Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog

A seven-month-old male Shetland Sheepdog was presented for assessment of thoracic limb lameness of 3 weeks duration. Orthopaedic examination revealed severe discomfort in elbow extension, bilaterally. CT-scan confirmed presence of a complete humeral intracondylar fissure (HIF), bilaterally, and arth...

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Main Authors: Stavros Karydas, Alan Danielski
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/13/3/519
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author Stavros Karydas
Alan Danielski
author_facet Stavros Karydas
Alan Danielski
author_sort Stavros Karydas
collection DOAJ
description A seven-month-old male Shetland Sheepdog was presented for assessment of thoracic limb lameness of 3 weeks duration. Orthopaedic examination revealed severe discomfort in elbow extension, bilaterally. CT-scan confirmed presence of a complete humeral intracondylar fissure (HIF), bilaterally, and arthroscopic examination of both elbows confirmed the presence of the cartilaginous lesion previously reported in dogs suffering from HIF. A staged oblique proximal ulnar osteotomy was performed to address the humero-anconeal incongruency believed to be the cause of HIF formation. Orthopaedic examination performed 5 weeks after each surgical procedure confirmed that pain previously present on elbow manipulation had subsided. Follow-up examination performed 8 months after the second surgery revealed the dog to be sound at walking on the thoracic limbs with no discomfort present on elbow manipulation. Repeated CT scan confirmed complete healing of both HIFs. This is the first report documenting the presence of HIF in a Shetland sheepdog and complete healing of both HIFs following a proximal ulnar osteotomy.
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spelling doaj.art-3f5a29b8ae644f0abf5fe74898916bb52023-11-16T16:01:59ZengMDPI AGAnimals2076-26152023-02-0113351910.3390/ani13030519Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland SheepdogStavros Karydas0Alan Danielski1The Ralph Veterinary Referral Centre, Marlow SL7 1YG, UKThe Ralph Veterinary Referral Centre, Marlow SL7 1YG, UKA seven-month-old male Shetland Sheepdog was presented for assessment of thoracic limb lameness of 3 weeks duration. Orthopaedic examination revealed severe discomfort in elbow extension, bilaterally. CT-scan confirmed presence of a complete humeral intracondylar fissure (HIF), bilaterally, and arthroscopic examination of both elbows confirmed the presence of the cartilaginous lesion previously reported in dogs suffering from HIF. A staged oblique proximal ulnar osteotomy was performed to address the humero-anconeal incongruency believed to be the cause of HIF formation. Orthopaedic examination performed 5 weeks after each surgical procedure confirmed that pain previously present on elbow manipulation had subsided. Follow-up examination performed 8 months after the second surgery revealed the dog to be sound at walking on the thoracic limbs with no discomfort present on elbow manipulation. Repeated CT scan confirmed complete healing of both HIFs. This is the first report documenting the presence of HIF in a Shetland sheepdog and complete healing of both HIFs following a proximal ulnar osteotomy.https://www.mdpi.com/2076-2615/13/3/519HIFhumeral intracondylar fissureIOHC (incomplete ossification humeral condyle)proximal ulnar osteotomyhumero-anconeal incongruityspaniels
spellingShingle Stavros Karydas
Alan Danielski
Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog
Animals
HIF
humeral intracondylar fissure
IOHC (incomplete ossification humeral condyle)
proximal ulnar osteotomy
humero-anconeal incongruity
spaniels
title Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog
title_full Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog
title_fullStr Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog
title_full_unstemmed Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog
title_short Proximal Ulnar Osteotomy as a Treatment for Humeral Intracondylar Fissure in a Shetland Sheepdog
title_sort proximal ulnar osteotomy as a treatment for humeral intracondylar fissure in a shetland sheepdog
topic HIF
humeral intracondylar fissure
IOHC (incomplete ossification humeral condyle)
proximal ulnar osteotomy
humero-anconeal incongruity
spaniels
url https://www.mdpi.com/2076-2615/13/3/519
work_keys_str_mv AT stavroskarydas proximalulnarosteotomyasatreatmentforhumeralintracondylarfissureinashetlandsheepdog
AT alandanielski proximalulnarosteotomyasatreatmentforhumeralintracondylarfissureinashetlandsheepdog