Abstract

The aim of the study was to find whether there is a difference in the optical density of the subtrochlear region of incisura trochlearis and in the region of processus coronoideus medialis ulnae in elbow joints with fragmented processus coronoideus and in healthy elbow joints of the Labrador retriever breed. We evaluated digital radiographs of elbows (n = 26) with arthroscopically or arthrotomically proven FCP and digital radiographs of healthy elbows (n = 28). A template was made on radiographs in the JiveX program (Visus Technology Transfer) demarcating individual regions of interest (ROI) in which median optical density was measured. For normalisation of median optical density data of individual ROI, median optical density of the caudal ulnar cortex was used. Elbow joints with fragmented processus coronoideus had a lower mean median optical density in the distal part of incisura trochlearis compared to healthy elbow joints. The lowest median optical densities were found in the region of processus coronoideus medialis and in the distal part of the trochlear notch of the ulna in the region of processus coronoideus lateralis. The biggest difference in median optical densities between elbows with FCP and healthy elbows was found in regions distant from the articular surface. In evaluation of the opacity of the trochlear notch of the ulna it is appropriate to assess the whole region of the proximal ulnar metaphysis from the articular surface to the caudal ulnar cortex.

Highlights

  • In evaluation of the opacity of the trochlear notch of the ulna it is appropriate to assess the whole region of the proximal ulnar metaphysis from the articular surface to the caudal ulnar cortex

  • Classification of elbow dysplasia (ED) as per protocol of the International Elbow Working Group (IEWG), classification of ED according to Lang et al (1998) as well as classification of ED according to the Orthopaedic Foundation for Animals is based on evaluation of elbow joint congruity and the extent of osteoarthrotic changes

  • We found a high correlation between the median optical density of the caudal cortex of the ulna and the optical density of the distal part of the trochlear ulnar notch (ROI 31-45°A) with a correlation coefficient of r = 0.96, determination coefficient of r2 = 0.93 and level of significance of p = 4.2 × 10-12 (Fig. 3)

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Summary

Introduction

In evaluation of the opacity of the trochlear notch of the ulna it is appropriate to assess the whole region of the proximal ulnar metaphysis from the articular surface to the caudal ulnar cortex. FCP occurs alone or less frequently in combination with OCD of the medial humeral condyle or UAP (Guthrie and Pidduck 1990; Meyer-Lindenberg et al 2002; Rovesti et al 2002; Meyer-Lindenberg 2006). It is a disease with breed predisposition. In dogs with FCP, subtrochlear sclerosis of ulnar metaphysis and the presence of periarticular osteophytes are much better indicators of the Address for correspondence: MVDr. Pavel Proks Department of Diagnostic Imaging, Small Animal Clinic, Faculty of Veterinary Medicine, University of veterinary and Pharmaceutical Sciences Palackého 1-3, 612 42 Brno, Czech Republic

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