Vet Comp Orthop Traumatol 2022; 35(05): 314-320
DOI: 10.1055/s-0042-1749151
Original Research

Computed Tomographic Measurements of the Sulcus Angle of the Femoral Trochlea in Small-Breed Dogs with and without Medial Patellar Luxation

Akari Sasaki*
1   Laboratory of Veterinary Emergency Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan
,
Yuki Hidaka*
2   Veterinary Medical Center, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan
,
Manabu Mochizuki
1   Laboratory of Veterinary Emergency Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan
2   Veterinary Medical Center, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan
,
Muneki Honnami
2   Veterinary Medical Center, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan
› Author Affiliations
Funding None.

Abstract

Trochleoplasty is often performed in dogs with medial patellar luxation (MPL); however, the current guidelines on when to perform a trochleoplasty in dogs are vague. The sulcus angle (SA) is used to assess the femoral trochlear morphology in humans. The aim of this study is to describe a method to measure the SA and other parameters of trochlea morphology in dogs using computed tomography. First, we searched for a suitable measuring location for the SA. Transverse images of the femurs were obtained as perpendicular planes to the tangent of the femoral trochlea which was 0 to 60 degrees (every 5 degrees) to the anatomical axis of the femur. The deepest point of the femoral trochlea was found in the transverse images perpendicular to the tangent of the femoral trochlea which was at 15 degrees to the anatomical axis of the femur. The SA and the other parameters of femoral trochlea morphology were measured at the deepest point of the femoral trochlea. The SA of the stifle joints with grade 3 and 4 MPL was significantly higher than the SA of stifle joints not affected by MPL. There was no significant difference in the SA between dogs affected by grade 1 and 2 MPL and dogs not affected by MPL. Further studies are needed to establish whether the SA can be used as selection criteria for trochleoplasty.

Authors' Contributions

A.S. and Y.H. were involved in conception of study, study design, acquisition of data, data analysis and interpretation, drafting of manuscript and approval of submitted manuscript.


M.M. conceptualized the study, revised the manuscript and provided approval of submitted manuscript. M.H. was involved in conception of study, study design, acquisition of data, data analysis and interpretation, revising of manuscript and approval of submitted manuscript.


* These authors contributed equally to this work.




