Use of the distomedial-proximolateral oblique radiographic view of the elbow joint for examination of the medial coronoid process in dogs

Philippe R. Haudiquet Clinique Vétérinaire de l'Ouest, 35 avenue Patton, 49000 Angers, France and the Departments of Clinical Sciences and Farm Animal Health and Resource Management, College of Veterinary Medicine, North Carolina State University, Raleigh NC 27606.

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Denis J. Marcellin-Little Clinique Vétérinaire de l'Ouest, 35 avenue Patton, 49000 Angers, France and the Departments of Clinical Sciences and Farm Animal Health and Resource Management, College of Veterinary Medicine, North Carolina State University, Raleigh NC 27606.

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Martha E. Stebbins Clinique Vétérinaire de l'Ouest, 35 avenue Patton, 49000 Angers, France and the Departments of Clinical Sciences and Farm Animal Health and Resource Management, College of Veterinary Medicine, North Carolina State University, Raleigh NC 27606.

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 DVM, PhD
DOI:
https://doi.org/10.2460/ajvr.2002.63.1000
Volume/Issue:
Volume 63: Issue 7
Online Publication Date:
01 Jul 2002
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Abstract

Objective—To describe and evaluate a new radiographic view of the elbow joint in dogs that would potentially enhance observation of the medial coronoid process (MCP).

Sample Population—20 cadaver limbs from 10 dogs and clinical examination of 100 elbow joints of 53 dogs.

Procedure—Twenty elbow joints from 10 cadavers were imaged by use of mediolateral, flexed mediolateral, craniocaudal, craniolateral-caudomedial oblique (Cr15L-CdMO), and distomedial-proximolateral oblique (Di35M-PrLO) radiographic views before and after placement of 3 lead pellets placed on the cranial, medial, and craniodistal aspect of the MCP. Three examiners independently reviewed these radiographs. One hundred elbow joints of 53 dogs with forelimb lameness and signs of pain elicited on palpation of the elbow joint were examined. These joints were radiographed and treated by use of arthroscopy. Three examiners independently graded the radiographs.

Results—The MCP was identified on all Di35M-PrLO views made during the anatomic study. The Di35M-PrLO view had the largest area under the receiving operating characteristic (ROC) curve for detection of abnormalities of the MCP. Fractured and nonfractured MCP could only be significantly differentiated on Di35M-PrLO and mediolateral views. The Di35M-PrLO view had a higher agreement between examiners than other radiographic views for detection of fractures of the MCP.

Conclusion and Clinical Relevance—The Di35M-PrLO view enhances the identification of anomalies and fragmentation of the MCP in dogs, compared with other radiographic views. The Di35M-PrLO view may be of benefit for early screening of dogs potentially affected with elbow dysplasia. (Am J Vet Res 2002;63:1000–1005)

Abstract

Objective—To describe and evaluate a new radiographic view of the elbow joint in dogs that would potentially enhance observation of the medial coronoid process (MCP).

Sample Population—20 cadaver limbs from 10 dogs and clinical examination of 100 elbow joints of 53 dogs.

Procedure—Twenty elbow joints from 10 cadavers were imaged by use of mediolateral, flexed mediolateral, craniocaudal, craniolateral-caudomedial oblique (Cr15L-CdMO), and distomedial-proximolateral oblique (Di35M-PrLO) radiographic views before and after placement of 3 lead pellets placed on the cranial, medial, and craniodistal aspect of the MCP. Three examiners independently reviewed these radiographs. One hundred elbow joints of 53 dogs with forelimb lameness and signs of pain elicited on palpation of the elbow joint were examined. These joints were radiographed and treated by use of arthroscopy. Three examiners independently graded the radiographs.

Results—The MCP was identified on all Di35M-PrLO views made during the anatomic study. The Di35M-PrLO view had the largest area under the receiving operating characteristic (ROC) curve for detection of abnormalities of the MCP. Fractured and nonfractured MCP could only be significantly differentiated on Di35M-PrLO and mediolateral views. The Di35M-PrLO view had a higher agreement between examiners than other radiographic views for detection of fractures of the MCP.

Conclusion and Clinical Relevance—The Di35M-PrLO view enhances the identification of anomalies and fragmentation of the MCP in dogs, compared with other radiographic views. The Di35M-PrLO view may be of benefit for early screening of dogs potentially affected with elbow dysplasia. (Am J Vet Res 2002;63:1000–1005)

Cover American Journal of Veterinary Research
American Journal of Veterinary Research
Publication Date:
01 Jul 2002

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