CT attenuation of the medial coronoid process is reduced in dogs with medial coronoid disease but independent of arthroscopic disease severity.

Autor:	Humphreys WJ; Small Animal Teaching Hospital, School of Veterinary Science, Institute of Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK., Wilder K; Avon Lodge Veterinary Group, Salisbury, UK., Pettitt R; Small Animal Teaching Hospital, School of Veterinary Science, Institute of Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK., Comerford EJ; Small Animal Teaching Hospital, School of Veterinary Science, Institute of Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK.; Department of Musculoskeletal and Ageing Sciences, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK., Maddox TW; Small Animal Teaching Hospital, School of Veterinary Science, Institute of Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Neston, UK.; Department of Musculoskeletal and Ageing Sciences, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Jazyk:	angličtina
Zdroj:	American journal of veterinary research [Am J Vet Res] 2022 Jul 18; Vol. 83 (9). Date of Electronic Publication: 2022 Jul 18.
DOI:	10.2460/ajvr.21.10.0171
Abstrakt:	Objective: To compare the attenuation of the medial coronoid process (MCP) in dogs with and without arthroscopically confirmed evidence of medial coronoid disease (MCD). Animals: The database at our institution was searched for cases with thoracic limb lameness, diagnosed with MCD by arthroscopic examination that had CT as part of their investigation and compared with a control group of elbow joints from cadavers euthanized for reasons unrelated to MCD. A total of 84 elbow joints were included that met these criteria. Procedures: Following CT, a standardized measurement of the MCP was obtained from apex to base and the mean attenuation, SD, and total area were recorded. A comparative measurement was obtained from the proximal radial cortex at the level of the nutrient foramen. Elbow joint arthroscopy was carried out using standard portals, and the modified Outerbridge score was (MOS) used to score elbow joint cartilage. Descriptive and inferential statistics were carried out using MLwiN and R. Results: Attenuation of the MCP was reduced in dogs with MCD compared with those with no MCD (P < .002). No significant differences were observed in the attenuation between categories of severity (MOS). There was good inter- and intraobserver agreement between measurements (intraclass correlation coefficient = 0.89 and 0.95, respectively). Clinical Relevance: MCP attenuation is reduced in dogs with MCD compared with dogs with no evidence of MCD. This finding may be a useful tool for early detection of MCD, but there is no relationship with arthroscopic lesion severity.
Databáze:	MEDLINE
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