Hans Eric C, Saunders W Brian, Beale Brian S, Hulse Don A
From the Department of Veterinary Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX (W.B.S., D.A.H., E.C.H.); Capital Area Veterinary Specialists, Austin, TX (D.A.H.); and Gulf Coast Veterinary Specialists, Houston, TX (B.S.B.).
J Am Anim Hosp Assoc. 2016 Jul-Aug;52(4):234-41. doi: 10.5326/JAAHA-MS-6295. Epub 2016 Jun 3.
Fragmentation of the medial coronoid process (FCP) is an uncommon cause of thoracic limb lameness in toy and small breed dogs. Arthroscopic findings and treatment remains poorly described. The objective of this study was to describe the arthroscopic findings and short-term outcome following arthroscopic treatment in toy and small breed dogs with FCP. Medical records were retrospectively reviewed. Arthroscopic findings were available from 13 elbows (12 dogs). Outcome data ≥4 wk postoperatively were available for nine elbows. Owner satisfaction scores were available for 10 elbows. Common preoperative findings included lameness, elbow pain, and imaging abnormalities consistent with FCP. Displaced FCP was the most common FCP lesion identified. Cartilage lesions at the medial coronoid process were identified in 92.3% of elbows (n = 12), with a median Outerbridge score of 4 (range 1-5). Concurrent cartilage lesions of the medial humeral condyle were identified in 76.9% of elbows (n = 10). Seven of nine elbows had full or acceptable function postoperatively. Median owner outcome satisfaction was 91% (range 10-100). FCP should be considered a cause of thoracic limb lameness in toy and small breed dogs. Arthroscopy can be safely and effectively used to diagnose and treat FCP in these breeds.
内侧冠状突骨折（FCP）是玩具犬和小型犬胸肢跛行的罕见原因。关节镜检查结果及治疗方法的描述仍很匮乏。本研究的目的是描述玩具犬和小型犬FCP关节镜检查的结果以及关节镜治疗后的短期疗效。对病历进行了回顾性分析。13个肘部（12只犬）有关节镜检查结果。9个肘部有术后≥4周的疗效数据。10个肘部有主人满意度评分。术前常见表现包括跛行、肘部疼痛以及与FCP相符的影像学异常。移位性FCP是最常见的FCP病变类型。92.3%的肘部（n = 12）在内侧冠状突发现软骨损伤，Outerbridge评分中位数为4（范围1 - 5）。76.9%的肘部（n = 10）同时发现肱骨内侧髁软骨损伤。9个肘部中有7个术后功能完全恢复或达到可接受水平。主人的疗效满意度中位数为91%（范围10 - 100）。FCP应被视为玩具犬和小型犬胸肢跛行的一个原因。关节镜检查可安全有效地用于诊断和治疗这些品种犬的FCP。
