 1315-1321
    CrossrefPubMedGoogle Scholar
  • 39 Gemmill TJ, Mellor DJ, Clements DN. , et al. Evaluation of elbow incongruency using reconstructed CT in dogs suffering fragmented coronoid process. J Small Anim Pract 2005; 46 (07) 327-333
    CrossrefPubMedGoogle Scholar
  • 40 Mason DR, Schulz KS, Samii VF. , et al. Sensitivity of radiographic evaluation of radio-ulnar incongruence in the dog in vitro. Vet Surg 2002; 31 (02) 125-132
    CrossrefPubMedGoogle Scholar
  • 41 Gemmill TJ, Hammond G, Mellor D, Sullivan M, Bennett D, Carmichael S. Use of reconstructed computed tomography for the assessment of joint spaces in the canine elbow. J Small Anim Pract 2006; 47 (02) 66-74
    CrossrefPubMedGoogle Scholar
  • 42 Wagner K, Griffon DJ, Thomas MW. , et al. Radiographic, computed tomographic, and arthroscopic evaluation of experimental radio-ulnar incongruence in the dog. Vet Surg 2007; 36 (07) 691-698
    CrossrefPubMedGoogle Scholar
  • 43 Böttcher P, Werner H, Ludewig E, Grevel V, Oechtering G. Visual estimation of radioulnar incongruence in dogs using three-dimensional image rendering: an in vitro study based on computed tomographic imaging. Vet Surg 2009; 38 (02) 161-168
    CrossrefPubMedGoogle Scholar
  • 44 Samoy Y, Gielen I, Van Caelenberg A, van Bree H, Duchateau L, Van Ryssen B. Computed tomography findings in 32 joints affected with severe elbow incongruity and fragmented medial coronoid process. Vet Surg 2012; 41 (04) 486-494
    CrossrefPubMedGoogle Scholar
  • 45 Starke A, Böttcher P, Pfeil I. Röntgenologische Quantifizierung der EllbogenGelenkskonformation mit einer neuen standardisierten Röntgentechnik unter Last (Radiologic quantification of the elbow conformation with a new method for acquiring standardized x-rays under load. Reference values for medium sized and large dogs without dysplasia of the elbow joint). Tierarztl Prax 2013; 41: 145-154
    PubMedGoogle Scholar
  • 46 Starke A, Böttcher P, Pfeil I. Vergleichende röntgenologische Untersuchung von kaninen Ellbogengelenken mit und ohne Ellbogen-dysplasie unter standardisierten Belastungsbedingungen (Comparative radiologic examination of the canine elbow with and without elbow dysplasia under standardized load). Tierarztl Prax 2014; 42: 141-150
    PubMedGoogle Scholar
  • 47 Reichle JK, Park RD, Bahr AM. Computed tomographic findings of dogs with cubital joint lameness. Vet Radiol Ultrasound 2000; 41 (02) 125-130
    CrossrefPubMedGoogle Scholar
  • 48 Skinner OT, Warren-Smith CM, Burton NJ, Parsons KJ. Computed tomographic evaluation of elbow congruity during arthroscopy in a canine cadaveric model. Vet Comp Orthop Traumatol 2015; 28 (01) 19-24
    Article in Thieme ConnectPubMedGoogle Scholar
  • 49 Werner H, Winkels P, Grevel V, Oechtering G, Böttcher P. Sensitivity and specificity of arthroscopic estimation of positive and negative radio-ulnar incongruence in dogs. An in vitro study. Vet Comp Orthop Traumatol 2009; 22 (06) 437-441
    Article in Thieme ConnectPubMedGoogle Scholar