Tan Desmond K, Canapp Sherman O, Leasure Christopher S, Dycus David L, O'Donnell Erica
Desmond K. Tan, Veterinary Orthopedic & Sports Medicine Group, 10975 Guilford Road, Suite B, Maryland, MD 20701, United States, Phone: +1 240 295 4400, Fax: +1 240 295 4401, E-mail:
Vet Comp Orthop Traumatol. 2016 Jul 19;29(4):325-9. doi: 10.3415/VCOT-15-09-0154. Epub 2016 Apr 22.
To describe traumatic fracture of the medial coronoid process in dogs as a clinically distinct disease unrelated to congenital elbow dysplasia.
Clinical records of dogs with acute, traumatic, unilateral lameness attributable to medial coronoid process disease were reviewed retrospectively. Clinical interpretation included findings on physical examination, orthopaedic examination, and subjective gait analysis. Radiographs of the affected and contralateral elbows were obtained and reviewed for pathology. Arthroscopy of the elbow joints was performed by one of three surgeons and findings were compared to preoperative diagnostics. Postoperative follow-up was continued for 16 weeks.
Twenty-four dogs were included in this study. All dogs in this study were free of radiographic evidence of medial coronoid pathology. All dogs were diagnosed with a single, large, displaced or non-displaced fracture of the medial coronoid process, with no other joint pathology. Dogs generally had an excellent short-term outcome following arthroscopic treatment of the fractured medial coronoid process.
Traumatic fracture of the medial coronoid process should be considered a clinical disease distinct from dysplasia-related fragmentation and should be considered as a differential diagnosis in dogs that are presented with the complaint of acute unilateral elbow discomfort or lameness, especially after concussive activities involving the forelimb. .
描述犬内侧冠状突创伤性骨折，作为一种与先天性肘关节发育异常无关的临床独特疾病。
回顾性分析因内侧冠状突疾病导致急性、创伤性、单侧跛行犬的临床记录。临床解读包括体格检查、骨科检查和主观步态分析结果。获取患侧和对侧肘关节的X线片并检查病理情况。由三位外科医生之一对肘关节进行关节镜检查，并将结果与术前诊断进行比较。术后持续随访16周。
本研究纳入24只犬。本研究中的所有犬均无内侧冠状突病变的X线证据。所有犬均被诊断为内侧冠状突单一、大型、移位或未移位骨折，无其他关节病变。犬在内侧冠状突骨折经关节镜治疗后通常有良好的短期预后。
内侧冠状突创伤性骨折应被视为一种与发育异常相关碎片不同的临床疾病，对于出现急性单侧肘部不适或跛行主诉的犬，尤其是在涉及前肢的震荡活动后，应将其视为鉴别诊断之一。
