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Bilateral
Elbow Dysplasia and Elbow Arthroscopy
Diagnosis
The
diagnosis of elbow dysplasia is made from a combination of clinical
signs, manipulation of the joints, and x-rays. Correct X-ray technique
is crucial for making the diagnosis. X-rays will reveal the incongruity
of the joint. In the Jan 1, 1999 issue of the AVMA Journal there
was a report on X-ray technique for diagnosing fractured coronoid
processes and they found that a craniolateral-caudomedial oblique
X-ray (not part of the standard views taken at most practices) was
the best way to see a fractured coronoid process. Your vet might
be able to find this paper and get an idea of the technique. It
might help to resolve some of the questions about what is going
on if a better view of the coronoid process can be seen. Increased
bone density of the ulnar notch is also evident. OCD lesions and
united anconeal processes are often evident. While the fragments
of the coronoid process cannot readily be seen on an X-ray, the
coronoid process will be missing. Arthritis is often present, and
can be mild to severe. The severity of the elbow dysplasia is usually
described by Grades one through three. Grade three could be so severe
that total elbow replacement may be required because there is massive
cartilage damage and the pet may not be able to take aspirin and
or not have an ineffective response to non-steroidal anti-inflammatory
drugs (NSAIDs). Linda Louise was near a Grade Three – she
had visible bone chips.
overview
| development | clinical
signs | diagnosis | treatment
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