DOI QR코드

DOI QR Code

Diagnostic Imaging Features of Concomitant Flexor Enthesopathy in a Dog

  • Kim, Ye-Jin (College of Veterinary Medicine, Chungnam National University) ;
  • Cho, Hyun-Ju (College of Veterinary Medicine, Chungnam National University) ;
  • Hong, Sae-Byel (College of Veterinary Medicine, Chungnam National University) ;
  • Kim, Kwang-Min (College of Veterinary Medicine, Chungnam National University) ;
  • Choi, Ho-Jung (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Chungnam National University)
  • Received : 2020.01.21
  • Accepted : 2020.02.13
  • Published : 2020.02.28

Abstract

Flexor enthesopathy is an important cause of elbow lameness in dogs. Flexor enthesopathy is divided into primary and concomitant forms deciding the treatment. The imaging characteristics in affected dogs are irregular medial humeral epicondyles, spur, calcified bodies adjacent to medial humeral epicondyle, thickened and contrast enhancement of the affected muscles. In this report, the radiography, computed tomography (CT), and magnetic resonance imaging (MRI) were performed for right forelimb lameness of a 3-year-old dog. The irregular sclerotic changes and spur of the medial humeral epicondyles were shown with calcified bodies on radiography. Thickened flexor muscles in right forelimb and fragmented coronoid processes of both elbows were observed on CT. On MRI, high signal intensity of the bilaterally thickened flexor muscles with contrast enhancement was detected. Based on these results, concomitant flexor enthesopathy with fragmented medial coronoid process of bilateral elbows was diagnosed in this dog.

Keywords

References

  1. Baeumlin Y, De Rycke L, Van Caelenberg A, Van Bree H, Gielen I. Magnetic resonance imaging of the canine elbow: an anatomic study. Vet Surg 2010; 39: 566-573. https://doi.org/10.1111/j.1532-950X.2010.00690.x
  2. Ciccotti MC, Schwartz MA, Ciccotti MG. Diagnosis and treatment of medial epicondylitis of the elbow. Clin Sports Med 2004; 23: 693-705. https://doi.org/10.1016/j.csm.2004.04.011
  3. Cook CR, Cook JL. Diagnostic imaging of canine elbow dysplasia: a review. Vet Surg 2009; 38: 144-153. https://doi.org/10.1111/j.1532-950X.2008.00481.x
  4. de Bakker E, Gielen I, Van Caelenberg A, Van Bree H, Van Ryssen B. Computed tomography of canine elbow joints affected by primary and concomitant flexor enthesopathy. Vet Radiol Ultrasound 2014; 55: 45-55. https://doi.org/10.1111/vru.12091
  5. de Bakker E, Gielen I, Kromhout K, van Bree H, Van Ryssen B. Magnetic resonance imaging of primary and concomitant flexor enthesopathy in the canine elbow. Vet Radiol Ultrasound 2014; 55: 56-62. https://doi.org/10.1111/vru.12090
  6. de Bakker E, Samoy Y, Gielen I, Van Ryssen B. Medial humeral epicondylar lesions in the canine elbow. Vet Comp Orthop Traumatol 2011; 24: 9-17. https://doi.org/10.3415/vcot-10-04-0052
  7. de Bakker E, Gielen I, Saunders JH, Polis I, Vermeire S, Peremans K, Dewulf J, Van Bree H, Van Ryssen B. Primary and concomitant flexor enthesopathy of the canine elbow. Vet Comp Orthop Traumatol 2013; 26: 425-434. https://doi.org/10.3415/VCOT-12-02-0025
  8. de Bakker E, Saunders JH, Van Bree H, Gielen I, Van Ryssen B. Radiographic features of primary and concomitant flexor enthesopathy in the canine elbow. Vet Radiol Ultrasound 2013; 54: 107-113. https://doi.org/10.1111/j.1740-8261.2012.01994.x
  9. de Bakker E, Saunders J, Gielen I, Van Bree H, Coppieters E, Van Ryssen B. Radiographic findings of the medial humeral epicondyle in 200 canine elbow joints. Vet Comp Orthop Traumatol 2012; 25: 359-365. https://doi.org/10.3415/VCOT-11-09-0127
  10. De Rycke LM, Gielen IM, Van Bree H, Simoens PJ. Computed tomography of the elbow joint in clinically normal dogs. Am J Vet Res 2002; 63: 1400-1407. https://doi.org/10.2460/ajvr.2002.63.1400
  11. Jobe FW, Ciccotti MG. Lateral and medial epicondylitis of the elbow. J Am Acad Orthop Surg 1994; 2: 1-8. https://doi.org/10.5435/00124635-199401000-00001
  12. Van R ys sen B, de B akker E, B eaumlin Y, S amoy Y C, Van Vynckt D, Gielen I, Ducatelle R, van Bree H. Primary flexor enthesopathy of the canine elbow: imaging and arthroscopic findings in eight dogs with discrete radiographic changes. Vet Comp Orthop Traumatol 2012; 25: 239-45. https://doi.org/10.3415/VCOT-11-03-0038
  13. Villamonte-Chevalier A, Van Bree H, Broeckx B, Dingemanse W, Soler M, Van Ryssen B, Gielen I. Assessment of medial coronoid disease in 180 canine lame elbow joints: a sensitivity and specificity comparison of radiographic, computed tomographic and arthroscopic findings. BMC Vet Res 2015; 11: 243. https://doi.org/10.1186/s12917-015-0556-9
  14. Zontine WJ, Weitkamp RA, Lippincott CL. Redefined type of elbow dysplasia involving calcified flexor tendons attached to the medial humeral epicondyle in three dogs. J Am Vet Med Assoc 1989; 194: 1082-1085.