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- Author or Editor: Stephanie Essman x
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Objective—To determine agreement between assessments of canine hip joint conformation provided by board-certified radiologists after evaluation of digitized and conventional radiographic images.
Sample Population—200 pelvic radiographs previously evaluated by radiologists using the Orthopedic Foundation for Animals standard grading system for canine hip joint conformation.
Procedures—Each of 20 board-certified radiologists evaluated conventional and digitized pelvic radiographs from each of 200 dogs for hip joint conformation. A weighted kappa coefficient and intraclass correlation were used to determine agreement between assessments derived from digitized radiographic images and conventional radiographs and between the original Orthopedic Foundation for Animals conformation ratings and assessments derived from each image format.
Results—Overall, agreement between assessments derived from the digitized images and conventional radiographs was good, with all but 1 radiologist attaining a weighted kappa coefficient > 0.61. Intraclass correlation for each radiologist ranged from 0.75 to 0.98 (95% confidence interval, 0.67 to 0.984). On comparison of conformation assessments, 95.7% of those derived from conventional radiographs and digitized images were within 1 grade. On comparison of digitized radiographic conformation assessments and conformation ratings, 94.2% were within 1 grade. On comparison of conventional radiographic conformation assessments and conformation ratings, 92.3% were within 1 grade.
Conclusions and Clinical Relevance—The use of digitized radiographic images does not appear to impact the radiographic assessments of canine hip joint conformation made by consultant radiologists. Compared with conventional radiographs, the use of digitized radiographic images decreases storage space requirements and enables more rapid reporting of assessment results for individual dogs.
Case Description—A 1-year-old 7.4-kg (16.3-lb) castrated male mixed-breed dog was evaluated because of intermittent lameness and an antebrachial angular limb deformity.
Clinical Findings—The left forelimb had gross antebrachial external rotation (approx 90°) and marked procurvatum. Radiography revealed a severe partially compensated biapical antebrachial angular limb deformity. Measurements of medial proximal radial angle (MPRA) and lateral distal radial angle (LDRA) were obtained from orthogonal radiographs of the proximal and distal segments of the radius, respectively. Elbow joint-to-carpus translation was quantified. Deformities were localized and quantified by the center of rotation of angulation (CORA) method. Computed tomographic 3-dimensional image reconstructions of the antebrachium and carpus were completed to create 3 life-size stereolithographic models.
Treatment and Outcome—2 closing wedge radial osteotomies were performed at the level of the CORAs and stabilized with bone plates and screws.
Results—Frontal and sagittal plane alignments were corrected to 8° and 15°, respectively (reference limits, 0° to 8° and 8° to 35°, respectively). The MPRA was corrected from 55° to 68°, and LDRA was corrected from 32° to 76° (values considered normal are approx 85° and 87°, respectively). Elbow joint-to-carpus translation was improved by 42.5%. After 8 weeks, radiography revealed bone union. Owners considered the outcome acceptable, on the basis of limb appearance and lack of lameness at 1 year after surgery.
Conclusions and Clinical Relevance—A segmental radiographic planning technique combined with the CORA method, computed tomography, and stereolithography may be useful in the characterization of and planning corrective surgery for forelimb deformities in dogs.