Publication History

Received: 24 May 2021

Accepted: 06 April 2022

Article published online:
27 June 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Bosio F, Bufalari A, Peirone B, Petazzoni M, Vezzoni A. Prevalence, treatment and outcome of patellar luxation in dogs in Italy. A retrospective multicentric study (2009-2014). Vet Comp Orthop Traumatol 2017; 30 (05) 364-370
  • 2 O'Neill DG, Meeson RL, Sheridan A, Church DB, Brodbelt DC. The epidemiology of patellar luxation in dogs attending primary-care veterinary practices in England. Canine Genet Epidemiol 2016; 3: 4
  • 3 Wangdee C, Leegwater PAJ, Heuven HCM. et al. Prevalence and genetics of patellar luxation in Kooiker dogs. Vet J 2014; 201 (03) 333-337
  • 4 Bound N, Zakai D, Butterworth SJ, Pead M. The prevalence of canine patellar luxation in three centres. Clinical features and radiographic evidence of limb deviation. Vet Comp Orthop Traumatol 2009; 22 (01) 32-37
  • 5 Johnston SA, Tobias KM. Veterinary Surgery: Small Animal Expert Consult. 2nd edition. St. Louis: Elsevier; 2017
  • 6 Cashmore RG, Havlicek M, Perkins NR. et al. Major complications and risk factors associated with surgical correction of congenital medial patellar luxation in 124 dogs. Vet Comp Orthop Traumatol 2014; 27 (04) 263-270
  • 7 Wangdee C, Theyse LFH, Techakumphu M, Soontornvipart K, Hazewinkel HAW. Evaluation of surgical treatment of medial patellar luxation in Pomeranian dogs. Vet Comp Orthop Traumatol 2013; 26 (06) 435-439
  • 8 Arthurs GI, Langley-Hobbs SJ. Complications associated with corrective surgery for patellar luxation in 109 dogs. Vet Surg 2006; 35 (06) 559-566
  • 9 Roush JK. Canine patellar luxation. Vet Clin North Am Small Anim Pract 1993; 23 (04) 855-868
  • 10 Merchant AC, Mercer RL, Jacobsen RH, Cool CR. Roentgenographic analysis of patellofemoral congruence. J Bone Joint Surg Am 1974; 56 (07) 1391-1396
  • 11 Brattstroem H. Shape of the intercondylar groove normally and in recurrent dislocation of patella: a clinical and X-ray anatomical investigation. Acta Orthop Scand Suppl 1964; 68: 1-148
  • 12 Toms AP, Cahir J, Swift L, Donell ST. Imaging the femoral sulcus with ultrasound, CT, and MRI: reliability and generalizability in patients with patellar instability. Skeletal Radiol 2009; 38 (04) 329-338
  • 13 Tecklenburg K, Dejour D, Hoser C, Fink C. Bony and cartilaginous anatomy of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc 2006; 14 (03) 235-240
  • 14 Tan SHS, Ibrahim MM, Lee ZJ, Chee YKM, Hui JH. Patellar tracking should be taken into account when measuring radiographic parameters for recurrent patellar instability. Knee Surg Sports Traumatol Arthrosc 2018; 26 (12) 3593-3600
  • 15 Davies AP, Costa ML, Shepstone L, Glasgow MM, Donell S. The sulcus angle and malalignment of the extensor mechanism of the knee. J Bone Joint Surg Br 2000; 82 (08) 1162-1166
  • 16 Dejour D, Le Coultre B. Osteotomies in patello-femoral instabilities. Sports Med Arthrosc Rev 2007; 15 (01) 39-46
  • 17 Di Dona F, Della Valle G, Fatone G. Patellar luxation in dogs. Vet Med (Auckl) 2018; 9: 23-32
  • 18 Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant 2013; 48 (03) 452-458
  • 19 Nha KW, Papannagari R, Gill TJ. et al. In vivo patellar tracking: clinical motions and patellofemoral indices. J Orthop Res 2008; 26 (08) 1067-1074
  • 20 Nicetto T, Longo F, Contiero B, Isola M, Petazzoni M. Computed tomographic localization of the deepest portion of the femoral trochlear groove in healthy dogs. Vet Surg 2020; 49 (06) 1246-1254
  • 21 Salzmann GM, Weber TS, Spang JT, Imhoff AB, Schöttle PB. Comparison of native axial radiographs with axial MR imaging for determination of the trochlear morphology in patients with trochlear dysplasia. Arch Orthop Trauma Surg 2010; 130 (03) 335-340
  • 22 Johnson AL, Probst CW, Decamp CE. et al. Comparison of trochlear block recession and trochlear wedge recession for canine patellar luxation using a cadaver model. Vet Surg 2001; 30 (02) 140-150
  • 23 Lu J, Wang C, Li F, Ji G, Wang Y, Wang F. Changes in cartilage and subchondral bone of femoral trochlear groove after patellectomy in growing rabbits. Orthop Surg 2020; 12 (02) 653-660
  • 24 Yang G, Li F, Lu J. et al. The dysplastic trochlear sulcus due to the insufficient patellar stress in growing rats. BMC Musculoskelet Disord 2019; 20 (01) 411
  • 25 Yoon DY, Kang BJ, Kim Y. et al. Degenerative joint disease after medial patellar luxation repair in dogs with or without trochleoplasty. J Vet Clin 2015; 32: 22-27
  • 26 van der Zee JH. Lesions in canine stifle joints due to trochleoplasties as treatment for medial patellar luxation. J S Afr Vet Assoc 2015; 86 (01) 1245
  • 27 Linney WR, Hammer DL, Shott S. Surgical treatment of medial patellar luxation without femoral trochlear groove deepening procedures in dogs: 91 cases (1998-2009). J Am Vet Med Assoc 2011; 238 (09) 1168-1172
  • 28 Piermattei D, Flo G, DeCamp C. Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 4th edition. St. Louis: Saunders; 2006
  • 29 Boge GS, Moldal ER, Dimopoulou M, Skjerve E, Bergström A. Breed susceptibility for common surgically treated orthopaedic diseases in 12 dog breeds. Acta Vet Scand 2019; 61 (01) 19
  • 30 LaFond E, Breur GJ, Austin CC. Breed susceptibility for developmental orthopedic diseases in dogs. J Am Anim Hosp Assoc 2002; 38 (05) 467-477
  • 31 Alam MR, Lee JI, Kang HS. et al. Frequency and distribution of patellar luxation in dogs. 134 cases (2000 to 2005). Vet Comp Orthop Traumatol 2007; 20 (01) 59-64
  • 32 Soler M, Murciano J, Latorre R, Belda E, Rodríguez MJ, Agut A. Ultrasonographic, computed tomographic and magnetic resonance imaging anatomy of the normal canine stifle joint. Vet J 2007; 174 (02) 351-361
  • 33 Tan SHS, Chng KSJ, Lim BY. et al. The difference between cartilaginous and bony sulcus angles for patients with or without patellofemoral instability: a systematic review and meta-analysis. J Knee Surg 2020; 33 (03) 235-241