CC BY 4.0 · VCOT Open 2019; 02(01): e27-e31
DOI: 10.1055/s-0039-1687885
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Pantarsal Arthrodesis to Treat a Full-Thickness Lateral Trochlear Ridge Osteochondritis Dissecans in a Dog

Petazzoni Massimo
1   Department of Orthopaedics and Traumatology, Clinica Veterinaria Milano Sud (MI), Peschiera Borromeo, MI, Italy
,
Buiatti Michela
1   Department of Orthopaedics and Traumatology, Clinica Veterinaria Milano Sud (MI), Peschiera Borromeo, MI, Italy
› Author Affiliations
Further Information

Publication History

01 November 2018

07 March 2019

Publication Date:
09 May 2019 (online)

Abstract

A 5-month-old female Golden Retriever dog presented with a 4-week history of right hindlimb lameness. A bone lesion on the proximal lateral trochlear ridge was detected at radiographic and ultrasound examinations. Osteochondritis dissecans (OCD) or an articular fracture was included in the differential diagnoses. Computed tomography revealed an OCD lesion. A pantarsal arthrodesis was performed using a pre-bent arthrodesis locking plate. Histological analysis revealed pathological features typical of OCD. Clinical and radiographical assessments were performed 7, 15, 62 days and 7, 12 months postoperatively. No signs of pain were elicited upon palpation. Mechanical lameness, secondary to tarsal joint immobilization, was detected.

Author Contribution

Petazzoni Massimo and Buiatti Michela contributed to study design, acquisition of data and data analysis and interpretation. Petazzoni Massimo also contributed to conception of study. Both authors drafted, revised and approved the submitted manuscript.


