Quinn Robert, Preston Christopher
East Bentleigh Veterinary Clinic, Bentleigh East, Australia.
Vet Surg. 2014 Oct;43(7):814-8. doi: 10.1111/j.1532-950X.2014.12260.x. Epub 2014 Aug 11.
To document the progression of disease after an unloading procedure when combined with arthroscopic debridement to treat osteochondrosis (OC) lesions affecting the medial humeral condyle in juvenile dogs without medial compartment disease.
Retrospective case series.
Dogs with medial humeral condyle OC (n = 6).
Dogs with medial humeral condyle OC (9 elbows) were treated by arthroscopic debridement of the OC lesion and sliding humeral osteotomy (SHO). Outcomes were assessed by radiography (n = 9), 2nd-look arthroscopy (9) and clinical examination including lameness assessment (9) at 18-28 months after surgery.
Seven elbows had marked progression of pathology affecting the medial compartment, 5 elbows developed subsequent fragmentation of the medial coronoid process of the ulna [FMCP], 2 elbows had fibrocartilaginous infill of the humeral defect without development of coronoid pathology.
This limited case series suggests that medial compartment disease develops despite unloading of the medial compartment using a distal diaphyseal SHO in juvenile dogs with OC.
记录在无内侧间室疾病的幼年犬中，当卸载手术与关节镜清创术联合用于治疗影响肱骨内侧髁的骨软骨病（OC）病变时疾病的进展情况。
回顾性病例系列。
患有肱骨内侧髁OC的犬（n = 6）。
对患有肱骨内侧髁OC（9个肘部）的犬进行关节镜下OC病变清创术和肱骨滑动截骨术（SHO）治疗。在术后18 - 28个月通过放射摄影（n = 9）、二次关节镜检查（9次）以及包括跛行评估在内的临床检查（9次）对结果进行评估。
7个肘部出现影响内侧间室的明显病理进展，5个肘部随后出现尺骨内侧冠状突骨折[FMCP]，2个肘部肱骨缺损处有纤维软骨填充且未出现冠状突病理改变。
这个有限的病例系列表明，在患有OC的幼年犬中，尽管使用远端骨干SHO对内侧间室进行了卸载，但仍会发生内侧间室疾病。
