Lappalainen Anu K, Pulkkinen Hanna S M, Mölsä Sari, Junnila Jouni, Hyytiäinen Heli K, Laitinen-Vapaavuori Outi
Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
EstiMates Oy, Turku, Finland.
Front Vet Sci. 2023 Jan 17;9:1099903. doi: 10.3389/fvets.2022.1099903. eCollection 2022.
Angular front limb deformity (ALD) refers to an excessively curved limb conformation, which is seen in some chondrodysplastic dog breeds. Common characteristics of ALD include carpal valgus (VALG), front limb rotation (ROT), elbow incongruity, and lateral radial head subluxation. These may cause lameness and discomfort in affected dogs. The clinical impact and breed-specific characteristics of front limb conformation in chondrodysplastic breeds are unknown. This prospective and cross-sectional study aimed to investigate differences in front limb conformation between three chondrodysplastic breeds. We further evaluate whether front limb conformation is associated with clinical findings and limb function. We propose novel methods to classify findings in the interosseous space and to quantify lateral radial head subluxation. Data from a total of 224 front limbs from 112 dogs of three chondrodysplastic dog breeds (30 Standard Dachshunds, 29 Skye terriers, and 53 Glen of Imaal terriers) were included in the study. Front limb VALG and ROT were measured with a goniometer. From the radiographs, the elbow joint was graded for incongruity (INC), and the humeroradial angle (HRA) was measured to assess lateral radial subluxation. The association of front limb conformation with clinical signs and limb function was investigated using orthopedic examination, goniometric and kinetic measurements, and radiography. The breeds differed significantly in their front limb conformation. The Dachshund had the least ROT and the least radial head subluxation. The Skye terrier had the most VALG, the most radial head subluxation, and the largest prevalence of moderate and severe INC. The Glen of Imaal terrier had the most ROT. In addition, INC, ROT, VALG, and HRA were found to be independent of each other and were associated with several measurable clinical abnormalities and limb function such as pain, lameness, limited range of motion, and elbow joint osteoarthritis. This implies that VALG, ROT, and HRA could be used in addition to INC grading when choosing musculoskeletal characteristics of dogs suitable for breeding.
前肢角状畸形(ALD)是指肢体形态过度弯曲,在一些软骨发育异常的犬种中可见。ALD的常见特征包括腕关节外翻(VALG)、前肢旋转(ROT)、肘关节不协调以及桡骨头外侧半脱位。这些可能导致患病犬跛行和不适。软骨发育异常犬种前肢形态的临床影响和品种特异性特征尚不清楚。这项前瞻性横断面研究旨在调查三种软骨发育异常犬种在前肢形态上的差异。我们进一步评估前肢形态是否与临床发现和肢体功能相关。我们提出了新的方法来对骨间隙的发现进行分类,并量化桡骨头外侧半脱位。研究纳入了来自三种软骨发育异常犬种(30只标准腊肠犬、29只斯凯梗犬和53只艾莫尔山梗犬)的112只犬的总共224个前肢的数据。使用角度计测量前肢VALG和ROT。从X线片上,对肘关节不协调(INC)进行分级,并测量肱桡角(HRA)以评估桡骨头外侧半脱位。使用骨科检查、角度测量和动力学测量以及X线摄影来研究前肢形态与临床体征和肢体功能的关联。这些犬种在前肢形态上有显著差异。腊肠犬的ROT最少,桡骨头半脱位最少。斯凯梗犬的VALG最多,桡骨头半脱位最多,中度和重度INC的患病率最高。艾莫尔山梗犬的ROT最多。此外,发现INC、ROT、VALG和HRA相互独立,并与一些可测量的临床异常和肢体功能相关,如疼痛、跛行、活动范围受限和肘关节骨关节炎。这意味着在选择适合繁殖的犬的肌肉骨骼特征时,除了INC分级外,还可以使用VALG、ROT和HRA。