Vet Comp Orthop Traumatol 2013; 26(02): 94-99
DOI: 10.3415/VCOT-12-03-0034
Original Research
Schattauer GmbH

Effects of transection of the cranial arm of the medial glenohumeral ligament on shoulder stability in adult Beagles

Y. Fujita
1   Laboratory of Surgery II, School of Veterinary Medicine, Azabu University, Chuo-ku, Sagamihara-shi, Kanagawa, Japan
,
S. Yamaguchi
2   Tokyo Animal Orthopaedic Surgery Hospital, Yamaguchi Pet Clinic, Koto-ku, Tokyo, Japan
,
K. A. Agnello
3   Department of Clinical Studies - Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, USA
,
M. Muto
1   Laboratory of Surgery II, School of Veterinary Medicine, Azabu University, Chuo-ku, Sagamihara-shi, Kanagawa, Japan
› Author Affiliations
Further Information

Publication History

Received 05 March 2012

Accepted 04 October 2012

Publication Date:
18 December 2017 (online)

Summary

Objective: To assess the effects of arthroscopic transection of the cranial arm of the medial glenohumeral ligament on shoulder stability.

Animals: Six adult Beagles.

Procedures: After transection, the effects were compared with baseline values by orthopaedic and radiographic examinations, by synovial fluid analysis at two, four, and six weeks, and by arthroscopic evaluation at six weeks. The articular surfaces of the glenoid cavity and humeral head were evaluated radiographically and arthroscopically for evidence of arthritis, and five intra-articular regions were examined arthroscopically for villus reactions and vascularisation.

Results: According to orthopaedic examinations (including measurement of the abduction angle), radiography, and synovial fluid analyses, there were no abnormal findings. Arthroscopically, the articular surfaces of the glenoid cavity and humeral head showed no signs of degeneration, but the craniomedial and caudal joint capsules had significant villus reactions and the subscapularis tendon and medial glenohumeral ligament had significant vascularisation. The biceps tendon was unchanged.

Conclusions: Transection of the cranial arm of the medial glenohumeral ligament in normal Beagles did not appear to affect shoulder stability. However, villus reactions and vascularisation in the medial compartment suggest that damage to the medial glenohumeral ligament may trigger a process in which inflammation can lead to enzymatic breakdown of cartilage. Exacerbated by weight bearing and repetitive motion, this may result in shoulder instability over time.

