Shoulder

Authors: Ridge PA1, Cook JL, Cook CR.
Journal: Vet Surg

OBJECTIVE:

To report short and medium term outcomes, and complications, in dogs treated for rupture of the lateral glenohumeral ligament (LGHL) with a novel, arthroscopically assisted technique.

STUDY DESIGN:

Retrospective case series.

ANIMALS:

Dogs (n = 10) with LGHL injury.

METHODS:

Category: Arthroscopy - Shoulder
Authors: Sparrow T, Fitzpatrick N1, Meswania J, Blunn G.
Journal: Vet Comp Orthop Traumatol

Introduction: Partial resurfacing of the humeral head has been reported in humans to treat humeral osteochondritis dissecans. The aim is to describe a custom-made humeral resurfacing prosthesis for treatment of severe humeral head osteochondritis disse-cans in a dog. Case report: A seven-month-old female entire St. Bernard dog was presented with a 10 week history of severe left thoracic limb lameness. Radiography, arthroscopy and magnetic resonance imaging confirmed an extensive osteochondritis dissecans lesion affecting the caudal, medial and central regions of the humeral head.

Authors: Lande R, Reese SL, Cuddy LC, Berry CR, Pozzi A.
Journal: Vet Radiol Ultrasound

Osteochondrosis is a common developmental abnormality affecting the subchondral bone of immature, large breed dogs. The purpose of this retrospective study was to describe CT lesions detected in scapulohumeral joints of 32 immature dogs undergoing CT for thoracic limb lameness. Eight dogs (14 scapulohumeral joints) had arthroscopy following imaging. Thirteen dogs (19 scapulohumeral joints) were found to have CT lesions, including 10 dogs (16 scapulohumeral joints) with subchondral bone lesions and 3 dogs with enthesopathy of the supraspinatus tendon.

Category: Imaging - Shoulder
Authors: 1. Vincenzo Montinaro DVM, MRCVS1,*, 2. Sarah E. Boston DVM, DVSc Diplomate ACVS1, 3. Paolo Buracco DVM, Diplomate ECVS2, 4. William T.N. Culp VMD, Diplomate ACVS3, 5. Giorgio Romanelli DVM Diplomate ECVS4, 6. Rod Straw BVSc, Diplomate ACVS5, 7. Stew
Journal: Vet Surg

Objective
To report signalment, clinical signs, preoperative staging tests, histologic diagnosis, surgical, and oncologic outcomes including postoperative limb use, in dogs with scapular tumors treated by scapulectomy.
Study Design
Retrospective case series
Animals
Dogs (n = 42) with scapular tumors.
Methods

Category: Oncology - Shoulder
Authors: Reis Silva H, Uosyte R, Clements DN, Bergkvist GT, Schwarz T.
Journal: Vet Radiol Ultrasound

Soft tissue injuries of the shoulder are an important cause of forelimb lameness in dogs. The objectives of this canine cadaver study were to describe normal anatomy of shoulder soft tissue structures using computed tomography (CT) and computed tomographic arthrography (CTA) and to determine the effects of positioning on visualization of shoulder soft tissue structures. Thirteen forelimbs were removed from eight canine cadavers. Two forelimbs were used for contrast dose optimization.

Category: Imaging - Shoulder
Authors: Spinella G, Loprete G, Musella V, Britti D, Vilar JM.
Journal: VCOT

The aim of this study was to describe the cross-sectional area and mean echogenicity of the main tendons of the shoulder and elbow joints in adult German Shepherd dogs and to determine the effects of sex, weight, and age on these parameters. No previous publications in the veterinary literature have reported information regarding quantitative ultrasonographic tendon measurements in dogs. Thirty German Shepherd dogs were examined: 13 males and 17 females.

Authors: Barnes DM.
Journal: JSAP

A three-year-old male greyhound was presented with acute onset right forelimb lameness because of medial displacement of the biceps tendon of origin. Ultrasonographic examination confirmed the diagnosis, and a concomitant partial tear of the medial glenohumeral ligament was detected during arthroscopy. To stabilise the biceps tendon, polypropylene mesh was fixed across the intertubercular groove to replace the torn transverse humeral retinaculum. Recovery was uneventful and lameness resolved.

Authors: Van Vynckt D, Verhoeven G, Samoy Y, Polis I, van Bree H, Van Ryssen B.
Journal: VCOT

Objective: To evaluate the use of intra-articular anaesthesia combined with positive contrast arthrography (collectively called 'anaesthetic arthrography' [AA]) in the shoulder in order to identify and confirm the source of pain in lame dogs. Methods: Anaesthetic arthrography was performed in 30 dogs with shoulder joint lameness with a mixture of contrast medium (iohexol: 240 mg I/ml) and a local anaesthetic (mepivacaine 2%: 20 mg/ml). The effect of intra-articular anaesthesia was evaluated by an objectified visual scoring system and the arthrograms were evaluated for their diagnostic value.

Category: Imaging - Shoulder
Authors: Maddox TW, May C, Keeley BJ, McConnell JF.
Journal: Vet Radiol Ultrasound

Computed tomography (CT) is an established technique for detecting shoulder lesions in dogs, however the clinical significance of shoulder CT lesions often remains uncertain. The purposes of this retrospective study were to describe the prevalence of CT lesions in both shoulder joints for 89 dogs presenting with thoracic limb lameness and to compare CT lesions with clinical characteristics. For all included dogs, results of a full orthopedic examination, other diagnostic tests, and signalment data were available in medical records.

Authors: Orellana-James NG, Ginja MM, Regueiro M, Oliveira P, Gama A, Rodriguez-Altonaga JA, Gonzalo-Orden JM.
Journal: JSAP

A six-year-old, 30-kg female German pointer dog was presented for examination with a history of pre-existing right-forelimb lameness and more recent (3 months) persistent lameness in the left-forelimb. Physical examination revealed mild left-forelimb lameness and a mild circumduction movement. There were no signs of pain or crepitation detected during manipulation of the shoulders, but the animal was unable to fully flex both glenohumeral joints.

Category: Imaging - Shoulder