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

Humphreys, William J ORCID: 0000-0001-8945-7207, Wilder, Katie, Pettitt, Rob ORCID: 0000-0001-8710-5830, Comerford, Eithne J ORCID: 0000-0002-5244-6042 and Maddox, Thomas W (2022) CT attenuation of the medial coronoid process is reduced in dogs with medial coronoid disease but independent of arthroscopic disease severity. AMERICAN JOURNAL OF VETERINARY RESEARCH, 83 (9). ajvr.21.10.0171-.

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[American Journal of Veterinary Research] CT attenuation of the medial coronoid process is reduced in dogs with medial coronoid disease but independent of arthroscopic disease severity.pdf - Published version
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Official URL: http://dx.doi.org/10.2460/ajvr.21.10.0171

Abstract

<h4>Objective</h4>To compare the attenuation of the medial coronoid process (MCP) in dogs with and without arthroscopically confirmed evidence of medial coronoid disease (MCD).<h4>Animals</h4>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.<h4>Procedures</h4>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.<h4>Results</h4>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).<h4>Clinical relevance</h4>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.

Item Type:	Article
Uncontrolled Keywords:	Elbow Joint, Forelimb, Animals, Dogs, Joint Diseases, Dog Diseases, Tomography, X-Ray Computed, Arthroscopy, Severity of Illness Index
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	29 Jul 2022 10:28
Last Modified:	18 Jan 2023 20:54
DOI:	10.2460/ajvr.21.10.0171
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3159824