 
  • References

  • 1 Olson SE. Pathophysiology, morphology, and clinical signs of osteochondrosis in the dog. In: Bojarab MJ. , ed. Disease Mechanisms in Small Animal Surgery. Philadelphia: Lea & Febiger; 1993: 777-796
  • 2 Demko J, McLaughlin R. Developmental orthopedic disease. Vet Clin North Am Small Anim Pract 2005; 35 (05) 1111-1135 , v
  • 3 Martinez SA. Congenital conditions that lead to osteoarthritis in the dog. Vet Clin North Am Small Anim Pract 1997; 27 (04) 735-758
  • 4 Montgomery RD, Hathcock JT, Milton JL, Fitch RB. Osteochondritis dissecans of the canine tarsal joint. Compend Contin Educ Pract Vet 1994; 16: 835-845
  • 5 Mortellaro CM, Petazzoni M, Vezzoni A. Atlante BOA. Milano: Innovet; 2008: 63-64
  • 6 Breur GJ, Spaulding KA, Braden TD. Osteochondritis dissecans of the medial trochlear ridge of the talus in the dog. Vet Comp Orthop Traumatol 1989; 4: 168-176
  • 7 La Fond E, Breur GJ, Austin CC. Breed susceptibility for development orthopedic diseases in dogs. J Am Anim Hosp Assoc 2002; 38 (05) 467-477
  • 8 Brinker WO, Piermattei DL, Flo GL. Diagnosis and treatment of orthopedic conditions of the forelimb. In: Brinker WO, Piermattei DL, Flo GL. , eds. Brinker, Piermattei, and Flo's Handbook of Small Animal Orthopedics and Fracture Treatment. 2nd ed. Philadelphia: WB Saunders; 1990: 486-490
  • 9 Probst CW, Johnston SA. Osteochondrosis. In: Slatter DH. , ed. Textbook of Small Animal Surgery. Philadelphia: WB Saunders; 1993: 1944-1966
  • 10 Olson NC, Mostosky UV, Flo GL, Tvedten HW. Osteochondritis dissecans of the tarsocrural joint in three canine siblings. J Am Vet Med Assoc 1980; 176 (07) 635-637
  • 11 Miller J, Beale B. Tibiotarsal arthroscopy. Applications and long-term outcome in dogs. Vet Comp Orthop Traumatol 2008; 21 (02) 159-165
  • 12 van der Peijl GJ, Schaeffer IG, Theyse LF, Dijkshoorn NA, Schwencke M, Hazewinkel HA. Osteochondrosis dissecans of the tarsus in Labrador Retrievers: clinical signs, radiological data and force plate gait evaluation after surgical treatment. Vet Comp Orthop Traumatol 2012; 25 (02) 126-134
  • 13 Egan P, Murphy S, Jovanovik J, Tucker R, Fitzpatrick N. Treatment of Osteochondrosis Dissecans of the Canine Stifle Using Synthetic Osteochondral Resurfacing. Vet Comp Orthop Traumatol 2018; 31 (02) 144-152
  • 14 Welch JA. The tarsus and metatarsus. In: Slatter DH. , ed. Textbook of Small Animal Surgery. 4th ed. Philadelphia, PA: WB Saunders; 1993: 2158-2167
  • 15 Maley JR, Dvorak LD, Bahr A. Diagnosis and management of a fracture of the lateral trochlear ridge of the talus in a dog. Vet Comp Orthop Traumatol 2010; 23 (04) 284-288
  • 16 Marshall GW, Dee JF. Repair of fractures of the tarsus. In: Bojrab MJ, ed. Current techniques in small animal surgery. 5th ed. Baltimore, MD: Williams and Wilkins; 2014: 1105-1112
  • 17 Lesser AS. Arthrodesis. In: Slatter D. , ed. Textbook of Small Animal Surgery. 2nd ed. Philadelphia: WB Saunders; 1993: 1888-1901
  • 18 Roch SP, Clements DN, Mitchell RA. , et al. Complications following tarsal arthrodesis using bone plate fixation in dogs. J Small Anim Pract 2008; 49 (03) 117-126
  • 19 Gielen I, Van Ryssen B, Coopman F, van Bree H. Comparison of subchondral lesion size between clinical and non-clinical medial trochlear ridge talar osteochondritis dissecans in dogs. Vet Comp Orthop Traumatol 2007; 20 (01) 8-11
  • 20 Kippenes H, Johnston G. Diagnostic imaging of osteochondrosis. Vet Clin North Am Small Anim Pract 1998; 28 (01) 137-160
  • 21 Gielen I, van Ryssen B, van Bree H. Computerized tomography compared with radiography in the diagnosis of lateral trochlear ridge talar osteochondritis dissecans in dogs. Vet Comp Orthop Traumatol 2005; 18 (02) 77-82
  • 22 Carlisle CH, Reynolds KM. Radiographic anatomy of the tarsocrural joint of the dog. J Small Anim Pract 1990; 31: 273-279
  • 23 Liuti T, Saunders JH, Gielen I, De Rycke L, Coopman F, van Bree H. Ultrasound approach to the canine distal tibia and trochlear ridges of the talus. Vet Radiol Ultrasound 2007; 48 (04) 361-367
  • 24 Petazzoni M, Urizzi A, Verdonck B, Jaeger G. Fixin internal fixator: concept and technique. Vet Comp Orthop Traumatol 2010; 23 (04) 250-253
  • 25 Petazzoni M, Nicetto T, Urizzi A. Bone resorption secondary to suspected stress protection using a locking plate. Veterinaria. 2012; 26 (02) 31-36
  • 26 Lesser AS. Tibiotarsal arthrodesis and other tarsal arthrodesis procedures. In: Bojrab MJ. , ed. Current Techniques in Small Animal Surgery. 5th ed. Baltimore, MD: Williams and Wilkins; 2014: 1114-1118
  • 27 Wee J, Thevendran G. The role of orthobiologics in foot and ankle surgery: allogenic bone grafts and bone graft substitutes. EFORT Open Rev 2017; 2 (06) 272-280