CC BY 4.0 · VCOT Open 2023; 06(01): e37-e40
DOI: 10.1055/s-0043-1762901
Case Report

Spontaneous Resolution of a Humeral Intracondylar Fissure in a Skeletally Immature French Bulldog

1   Department of Small Animal Surgery, Debenham Vets Surgical Referrals, Debenham, Suffolk, United Kingdom of Great Britain and Northern Ireland
,
2   Chirstchurch Veterinary Referrals, Tuddenham Road Business Centre, Tuddenham Road, Ipswich, United Kingdom of Great Britain and Northern Ireland
,
Alejandro Ororbia
3   Department of Diagnostic Imaging, Pride Veterinary Centre, Derby, United Kingdom of Great Britain and Northern Ireland
,
Bill Oxley
4   Vet3D, Staveley, UK
› Author Affiliations

Abstract

A 4-month-old male entire French bulldog was presented for the investigation of acute left thoracic limb lameness. Computed tomography (CT) revealed a right-sided humeral intracondylar fissure (HIF) and a left-sided medial humeral condylar fracture which was managed by open reduction and internal fixation. Follow-up CT at 36 days after surgery revealed healing of the condylar fracture and partial resolution of the HIF, which was radiographically unapparent on further CT images 105 days thereafter (at 220 days of life). To the best of the authors' knowledge, this is the first reported case of spontaneous resolution of a HIF beyond the normal age of reported humeral condyle ossification center closure.



Publication History

Received: 03 August 2022

Accepted: 12 January 2023

Article published online:
13 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Marcellin-Little DJ, DeYoung DJ, Ferris KK, Berry CM. Incomplete ossification of the humeral condyle in spaniels. Vet Surg 1994; 23 (06) 475-487
  • 2 Butterworth SJ, Innes JF. Incomplete humeral condylar fractures in the dog. J Small Anim Pract 2001; 42 (08) 394-398
  • 3 Meyer-Lindenberg A, Heinen V, Fehr M. et al. Incomplete ossification of the humeral condyle as a cause of lameness in dogs. Vet Comp Orthop Traumatol 2002; 15 (03) 187-194
  • 4 Moores A. Humeral condylar fractures and incomplete ossification of the humeral condyle in dogs. In Pract 2006; 28 (07) 391-397
  • 5 Moores AP, Moores AL. The natural history of humeral intracondylar fissure: an observational study of 30 dogs. J Small Anim Pract 2017; 58 (06) 337-341
  • 6 Holloway GL, Midgley D. Lateral condylar fracture secondary to humeral intracondylar fissure in a cat. Vet Surg 2021; 50 (04) 898-903
  • 7 Bardet J, Hohn R, Rudy R, Olmstead M. Fractures of the humerus in dogs and cats a retrospective study of 130 Cases. Vet Surg 1983; 12 (02) 73-77
  • 8 Chan AJ, Reyes Rodriguez NA, Bailey SJ, Langley-Hobbs SJ. Treatment of humeral condylar fractures and humeral intracondylar fissures in cats with patellar fracture and dental anomaly syndrome. J Feline Med Surg 2020; 22 (10) 1008-1015
  • 9 Hare WC. The ages at which the centers of ossification appear roentgenographically in the limb bones of the dog. Am J Vet Res 1961; 22: 825-835
  • 10 Sumner-Smith G. Observations on epiphyseal fusion of the canine appendicular skeleton. J Small Anim Pract 1966; 7 (04) 303-311
  • 11 Lefebvre JB, Robertson TR, Baines SJ, Jeffery ND, Langley-Hobbs SJ. Assessment of humeral length in dogs after repair of Salter-Harris type IV fracture of the lateral part of the humeral condyle. Vet Surg 2008; 37 (06) 545-551
  • 12 Danielski A, Yeadon R. Humero-anconeal elbow incongruity in spaniel breed dogs with humeral intracondylar fissure: arthroscopic findings. Vet Surg 2022; 51 (01) 117-124
  • 13 Moores AP, Agthe P, Schaafsma IA. Prevalence of incomplete ossification of the humeral condyle and other abnormalities of the elbow in English Springer Spaniels. Vet Comp Orthop Traumatol 2012; 25 (03) 211-216
  • 14 Farrell M, Trevail T, Marshall W, Yeadon R, Carmichael S. Computed tomographic documentation of the natural progression of humeral intracondylar fissure in a cocker spaniel. Vet Surg 2011; 40 (08) 966-971
  • 15 Witte PG, Bush MA, Scott HW. Propagation of a partial incomplete ossification of the humeral condyle in an American cocker spaniel. J Small Anim Pract 2010; 51 (11) 591-593
  • 16 Strohmeier UW, Harris KP. Humeral intracondylar fissures in French bulldogs. Vet Rec 2021; 189 (11) e504 DOI: 10.1002/vetr.504.
  • 17 Sanchez Villamil C, Phillips ASJ, Pegram CL, O'Neill DG, Meeson RL. Impact of breed on canine humeral condylar fracture configuration, surgical management, and outcome. Vet Surg 2020; 49 (04) 639-647
  • 18 Rørvik A. Risk factors for humeral condylar fractures in the dog: a retrospective study. J Small Anim Pract 1993; 34 (06) 277-282
  • 19 Anderson OJ, Langley-Hobbs SJ, Parsons KJ. Humeral condylar fractures and fissures in the French bulldog. Vet Surg 2023; 52 (01) 134-145
  • 20 Mella S, Dirrig H, Meeson RL. Computed tomographic features of non-lame French bulldog elbows. Vet Comp Orthop Traumatol 2022; 35 (03) 175-183
  • 21 Charles EA, Ness MG, Yeadon R. Failure mode of transcondylar screws used for treatment of incomplete ossification of the humeral condyle in 5 dogs. Vet Surg 2009; 38 (02) 185-191
  • 22 Sjostrom L, Kasstrom H, Kollberg M. Ununited anconeal process in the dog: pathogenesis and treatment by osteotomy of the ulna. Vet Comp Orthop Traumatol 1995; 8: 170-175
  • 23 Larsen L, Roush J, McLaughlin R. et al. Microangiography of the humeral condyle in the cocker spaniel and non-cocker spaniel dogs. Vet Comp Orthop Traumatol 1999; 12: 134-137
  • 24 LeVeau BF, Bernhardt DB. Developmental biomechanics. Effect of forces on the growth, development, and maintenance of the human body. Phys Ther 1984; 64 (12) 1874-1882
  • 25 Ehrlich MG, Mankin HJ, Treadwell BV. Biochemical and physiological events during closure of the stapled distal femoral epiphyseal plate in rats. J Bone Joint Surg Am 1972; 54 (02) 309-322
  • 26 Reich A, Jaffe N, Tong A. et al. Weight loading young chicks inhibits bone elongation and promotes growth plate ossification and vascularization. J Appl Physiol 2005; 98 (06) 2381-2389
  • 27 Chang CY, Shih C, Penn IW, Tiu CM, Chang T, Wu JJ. Wrist injuries in adolescent gymnasts of a Chinese opera school: radiographic survey. Radiology 1995; 195 (03) 861-864
  • 28 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
  • 29 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