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Arthroscopic treatment of fragmented coronoid process with severe elbow incongruity: long-term follow-up in eight Bernese Mountain Dogs

Yves Samoy (UGent) , Evelien de Bakker (UGent) , Delphine Van Vynckt (UGent) , Eva Coppieters (UGent) , Henri van Bree (UGent) and Bernadette Van Ryssen (UGent)
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Abstract
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. The mean follow-up period was 5.6 years. The follow-up consisted of a telephone questionnaire combined with a clinical and radiographic re-evaluation at our clinic. The questionnaire revealed that all dogs were either free of lameness or only lame following heavy exercise. One dog sporadically required medication after heavy exercise. The owner satisfaction rate was 100%. The clinical re-evaluation did not reveal any signs of pain or lameness in all cases. Range-of-motion was decreased in nine of the 11; elbows. Radiographs revealed an increase in severity of osteoarthritis in every case. In this case series, arthroscopic fragment removal without treatment of incongruity was demonstrated to be a valuable treatment option and may provide a satisfactory long-term outcome.
Keywords
fragmented coronoid process, JOINT, dog, FCP, CLINICALLY NORMAL DOGS, long-term follow-up, Severe elbow incongruity, IN-VITRO, RADIOULNAR INCONGRUENCE, DISEASE, DIAGNOSIS, LAMENESS, TOMOGRAPHIC EVALUATION, ULNA, COMPUTED-TOMOGRAPHY

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Chicago
Samoy, Yves, Evelien de Bakker, Delphine Van Vynckt, Eva Coppieters, Henri van Bree, and Bernadette Van Ryssen. 2013. “Arthroscopic Treatment of Fragmented Coronoid Process with Severe Elbow Incongruity: Long-term Follow-up in Eight Bernese Mountain Dogs.” Veterinary and Comparative Orthopaedics and Traumatology 26 (1): 27–33.
APA
Samoy, Y., de Bakker, E., Van Vynckt, D., Coppieters, E., van Bree, H., & Van Ryssen, B. (2013). Arthroscopic treatment of fragmented coronoid process with severe elbow incongruity: long-term follow-up in eight Bernese Mountain Dogs. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY, 26(1), 27–33.
Vancouver
1.
Samoy Y, de Bakker E, Van Vynckt D, Coppieters E, van Bree H, Van Ryssen B. Arthroscopic treatment of fragmented coronoid process with severe elbow incongruity: long-term follow-up in eight Bernese Mountain Dogs. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2013;26(1):27–33.
MLA
Samoy, Yves, Evelien de Bakker, Delphine Van Vynckt, et al. “Arthroscopic Treatment of Fragmented Coronoid Process with Severe Elbow Incongruity: Long-term Follow-up in Eight Bernese Mountain Dogs.” VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY 26.1 (2013): 27–33. Print.
@article{3254078,
  abstract     = {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. The mean follow-up period was 5.6 years. The follow-up consisted of a telephone questionnaire combined with a clinical and radiographic re-evaluation at our clinic.
The questionnaire revealed that all dogs were either free of lameness or only lame following heavy exercise. One dog sporadically required medication after heavy exercise. The owner satisfaction rate was 100\%. The clinical re-evaluation did not reveal any signs of pain or lameness in all cases. Range-of-motion was decreased in nine of the 11; elbows. Radiographs revealed an increase in severity of osteoarthritis in every case.
In this case series, arthroscopic fragment removal without treatment of incongruity was demonstrated to be a valuable treatment option and may provide a satisfactory long-term outcome.},
  author       = {Samoy, Yves and de Bakker, Evelien and Van Vynckt, Delphine and Coppieters, Eva and van Bree, Henri and Van Ryssen, Bernadette},
  issn         = {0932-0814},
  journal      = {VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY},
  language     = {eng},
  number       = {1},
  pages        = {27--33},
  title        = {Arthroscopic treatment of fragmented coronoid process with severe elbow incongruity: long-term follow-up in eight Bernese Mountain Dogs},
  url          = {http://dx.doi.org/10.3415/VCOT-11-06-0087},
  volume       = {26},
  year         = {2013},
}

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