 
  • References

  • 1 Bardet JF. Diagnosis of shoulder instability in dogs and cats: A retrospective study. J Am Anim Hosp Assoc 1998; 34: 42-54.
  • 2 Sidaway BK, McLaughlin RM, Elder SH. et al. Role of the tendons of the biceps brachii and infraspinatus muscles and the medial glenohumeral ligament in the maintenance of passive shoulder joint stability in dogs. Am J Vet Res 2004; 65: 1216-1222.
  • 3 Vasseur PB, Moore D, Brown SA. et al. Stability of the canine shoulder joint: An in vitro analysis. Am J Vet Res 1982; 43: 352-355.
  • 4 Cogar SM, Cook CR, Curry SL. et al. Prospective evaluation of techniques for differentiating shoulder pathology as a source of forelimb lameness in medium and large breed dogs. Vet Surg 2008; 37: 132-141.
  • 5 åkerblom S, Sjöström L. Evaluation of clinical, radiographical and cytological findings compared to arthroscopic findings in shoulder joint lameness in the dog. Vet Comp Orthop Traumatol 2007; 20: 136-141.
  • 6 Beale BS, Hulse DA, Schulz KS. et al. Arthroscopically assisted surgery of the shoulder joint. In: Small Animal Arthroscopy. Philadelphia: Saunders; 2003. pg. 22-49.
  • 7 McCarthy TC. Arthroscopy: Diagnostic and surgical applications in small animal practice. In: McCarthy TC. editor. Veterinary Endoscopy. St. Louis: Elsevier Saunders; 2005. pg. 447-556.
  • 8 Pettitt R, Innes JF. Rigid endoscopy: Arthroscopy. In: Lhermette P, Sobel D. editors. BSAVA Manual of Canine and Feline Endoscopy and Endosurgery. Gloucester: BSAVA; 2008. pg. 188-219.
  • 9 Payne JT. Arthroscopy. In: Tams TR, Rawlings CA. editors. Small Animal Endoscopy. St. Louis: Elsevier Mosby; 2011. pg. 607-621.
  • 10 Long CD, Nyland TG. Ultrasonographic evaluation of the canine shoulder. Vet Radiol Ultrasound 1999; 40: 372-379.
  • 11 Cook JL, Tomlinson JL, Fox DB. et al. Treatment of dogs diagnosed with medial shoulder instability using radiofrequency-induced thermal capsulorrhaphy. Vet Surg 2005; 34: 469-475.
  • 12 Schaefer SL, Forrest LJ. Magnetic resonance imaging of the canine shoulder: An anatomic study. Vet Surg 2006; 35: 721-728.
  • 13 Schaefer SL, Baumel CA, Gerbig JR. et al. Direct magnetic resonance arthrography of the canine shoulder. Vet Radiol Ultrasound 2010; 51: 391-396.
  • 14 Agnello KA, Puchalski SM, Wisner ER. et al. Effect of positioning scan plane and arthrography on visibility of periarticular canine shoulder soft tissue structures on magnetic resonance images. Vet Radiol Ultrasound 2008; 49: 529-539.
  • 15 Murphy SE, Ballegeer EA, Forrest LJ. et al. Magnetic resonance imaging findings in dogs with confirmed shoulder pathology. Vet Surg 2008; 37: 631-638.
  • 16 Cook JL, Renfro DC, Tomlinson JL. et al. Measurement of angles of abduction for diagnosis of shoulder instability in dogs using goniometry and digital image analysis. Vet Surg 2005; 34: 463-468.
  • 17 Schulz KS. What’s new in elbow arthroscopy. Proceedings of the 13th Annual American College of Veterinary Surgeons Symposium. 2003. October 9 Washington DC, USA: pg. 329-331.
  • 18 Lee BG, Cho NS, Rhee YG. Anterior labroligamentous periosteal sleeve avulsion lesion in arthroscopic capsulolabral repair for anterior shoulder instability. Knee Surg Sports Traumatol Arthrosc 2011; 19: 1563-1569.
  • 19 Jaegger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in Labrador Retrievers. Am J Vet Res 2002; 63: 979-986.
  • 20 Boon D. Synovial fluid analysis: A guide for small-animal practitioners. Vet Med 1997; 92: 443-451.
  • 21 Devitt CM, Neely MR, Van Vechten BJ. Relationship of physical examination test of shoulder instability to arthroscopy findings in dogs. Vet Surg 2007; 36: 661-668.
  • 22 O’Neill T, Innes JF. Treatment of shoulder instability caused by medial glenohumeral ligament with thermal capsulorrhaphy. J Sm Anim Pract 2004; 45: 521-524.
  • 23 Gray MJ, Lambrechts NE, Maritz GJ. et al. A biomechanical investigation of the static stabilizers of the glenohumeral joint in the dog. Vet Comp Orthop Traumatol 2005; 18: 55-61.
  • 24 MacWilliams PS, Friedrichs KR. Laboratory evaluation and interpretation of synovial fluid. Vet Clin North Anim 2003; 33: 153-178.
  • 25 Rochat MC. The shoulder. In: Tobias KM, Johnston SA. editors. Veterinary Surgery: Small Animal. St. Louis: Elsevier Saunders; 2012. pg. 692-708.
  • 26 Fujita Y, Hara Y, Nezu Y. et al. Direct and indirect markers of cartilage metabolism in synovial fluid obtained from dogs with hip dysplasia and correlation with clinical and radiographic variables. Am J Vet Res 2005; 66: 2028-2033.
  • 27 Fujita Y, Hara Y, Nezu Y. et al. Proinflammatory cytokine activities, matrix metalloproteinase-3 activity, and sulfated glycosaminoglycan content in synovial fluid of dogs with naturally acquired cranial cruciate ligament rupture. Vet Surg 2006; 35: 369-376.
  • 28 Hegemann N, Wondimu A, Kohn L. et al. Cytokine profile in canine immune-mediated polyarthritis and osteoarthritis. Vet Comp Othop Traumatol 2005; 18: 67-72.
  • 29 Bray RC, Leonard CA, Salo PT. Correlation of healing capacity with vascular response in the anterior cruciate and medial collateral ligaments of the rabbit. J Orthop Res 2003; 21: 1118-1123.
  • 30 Cook JL, Kuroki K, Visco D. et al. The OARSI histopathology initiative - recommendations for histological assessments of osteoarthritis in the dog. Osteoarthritis Cartilage 2010; 18: S66-S79.