Mitchell K E
Queensland Veterinary Specialists, Stafford Heights, Queensland, 4053.
Aust Vet J. 2011 Jun;89(6):213-6. doi: 10.1111/j.1751-0813.2011.00718.x.
To report the presentation and treatment of traumatic elbow luxation and to evaluate success following closed or open reduction.
Retrospective case series conducted between April 1999 and April 2009.
Records of 14 dogs and 11 cats were reviewed for signalment, history, radiographic findings and treatment; 14 owners were contacted via phone questionnaire to assess for limb function following treatment. Fisher's two-tailed P test was used to evaluate potential risk factors for lameness.
The majority of luxations were caused by car accident and 96% of the cases luxated in a lateral direction. Closed reduction was successful in all cats and 11 dogs; 3 dogs required open reduction. Owners rated the animals' limb function as excellent (71%), good (7%), fair (22%) or poor (0%). All cats were rated excellent. An excellent result following closed reduction was achieved in 67% of canine cases. All cases of open reduction achieved fair results. All owners were satisfied with the outcome. No risk factors were significantly associated with post-reduction lameness.
Elbow joints with good stability following closed reduction have a favourable outcome. Poor stability following closed reduction is an indication for surgery. Results suggest that cats tolerate elbow luxation better than dogs.
报告创伤性肘关节脱位的临床表现及治疗方法，并评估闭合或切开复位后的成功率。
1999年4月至2009年4月间进行的回顾性病例系列研究。
回顾14只犬和11只猫的记录，包括特征、病史、影像学检查结果及治疗情况；通过电话问卷联系14位动物主人，评估治疗后肢体功能。采用Fisher双侧P检验评估跛行的潜在危险因素。
大多数脱位由车祸引起，96%的病例向外侧脱位。所有猫和11只犬闭合复位成功；3只犬需要切开复位。主人将动物的肢体功能评为优秀（71%）、良好（7%）、尚可（22%）或差（0%）。所有猫均评为优秀。67%的犬闭合复位后效果优秀。所有切开复位病例效果尚可。所有主人对结果满意。无危险因素与复位后跛行显著相关。
闭合复位后稳定性良好的肘关节预后良好。闭合复位后稳定性差是手术指征。结果表明猫比犬更能耐受肘关节脱位。
