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Diagnostic intra-articular anaesthesia of the elbow in dogs with medial coronoid disease

Delphine Van Vynckt UGent, Geert Verhoeven UGent, Jimmy Saunders UGent, Ingeborgh Polis UGent, Yves Samoy UGent, Francis Verschooten and Bernadette Van Ryssen UGent (2012) VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 25(4). p.307-313
abstract
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. Results: Out of 90 dogs, 78 (87%) dogs had an improvement of lameness after injection of the local anaesthetic, which confirmed the elbow joint as the primary source of lameness. A positive response was seen in all types of medial coronoid lesions. A false negative result was observed in 12 dogs (13%). Clinical relevance: Medial coronoid disease is represented by different types of pathologic lesions including chondromalacia, fissures, fragments, and medial compartment disease. Diagnosis may be difficult because of limited clinical or radiographic signs or a combination of both. Intra-articular anaesthesia can be a helpful diagnostic tool to localize the problem by eliminating pain and reducing lameness to a great extent in all types of coronoid lesions.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
dog, Intra-articular anaesthesia, mepivacaine, medial coronoid disease, arthroscopy, PLATE GAIT ANALYSIS, ARTHROSCOPIC FINDINGS, BONE-SCINTIGRAPHY, LAMENESS, HORSES, OSTEOARTHRITIS, AGREEMENT, SCALES, KNEE
journal title
VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY
Vet. Comp. Orthop. Traumatol.
volume
25
issue
4
pages
307 - 313
Web of Science type
Article
Web of Science id
000306868700008
JCR category
VETERINARY SCIENCES
JCR impact factor
1.013 (2012)
JCR rank
64/142 (2012)
JCR quartile
2 (2012)
ISSN
0932-0814
DOI
10.3415/VCOT-11-11-0166
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2129456
handle
http://hdl.handle.net/1854/LU-2129456
date created
2012-06-01 16:44:07
date last changed
2012-10-17 13:46:25
@article{2129456,
  abstract     = {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. 
Results: Out of 90 dogs, 78 (87\%) dogs had an improvement of lameness after injection of the local anaesthetic, which confirmed the elbow joint as the primary source of lameness. A positive response was seen in all types of medial coronoid lesions. A false negative result was observed in 12 dogs (13\%). 
Clinical relevance: Medial coronoid disease is represented by different types of pathologic lesions including chondromalacia, fissures, fragments, and medial compartment disease. Diagnosis may be difficult because of limited clinical or radiographic signs or a combination of both. Intra-articular anaesthesia can be a helpful diagnostic tool to localize the problem by eliminating pain and reducing lameness to a great extent in all types of coronoid lesions.},
  author       = {Van Vynckt, Delphine and Verhoeven, Geert and Saunders, Jimmy and Polis, Ingeborgh and Samoy, Yves and Verschooten, Francis and Van Ryssen, Bernadette},
  issn         = {0932-0814},
  journal      = {VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY},
  keyword      = {dog,Intra-articular anaesthesia,mepivacaine,medial coronoid disease,arthroscopy,PLATE GAIT ANALYSIS,ARTHROSCOPIC FINDINGS,BONE-SCINTIGRAPHY,LAMENESS,HORSES,OSTEOARTHRITIS,AGREEMENT,SCALES,KNEE},
  language     = {eng},
  number       = {4},
  pages        = {307--313},
  title        = {Diagnostic intra-articular anaesthesia of the elbow in dogs with medial coronoid disease},
  url          = {http://dx.doi.org/10.3415/VCOT-11-11-0166},
  volume       = {25},
  year         = {2012},
}

Chicago
Van Vynckt, Delphine, Geert Verhoeven, Jimmy Saunders, Ingeborgh Polis, Yves Samoy, Francis Verschooten, and Bernadette Van Ryssen. 2012. “Diagnostic Intra-articular Anaesthesia of the Elbow in Dogs with Medial Coronoid Disease.” Veterinary and Comparative Orthopaedics and Traumatology 25 (4): 307–313.
APA
Van Vynckt, D., Verhoeven, G., Saunders, J., Polis, I., Samoy, Y., Verschooten, F., & Van Ryssen, B. (2012). Diagnostic intra-articular anaesthesia of the elbow in dogs with medial coronoid disease. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY, 25(4), 307–313.
Vancouver
1.
Van Vynckt D, Verhoeven G, Saunders J, Polis I, Samoy Y, Verschooten F, et al. Diagnostic intra-articular anaesthesia of the elbow in dogs with medial coronoid disease. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2012;25(4):307–13.
MLA
Van Vynckt, Delphine, Geert Verhoeven, Jimmy Saunders, et al. “Diagnostic Intra-articular Anaesthesia of the Elbow in Dogs with Medial Coronoid Disease.” VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY 25.4 (2012): 307–313. Print.