B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination

Abstract Background Canine hip dysplasia is a common orthopedic disease in veterinary practice. The diagnosis is made by radiographic examinations that evaluate bone alterations associated with hip dysplasia. Although radiographic examination is the gold standard for diagnosis, it does not allow a d...

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Main Authors: Rafael Kretzer Carneiro, Igor Cezar Kniphoff da Cruz, Beatriz Gasser, Bruna Lima, Luiz Paulo Nogueira Aires, Márcio Poletto Ferreira, Ricardo Andres Ramirez Uscategui, Robson Fortes Giglio, Bruno Watanabe Minto, Marcus Antônio Rossi Feliciano
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Veterinary Research
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Online Access:https://doi.org/10.1186/s12917-023-03753-7
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author Rafael Kretzer Carneiro
Igor Cezar Kniphoff da Cruz
Beatriz Gasser
Bruna Lima
Luiz Paulo Nogueira Aires
Márcio Poletto Ferreira
Ricardo Andres Ramirez Uscategui
Robson Fortes Giglio
Bruno Watanabe Minto
Marcus Antônio Rossi Feliciano
author_facet Rafael Kretzer Carneiro
Igor Cezar Kniphoff da Cruz
Beatriz Gasser
Bruna Lima
Luiz Paulo Nogueira Aires
Márcio Poletto Ferreira
Ricardo Andres Ramirez Uscategui
Robson Fortes Giglio
Bruno Watanabe Minto
Marcus Antônio Rossi Feliciano
author_sort Rafael Kretzer Carneiro
collection DOAJ
description Abstract Background Canine hip dysplasia is a common orthopedic disease in veterinary practice. The diagnosis is made by radiographic examinations that evaluate bone alterations associated with hip dysplasia. Although radiographic examination is the gold standard for diagnosis, it does not allow a detailed evaluation of soft tissues such as the joint capsule and periarticular muscles. This study aimed to evaluate the accuracy of B-mode ultrasonography and acoustic radiation force impulse (ARFI) elastography in assessing the joint capsule and periarticular muscles of dogs using the Orthopedic Foundation of Animals (OFA) classification and the distraction index (DI) in the early and late diagnosis of hip dysplasia. This study sought to propose a protocol for the ultrasonographic evaluation of the structures involved in canine hip dysplasia. Methods Radiographic and ultrasonographic evaluations were performed on 108 hip joints of 54 dogs. Thirty dogs were older than 2 years and 24 were aged between 4 and 10 months. Results It was verified that an increase in pectineus muscle stiffness (cutoff value > 2.77 m/s) by elastography in some dysplastic dogs and an increase in the thickness of the joint capsule (cutoff value > 0.9 mm) in B-mode ultrasonography, were associated with a distraction index > 0.5, with both having a positive correlation. In B-mode ultrasonographic evaluation, the presence of signs of degenerative joint disease, such as irregularities of the cranial edge of the acetabulum and femoral head, were associated with a distraction index > 0.5 in canines, with a specificity of 94%. In adult dogs, the findings of degenerative joint disease on ultrasound were associated with a diseased OFA classification (P < 0.05). Measurement of the joint capsule > 1.10 mm was diagnostic for dysplasia in unhealthy dogs by OFA. Conclusions ARFI elastography has shown that the pectineus muscle may experience changes in stiffness in dysplastic animals. Additionally, changes in joint capsule thickness can be identified in B-mode in young and adult dogs with dysplastic joints, which contributes to the diagnosis of hip dysplasia.
