CANINE ELBOW DYSPLASIA SECONDARY TO FRAGMENTED MEDIAL CORONOID PROCESS: A CASE REPORT
DOI:
https://doi.org/10.18623/rvd.v23.6124Palavras-chave:
Elbow Dysplasia, Fragmentation of the Coronoid Process, Dogs, Arthrotomy, Veterinary OrthopedicsResumo
Elbow dysplasia is a multifactorial disease that affects medium and large breed dogs, characterized by changes in joint development that result in lameness, pain and progressive osteoarthritis. Among the main associated lesions, fragmentation of the medial coronoid process (FMCP) stands out, often diagnosed in young animals, but which can also manifest in adults. This paper reports the case of a three-year-old male mixed-breed canine weighing weighing 28.7 kg, treated with a history of intermittent claudication in the right thoracic limb, especially after physical activities. Physical examination revealed pain when manipulating the elbow, while radiographs showed osteoarthritic alterations. Computed tomography confirmed the presence of fragments in the medial coronoid process, establishing the definitive diagnosis of FMCP. In view of the findings, surgical treatment was chosen by conventional arthrotomy with subtotal coronoidectomy and removal of free fragments. The patient presented a satisfactory postoperative evolution, with good healing, gradual return to limb function, and absence of claudication up to 120 days after the procedure. Post-surgical management included analgesia, antibiotic therapy, anti-inflammatory drugs, and physical therapy recommendations. Despite the poor prognosis due to the degenerative changes already present, the intervention allowed a significant clinical improvement and quality of life for the patient. This report reinforces the importance of early diagnosis by advanced imaging methods, such as tomography, and shows that surgical removal of the fragments is an effective approach to restore function and delay the progression of osteoarthritis in dogs affected by FMCP.
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