Arthroscopy

Authors: Rodriguez-Quiros J1, Rovesti GL, Devesa V, Urrutia PG, Roman FS.
Journal: JSAP

OBJECTIVE:
To evaluate the technical feasibility, efficacy and potential soft tissue damage of a joint distraction technique to facilitate arthroscopy of the tibio-tarsal joint and to test the effect of joint venting on the maximum distraction achieved.
METHODS:

Category: Arthroscopy - Hock
Authors: Farrell M1, Heller J, Solano M, Fitzpatrick N, Sparrow T, Kowaleski M.
Journal: Vet Surg

OBJECTIVE:
To compare radiographic elbow arthrosis with arthroscopic cartilage pathology in Labrador retrievers with elbow osteoarthritis secondary to medial coronoid process (MCP) disease.
STUDY DESIGN:
Retrospective epidemiological study.
ANIMALS:
Labrador retrievers (n = 317; 592 elbow joints).
METHODS:

Category: Arthroscopy - Elbow - Imaging
Authors: Coggeshall JD, Reese DJ, Kim SE, Pozzi A.
Journal: JSAP

Four skeletally immature, small breed dogs (five elbows) with elbow incongruency were evaluated for forelimb lameness. Findings on clinical examination included pain, effusion and decreased range of motion of the affected elbow. Radiography, computed tomography and arthroscopy demonstrated elbow incongruency in all dogs. Fragmented medial coronoid process was diagnosed arthroscopically in three dogs (four elbows). Arthroscopic subtotal coronoidectomy was performed in all cases of fragmented medial coronoid process.

Authors: Perry KL, Li L.
Journal: VCOT

Arthroscopy is the gold standard for articular surface examination and is commonly advocated for diagnosing and treating cases of canine elbow dysplasia. Arthroscopy is generally regarded as a low-risk procedure, however there is a paucity of information in the small animal veterinary literature regarding the associated complication rates. In a retrospective study spanning a ten year period, 750 elective elbow arthroscopies were evaluated. Complications necessitating repeat surgery were defined as major, and were documented in 4.8% of dogs.

Category: Arthroscopy - Elbow
Authors: de Bakker E, Samoy Y, Coppieters E, Mosselmans L, Van Ryssen B.
Journal: VCOT

Objectives: To investigate the possibilities and limitations of arthroscopy to detect flexor enthesopathy in dogs and to distinguish the primary from the concomitant form. Materials and methods: Fifty dogs (n = 94 elbow joints) were prospectively studied: dogs with primary flexor enthesopathy (n = 29), concomitant flexor enthesopathy (n = 36), elbow dysplasia (n = 18), and normal elbow joints (n = 11). All dogs underwent an arthroscopic examination of one or both elbow joints.

Authors: Franklin SP, Devitt CM, Ogawa J, Ridge P, Cook JL.
Journal: Vet Surg

OBJECTIVES:
To describe demographic factors, treatments, and outcomes associated with shoulder instability in dogs.
STUDY DESIGN:
Multi-center, retrospective cohort study.
ANIMALS:
Dog (n = 130) with shoulder instability.
METHODS:

Authors: Plesman R, Gilbert P, Campbell J.
Journal: VCOT

Objectives: To evaluate and compare detection of meniscal tears associated with cranial cruciate ligament insufficiency by either arthroscopy or arthrotomy.Methods: A retrospective, cohort study was completed with stifles (n = 531) of dogs with cranial cruciate ligament rupture. Either a medial parapatellar arthrotomy or an arthroscopy procedure was performed and groups were compared for significant differences in meniscal tears detected using logistic regression analysis.Results: Arthroscopy was performed on 58.8% and arthrotomy on 41.2% of the stifles.

Authors: Samoy YC, de Bakker E, Van Vynckt D, Coppieters E, van Bree H, Van Ryssen B.
Journal: VCOT

The purpose of this study was to investigate the long-term treatment results of fragmented coronoid process (FCP) in joints with a radio-ulnar step greater than 3 mm. Treatment of these patients only consisted of fragment removal, without correction of the incongruity.The eight Bernese Mountain Dogs (11 joints) included in this study showed obvious clinical signs of elbow disease and were diagnosed with severe elbow incongruity and concomitant FCP in the time period from 1999-2003. At that time, elbow radiography, computed tomography, and arthroscopy were performed.

Category: Arthroscopy - Elbow
Authors: Van Vynckt D, Verhoeven G, Saunders J, Polis I, Samoy Y, Verschooten F, Van Ryssen B.
Journal: VCOT

Objective: Assessment of the effect of intra-articular anaesthesia on lameness caused by medial coronoid disease. Methods: This study included 90 dogs that were evaluated for the complaint of unilateral forelimb lameness. All dogs were suspected of having an elbow problem for which orthopaedic examination and radiographs showed inconclusive findings. Following a short sedation, mepivacaine was injected intra-articularly to determine whether lameness was caused by a suspected elbow problem. This effect was compared with the final diagnosis based on computed tomography and arthroscopy.

Authors: Gurney MA, Rysnik M, Comerford EJ, Cripps PJ, Iff I.
Journal: JSAP

OBJECTIVES:
To compare intra-articular morphine or bupivacaine against no treatment following unilateral elbow joint arthroscopy using force plate analysis and pain scoring.
METHODS: