Correlation between orthopaedic and radiographic examination findings and arthroscopic ligament fibre damage in dogs with cruciate ligament rupture
Objective The objective is to study the correlations between physical examination and stifle radiography findings and severity of arthroscopic cranial cruciate ligament (CrCL) fibre damage in dogs with cruciate rupture (CR). Design Design Prospective clinical study. Methods Twenty‐nine client‐owned...
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| Veröffentlicht in: | Australian veterinary journal 2019-12, Vol.97 (12), p.490-498 |
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| creator | Ashour, AE Hoffman, CL Muir, P |
| description | Objective
The objective is to study the correlations between physical examination and stifle radiography findings and severity of arthroscopic cranial cruciate ligament (CrCL) fibre damage in dogs with cruciate rupture (CR).
Design
Design Prospective clinical study.
Methods
Twenty‐nine client‐owned dogs with CR underwent physical examination, stifle radiography and arthroscopy, and the findings were recorded. Initial examination was repeated after sedation and after general anaesthesia. The Spearman rank correlations of examination variables with diagnostic imaging were examined.
Results
Overall, cranial tibial translation assessed by the tibial compression test in extension showed correlation with arthroscopic CrCL fibre damage (P |
| doi_str_mv | 10.1111/avj.12878 |
| format | Article |
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The objective is to study the correlations between physical examination and stifle radiography findings and severity of arthroscopic cranial cruciate ligament (CrCL) fibre damage in dogs with cruciate rupture (CR).
Design
Design Prospective clinical study.
Methods
Twenty‐nine client‐owned dogs with CR underwent physical examination, stifle radiography and arthroscopy, and the findings were recorded. Initial examination was repeated after sedation and after general anaesthesia. The Spearman rank correlations of examination variables with diagnostic imaging were examined.
Results
Overall, cranial tibial translation assessed by the tibial compression test in extension showed correlation with arthroscopic CrCL fibre damage (P < 0.05). Correlations between severity of cranial drawer laxity and arthroscopic CrCL fibre damage were not significant. Under general anaesthesia, stifle laxity tests were positively correlated with lameness severity grade (SR ≥ 0.41, P < 0.05). Meniscal damage was correlated with pain on the internal rotation of the tibia (SR = 0.42, P < 0.05) and severity of radiographic osteophytosis (SR = 0.53, P = 0.01).
Conclusion
Detection and estimation of severity of cranial tibial translation enable the diagnosis of CR and also the inference of the severity of CrCL fibre rupture, particularly with the tibial compression test in extension. Severity of joint laxity is best assessed under general anaesthesia. Such knowledge should reduce the risk of misdiagnosis and may enhance early diagnosis and treatment of dogs with CR over time.</description><identifier>ISSN: 0005-0423</identifier><identifier>EISSN: 1751-0813</identifier><identifier>DOI: 10.1111/avj.12878</identifier><identifier>PMID: 31565798</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>Anesthesia ; Animals ; Anterior cruciate ligament ; Anterior Cruciate Ligament - diagnostic imaging ; Anterior Cruciate Ligament Injuries - diagnostic imaging ; Anterior Cruciate Ligament Injuries - veterinary ; Arthroscopy ; Arthroscopy - veterinary ; Compression ; cranial drawer ; cruciate ligament rupture ; Diagnosis ; dog ; Dogs - injuries ; Female ; Hip - diagnostic imaging ; Knee ; Lameness, Animal - diagnostic imaging ; Lameness, Animal - etiology ; Ligaments ; Male ; Meniscus ; physical examination ; Physical Examination - methods ; Physical Examination - veterinary ; Radiography ; Rupture ; Severity of Illness Index ; Skull ; Spine - diagnostic imaging ; Tibia ; tibial compression ; Translation</subject><ispartof>Australian veterinary journal, 2019-12, Vol.97 (12), p.490-498</ispartof><rights>2019 Australian Veterinary Association</rights><rights>2019 Australian Veterinary Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-c42a0b3af4332b9beee3dc9eaad6c10178e70774450a1bec3436af89db5491743</citedby><cites>FETCH-LOGICAL-c3538-c42a0b3af4332b9beee3dc9eaad6c10178e70774450a1bec3436af89db5491743</cites><orcidid>0000-0003-0028-6005</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Favj.12878$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Favj.12878$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31565798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ashour, AE</creatorcontrib><creatorcontrib>Hoffman, CL</creatorcontrib><creatorcontrib>Muir, P</creatorcontrib><title>Correlation between orthopaedic and radiographic examination findings and arthroscopic ligament fibre damage in dogs with cruciate ligament rupture</title><title>Australian veterinary journal</title><addtitle>Aust Vet J</addtitle><description>Objective
The objective is to study the correlations between physical examination and stifle radiography findings and severity of arthroscopic cranial cruciate ligament (CrCL) fibre damage in dogs with cruciate rupture (CR).
Design
Design Prospective clinical study.
Methods
Twenty‐nine client‐owned dogs with CR underwent physical examination, stifle radiography and arthroscopy, and the findings were recorded. Initial examination was repeated after sedation and after general anaesthesia. The Spearman rank correlations of examination variables with diagnostic imaging were examined.
