Radiographic Assessment of the Depth of the Troclear Groove and Patellar Diameter in Dogs

Background: Patellar luxation is an alteration of bone development for which the indicated treatment is surgery. Failure to correct it may result in clinical worsening. The most commonly used surgical approach is the transposition of the tibial crest with trochleoplasty, which aims to accommodate 50% of the patella in the trochlea. The femoral groove and trochlea can be evaluated radiographically by tangential projection, tomography, or ultrasonography; however, all these methodologies have limitations. The objective of this study was to evaluate the depth of the trochlear groove in three regions and to compare it with the patellar diameter on simple mediolateral radiographic images. Materials, Methods & Results: Fifty non-paired pelvic limbs of adult dogs of a specific breed, weighing less than 40 kg and without orthopedic changes, were used. In the mediolateral radiographic projection, three evaluators measured the femoral trochlear sulcus at three different points and the patellar diameter. After imaging examinations, all limbs were skeletonized, and the trochlea and patella were measured with a digital caliper in the same regions as that of the radiographic measurements. All post-skeletonization calculations were performed by an evaluator. The highest mean radiographic and ex vivo trochlear depth was 3.4 +/- 1.2 mm and 2.7 +/- 0.8 mm, respectively. The lowest mean radiographic and ex vivo patellar diameter was 7.7 +/- 1.7 mm and 7.9 +/- 1.6 mm, respectively. The average relationship between the trochlear depth and patellar diameter was less than 50% in all animals, with the highest radiographically determined ratio being 44.15% and that determined ex vivo as 34.17%. The mean patellar diameter calculated radiographically was similar among the animals. Discussion: Radiographic images made it possible to assess the patella and bone surface regions of the femoral condyles. A wide arthrotomy is necessary to perform sulcoplasty, and a simple preoperative planning examination, which can facilitate the measurement of the trochlear sulcus, is important to correctly determine the procedure. The fragments evaluated after skeletonization and radiographic evaluations showed an average relationship between the trochlear depth and patellar diameter of less than 50%, thus indicating that sulcoplasty may not be necessary in animals with a ratio less than 50%. The radiographic measurements in this study used specific reference points that became more difficult to reprod