The Clinical and Radiological Evaluation of Medial Coronoid Diasease in Dogs: 20 Cases

In this study, clinical status and treatment outcomes of 20 dogs, which were referred to Istanbul University, Faculty of Veterinary Medicine, and Department of Surgery with the complaint of forelimb lameness and diagnosed with medial coronoid disease (MCD), were assessed. The diagnosis was made based on radiographic findings in 16 patients, on arthroscopic findings in 2 and on computed tomographic findings in other 2 patients. Arthrotomy aimed at removal of fragmented medial coronoid process and debridement of the surrounding tissues was carried out on a total of 20 elbow joints. Average functional recovery period after arthrotomy was 31 days and postoperative lameness scores on day 30 were “1” and “0” in 8 and 12 cases, respectively. Recovery rates on postoperative day 60 were detected to be moderate, good and very good in 9, 5 and 6 dogs, respectively. In the current study, treatment options were evaluated in the dogs with medial coronoid disease and the outcomes were aimed to be a contribution to veterinary practice.

Köpeklerde Medial Koronoid Hastalığının Klinik ve Radyografik Olarak Değerlendirilmesi: 20 Olgu

Bu çalışmada İstanbul Üniversitesi Veteriner Fakültesi Cerrahi Anabilim Dalı’na ön bacakta topallık şikayetiyle getirilip, medial koronoid hastalığı (MKH) tanısı konulan 20 adet köpeğin klinik durumları ve sağaltım sonuçları değerlendirilmiştir. MKH’nın tanısı 16 hastada direkt radyografi, 2 hastada artroskopi ve 2 hastada bilgisayarlı tomografi ile konulmuştur. MKH’na bağlı medial koronoid prosesin kırık parçasının uzaklaştırılması ve bölgenin debridmanına yönelik artrotomi işlemi toplam 20 dirsek eklemine uygulanmıştır. Artrotomi sonrasında fonksiyonel iyileşme ortalama 31 gün, postoperatif 30. gün topallık dereceleri 8 olguda “1”, 12 olguda “0” olarak belirlenmiş olup 60. gün sonunda iyileşmeleri 9 olguda vasat, 5 olguda “iyi”, 6 olguda ise “çok iyi” olarak değerlendirildi. Sunulan bu çalışmada medial koronoid hastalığı olan köpeklere uygulanan sağaltım yöntemleri değerlendirilmiş olup sonuçlarının meslek pratiğine aktarılması amaçlanmıştır.

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