AniCura Albano Small Animal Hospital, Stockholm, Sweden.
Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Vet Rec. 2023 Oct 7;193(7):e2950. doi: 10.1002/vetr.2950. Epub 2023 May 3.
Elbow dysplasia (ED) is an important cause of lameness in dogs. This study aimed to report long-term outcomes in dogs with elbow osteoarthritis.
Demographic data, medical management, and scores from The American College of Veterinary Surgeons' Canine Orthopaedic Index (COI) were collected from owners of dogs radiographically screened for ED, graded as normal, mild, or moderate. Telephone interviews were performed in 2017 (Q1), followed by an email survey in 2020 (Q2). The association between ED grade and deterioration in COI scores over time was evaluated with logistic regression.
A total of 765 replies were collected for Q1 and 293 for Q2. At Q2, 222 dogs (76%) were alive, with a median age of 8 years (range 5-12 years). No association was found between ED and changes in COI score over time or between ED and survival (p = 0.071). Dogs with mild and moderate ED were treated with analgesic medications to a higher degree than dogs without ED (p < 0.05).
Only owner-assed data were assessed; no clinical orthopaedic examination or follow-up radiographic evaluation was performed.
No association was found between the grade of ED and the worsening of clinical signs in dogs with elbow osteoarthritis.
肘关节炎（ED）是犬跛行的一个重要原因。本研究旨在报告患有肘关节炎犬的长期预后。
收集了经过肘部影像学筛查的犬的人口统计学数据、医学管理和美国兽医外科学院犬骨科指数（COI）的评分，这些犬被分为正常、轻度和中度。在 2017 年（Q1）进行了电话访谈，随后在 2020 年（Q2）进行了电子邮件调查。使用逻辑回归评估 ED 分级与 COI 评分随时间恶化之间的关系。
总共收集了 765 份 Q1 回复和 293 份 Q2 回复。在 Q2 时，222 只犬（76%）存活，中位数年龄为 8 岁（5-12 岁）。ED 与 COI 评分随时间的变化之间或 ED 与存活率之间没有关联（p=0.071）。轻度和中度 ED 的犬比没有 ED 的犬更常使用镇痛药物治疗（p<0.05）。
仅评估了主人评估的数据；未进行临床骨科检查或随访影像学评估。
在患有肘关节炎的犬中，ED 分级与临床症状的恶化之间没有关联。