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spelling doaj.art-067aff0fbe6f4fa094edb0f389d1cf7c2023-11-26T13:38:24ZengBMCBMC Veterinary Research1746-61482023-10-0119111110.1186/s12917-023-03753-7B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examinationRafael Kretzer Carneiro0Igor Cezar Kniphoff da Cruz1Beatriz Gasser2Bruna Lima3Luiz Paulo Nogueira Aires4Márcio Poletto Ferreira5Ricardo Andres Ramirez Uscategui6Robson Fortes Giglio7Bruno Watanabe Minto8Marcus Antônio Rossi Feliciano9São Paulo State University “Júlio de Mesquita Filho”, UNESPFederal University of Santa Maria, UFSMFederal University of the Jequitinhonha and Mucuri Valleys, UFVJMSão Paulo State University “Júlio de Mesquita Filho”, UNESPSão Paulo State University “Júlio de Mesquita Filho”, UNESPFederal University of Rio Grande do Sul, UFRGSUniversity of Tolima, UTUniversity of Georgia, UGASão Paulo State University “Júlio de Mesquita Filho”, UNESPUniversity of São Paulo, USPAbstract Background Canine hip dysplasia is a common orthopedic disease in veterinary practice. The diagnosis is made by radiographic examinations that evaluate bone alterations associated with hip dysplasia. Although radiographic examination is the gold standard for diagnosis, it does not allow a detailed evaluation of soft tissues such as the joint capsule and periarticular muscles. This study aimed to evaluate the accuracy of B-mode ultrasonography and acoustic radiation force impulse (ARFI) elastography in assessing the joint capsule and periarticular muscles of dogs using the Orthopedic Foundation of Animals (OFA) classification and the distraction index (DI) in the early and late diagnosis of hip dysplasia. This study sought to propose a protocol for the ultrasonographic evaluation of the structures involved in canine hip dysplasia. Methods Radiographic and ultrasonographic evaluations were performed on 108 hip joints of 54 dogs. Thirty dogs were older than 2 years and 24 were aged between 4 and 10 months. Results It was verified that an increase in pectineus muscle stiffness (cutoff value > 2.77 m/s) by elastography in some dysplastic dogs and an increase in the thickness of the joint capsule (cutoff value > 0.9 mm) in B-mode ultrasonography, were associated with a distraction index > 0.5, with both having a positive correlation. In B-mode ultrasonographic evaluation, the presence of signs of degenerative joint disease, such as irregularities of the cranial edge of the acetabulum and femoral head, were associated with a distraction index > 0.5 in canines, with a specificity of 94%. In adult dogs, the findings of degenerative joint disease on ultrasound were associated with a diseased OFA classification (P < 0.05). Measurement of the joint capsule > 1.10 mm was diagnostic for dysplasia in unhealthy dogs by OFA. Conclusions ARFI elastography has shown that the pectineus muscle may experience changes in stiffness in dysplastic animals. Additionally, changes in joint capsule thickness can be identified in B-mode in young and adult dogs with dysplastic joints, which contributes to the diagnosis of hip dysplasia.https://doi.org/10.1186/s12917-023-03753-7CanineCanine hip dysplasiaHip laxityUltrasonographyAcoustic radiation force impulse
spellingShingle Rafael Kretzer Carneiro
Igor Cezar Kniphoff da Cruz
Beatriz Gasser
Bruna Lima
Luiz Paulo Nogueira Aires
Márcio Poletto Ferreira
Ricardo Andres Ramirez Uscategui
Robson Fortes Giglio
Bruno Watanabe Minto
Marcus Antônio Rossi Feliciano
B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination
BMC Veterinary Research
Canine
Canine hip dysplasia
Hip laxity
Ultrasonography
Acoustic radiation force impulse
title B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination
title_full B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination
title_fullStr B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination
title_full_unstemmed B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination
title_short B-mode ultrasonography and ARFI elastography of articular and peri-articular structures of the hip joint in non-dysplastic and dysplastic dogs as confirmed by radiographic examination
title_sort b mode ultrasonography and arfi elastography of articular and peri articular structures of the hip joint in non dysplastic and dysplastic dogs as confirmed by radiographic examination
topic Canine
Canine hip dysplasia
Hip laxity
Ultrasonography
Acoustic radiation force impulse
url https://doi.org/10.1186/s12917-023-03753-7
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