North Coast Veterinary Specialists, Sippy Downs, Queensland, Australia.
Better Veterinary Referrals, Moorabbin, Victoria, Australia.
Aust Vet J. 2023 Jun;101(6):225-229. doi: 10.1111/avj.13238. Epub 2023 Mar 28.
Congenital luxation of the ulnar and radius is a rare orthopaedic condition in the dog. This case report describes a novel surgical treatment for congenital elbow luxation in a medium-breed dog. A 6-week-old Kelpie presented for left forelimb lameness and deformity. Radiographs and computed tomography (CT) confirmed the diagnosis of unilateral ulnar and radius luxation. The surgical repair involved open reduction followed by fixation with an extraarticular pin and a transarticular external fixator. The outcome of surgery was improved leg function and weight-bearing, however, reluxation of the radial head was diagnosed 7 weeks following surgery. This technique may offer an alternative surgical option to improve clinical signs, as well as insight into improving the management of this condition.
先天性尺桡骨脱位在犬中较为罕见。本病例报告描述了一种新型手术治疗中型犬先天性肘脱位的方法。一只 6 周龄的凯利蓝梗因左前肢跛行和畸形就诊。放射学检查和计算机断层扫描(CT)证实了单侧尺桡骨脱位的诊断。手术修复采用切开复位,然后用关节外销钉和关节外固定器固定。手术结果是腿部功能和负重能力得到改善,但在手术后 7 周时诊断出桡骨头再脱位。该技术可能为改善临床症状提供一种替代的手术选择,并为改善这种疾病的治疗提供思路。