Force Distribution in the Canine Proximal Radio-Ulnar Joint on Extension of the Carpal Joint: A Cadaveric Study

Stephen A. Martin; Barbara M. Kirby; Gabrielle Kelly; Michael D. Gilchrist; Joshua Milgram

doi:10.1055/s-0040-1715495

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2020; 33(06): 402-408
DOI: 10.1055/s-0040-1715495

Original Research

Force Distribution in the Canine Proximal Radio-Ulnar Joint on Extension of the Carpal Joint: A Cadaveric Study

Stephen A. Martin

¹Department of Small Animal Surgery, Small Animal Clinical Studies Section, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland

,

Barbara M. Kirby

¹Department of Small Animal Surgery, Small Animal Clinical Studies Section, School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland

,

Gabrielle Kelly

²School of Mathematics and Statistics, University College Dublin, Belfield, Dublin, Ireland

,

Michael D. Gilchrist

³School of Mechanical and Materials Engineering, University College Dublin, Belfield, Dublin, Ireland

,

Joshua Milgram

⁴Laboratory of Biomechanics, Koret School of Veterinary Medicine, Hebrew University of Jerusalem, Israel

› Institutsangaben

Abstract

Objective The aim of this study was to measure the load on the lateral and medial aspects of the proximal radio-ulnar joint during extension of the carpus.

Study Design This was an ex vivo biomechanical study.

Sample Population Twenty-two cadaveric Greyhound thoracic limbs were used.

Methods Twenty-two paired thoracic limbs were used. The olecranon was attached to a custom jig with the foot resting on a stationary anvil. Load sensors were inserted into the proximal radio-ulnar joint, between the radial head and the lateral coronoid process, and between the radial head and the medial coronoid process. Specimens were tested under compression with measurements taken at 0, 4, 9 and 13.5 mm of axial displacement. Data collected at each point included forces on the specimen and medial and lateral coronoid processes as well as the angle of carpal joint extension.

Results A linear mixed effects model relating load on the specimen and carpal joint extension angle had an R-squared value of 0.66, and load at the level of the medial coronoid process and angle of carpal extension had an R-squared value of 0.61. There was a significant difference in the loads measured on the lateral and medial coronoid processes at all angles (p < 0.0001).

Conclusion Extension of the carpus results in asymmetric loading of the proximal radio-ulnar joint.

Clinical Significance The findings of this study show that loading of the medial coronoid process may be more complex than originally thought and supports the future investigation of novel management and therapeutic options for affected patients.

Keywords

elbow - elbow dysplasia - biomechanics of joints

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Referenzen

References
1 Olsson SE. The early diagnosis of fragmented coronoid process and osteochondritis dissecans of the canine elbow joint. J Am Anim Hosp Assoc 1983; 19: 10
2 Nap RC. . Pathophysiology and clinical aspects of canine elbow dysplasia. Paper presented at: 7th International Elbow Working Group Meeting; 1995 ; Constance, Germany
3 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
4 Hulse D, Young B, Beale B, Kowaleski M, Vannini R. Relationship of the biceps-brachialis complex to the medial coronoid process of the canine ulna. Vet Comp Orthop Traumatol 2010; 23 (03) 173-176
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
6 Olson NC, Carrig CB, Brinker WO. Asynchronous growth of the canine radius and ulna: effects of retardation of longitudinal growth of the radius. Am J Vet Res 1979; 40 (03) 351-355
7 Wind A. Incidence and appearance of fragmented coronoid process in the Bernese Mountain dog. Calif Vet 1982; 6: 19-26
Mason DR, Schulz KS, Fujita Y, Kass PH, Stover SM. In vitro force mapping of normal canine humeroradial and humeroulnar joints. Am J Vet Res 2005; 66 (01) 132-135
9 Chibuzo GA. Miller's Anatomy of the Dog. 2nd ed. Philadelphia, PA: Saunders; 1979
10 Dj Ž, Ercegan G, Somer T. Detailed anatomy of the antebrachiocarpal joint in dogs. Anat Rec 1992; 233 (02) 329-334
11 Bitton E, Joseph R, Portman L. et al. The effect of extension and loading of the carpus on radial rotation. Vet Surg 2013; 42 (08) 909-917
12 Milgram J, Shemtov Y. . The effect of the interosseus ligament and selected antebrachiocarpal ligaments on rotation of the radius during extension of the carpus. Paper presented at: American College of Veterinary Surgeons Veterinary Symposium 2014 ; San Diego, California, USA
13 Burton NJ, Warren-Smith CM, Roper DP, Parsons KJ. CT assessment of the influence of dynamic loading on physiological incongruency of the canine elbow. J Small Anim Pract 2013; 54 (06) 291-298
14 Guillou RP, Déjardin LM, Bey MJ, McDonald CP. Three Dimensional Kinematics of the Normal Canine Elbow at the Walk and Trot. 2011 American College of Veterinary Surgeons Veterinary Symposium November 3–5, Chicago, Illinois. Vet Surg 2011; 40: E17-E42
15 Hottinger HA, DeCamp CE, Olivier NB, Hauptman JG, Soutas-Little RW. Noninvasive kinematic analysis of the walk in healthy large-breed dogs. Am J Vet Res 1996; 57 (03) 381-388
16 DeCamp CE, Soutas-Little RW, Hauptman J, Olivier B, Braden T, Walton A. Kinematic gait analysis of the trot in healthy greyhounds. Am J Vet Res 1993; 54 (04) 627-634
17 Rohwedder T, Fischer M, Böttcher P. In vivo axial humero-ulnar rotation in normal and dysplastic canine elbow joints. Tierarztl Prax Ausg K Klientiere Heimtiere 2018; 46 (02) 83-89
18 Hothorn T, Everitt BS. . A Handbook of Statistical Analyses Using R. Chapter 13; 2017: 243-258
19 Johnson KA, Muir P, Nicoll RG, Roush JK. Asymmetric adaptive modeling of central tarsal bones in racing greyhounds. Bone 2000; 27 (02) 257-263
20 Rohwedder T, Fischer M, Böttcher P. In vivo fluoroscopic kinematography of dynamic radio-ulnar incongruence in dogs. Open Vet J 2017; 7 (03) 221-228
21 Fitzpatrick N, Garcia TC, Daryani A, Bertran J, Watari S, Hayashi K. Micro-CT structural analysis of the canine medial coronoid disease. Vet Surg 2016; 45 (03) 336-346
22 Dickomeit MJ, Böttcher P, Hecht S, Liebich HG, Maierl J. Topographic and age-dependent distribution of subchondral bone density in the elbow joints of clinically normal dogs. Am J Vet Res 2011; 72 (04) 491-499
23 Wolschrijn CF, Weijs WA. Development of the trabecular structure within the ulnar medial coronoid process of young dogs. Anat Rec A Discov Mol Cell Evol Biol 2004; 278 (02) 514-519
24 Cowin SC. The mechanical and stress adaptive properties of bone. Ann Biomed Eng 1983; 11 (3-4): 263-295
25 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
26 McConkey MJ, Valenzano DM, Wei A. et al. Effect of the proximal abducting ulnar osteotomy on intra-articular pressure distribution and contact mechanics of congruent and incongruent canine elbows ex vivo. Vet Surg 2016; 45 (03) 347-355
27 Eljack H, Böttcher P. Relationship between axial radioulnar incongruence with cartilage damage in dogs with medial coronoid disease. Vet Surg 2015; 44 (02) 174-179