Results
Overall, cranial tibial translation assessed by the tibial compression test in extension showed correlation with arthroscopic CrCL fibre damage (P < 0.05). Correlations between severity of cranial drawer laxity and arthroscopic CrCL fibre damage were not significant. Under general anaesthesia, stifle laxity tests were positively correlated with lameness severity grade (SR ≥ 0.41, P < 0.05). Meniscal damage was correlated with pain on the internal rotation of the tibia (SR = 0.42, P < 0.05) and severity of radiographic osteophytosis (SR = 0.53, P = 0.01).
Conclusion
Detection and estimation of severity of cranial tibial translation enable the diagnosis of CR and also the inference of the severity of CrCL fibre rupture, particularly with the tibial compression test in extension. Severity of joint laxity is best assessed under general anaesthesia. Such knowledge should reduce the risk of misdiagnosis and may enhance early diagnosis and treatment of dogs with CR over time.</description><subject>Anesthesia</subject><subject>Animals</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - diagnostic imaging</subject><subject>Anterior Cruciate Ligament Injuries - diagnostic imaging</subject><subject>Anterior Cruciate Ligament Injuries - veterinary</subject><subject>Arthroscopy</subject><subject>Arthroscopy - veterinary</subject><subject>Compression</subject><subject>cranial drawer</subject><subject>cruciate ligament rupture</subject><subject>Diagnosis</subject><subject>dog</subject><subject>Dogs - injuries</subject><subject>Female</subject><subject>Hip - diagnostic imaging</subject><subject>Knee</subject><subject>Lameness, Animal - diagnostic imaging</subject><subject>Lameness, Animal - etiology</subject><subject>Ligaments</subject><subject>Male</subject><subject>Meniscus</subject><subject>physical examination</subject><subject>Physical Examination - methods</subject><subject>Physical Examination - veterinary</subject><subject>Radiography</subject><subject>Rupture</subject><subject>Severity of Illness Index</subject><subject>Skull</subject><subject>Spine - diagnostic imaging</subject><subject>Tibia</subject><subject>tibial compression</subject><subject>Translation</subject><issn>0005-0423</issn><issn>1751-0813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10UGL1DAUB_AgijuuHvwCUvCih-4mTdK0x2VQd2XBi3oNr8nrTIY2qUnruJ_DL2xmuyoI5hIIv_cnvD8hLxm9YPlcwvfDBasa1TwiG6YkK2nD-GOyoZTKkoqKn5FnKR0o5UpW8ik540zWUrXNhvzchhhxgNkFX3Q4HxF9EeK8DxOgdaYAb4sI1oVdhGmfH_AHjM6vA73z1vlduleQp2JIJkxZDW4HI_o5ky5iYWGEHRbOFzZkfnTzvjBxMQ5m_GvjMs1LxOfkSQ9DwhcP9zn58v7d5-11efvpw8326rY0XPKmNKIC2nHoBedV13aIyK1pEcDWhlGmGlRUKSEkBdah4YLX0Det7aRomRL8nLxZc6cYvi2YZj26ZHAYwGNYkq6qthWipU2d6et_6CEs0eff6eq0TC5kfVJvV2XyHlLEXk_RjRDvNKP61JTOTen7prJ99ZC4dCPaP_J3NRlcruDoBrz7f5K--vpxjfwFFBWgeg</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Ashour, AE</creator><creator>Hoffman, CL</creator><creator>Muir, P</creator><general>Wiley Publishing Asia Pty Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0028-6005</orcidid></search><sort><creationdate>201912</creationdate><title>Correlation between orthopaedic and radiographic examination findings and arthroscopic ligament fibre damage in dogs with cruciate ligament rupture</title><author>Ashour, AE ; Hoffman, CL ; Muir, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-c42a0b3af4332b9beee3dc9eaad6c10178e70774450a1bec3436af89db5491743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anesthesia</topic><topic>Animals</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament - diagnostic imaging</topic><topic>Anterior Cruciate Ligament Injuries - diagnostic imaging</topic><topic>Anterior Cruciate Ligament Injuries - veterinary</topic><topic>Arthroscopy</topic><topic>Arthroscopy - veterinary</topic><topic>Compression</topic><topic>cranial drawer</topic><topic>cruciate ligament rupture</topic><topic>Diagnosis</topic><topic>dog</topic><topic>Dogs - injuries</topic><topic>Female</topic><topic>Hip - diagnostic imaging</topic><topic>Knee</topic><topic>Lameness, Animal - diagnostic imaging</topic><topic>Lameness, Animal - etiology</topic><topic>Ligaments</topic><topic>Male</topic><topic>Meniscus</topic><topic>physical examination</topic><topic>Physical Examination - methods</topic><topic>Physical Examination - veterinary</topic><topic>Radiography</topic><topic>Rupture</topic><topic>Severity of Illness Index</topic><topic>Skull</topic><topic>Spine - diagnostic imaging</topic><topic>Tibia</topic><topic>tibial compression</topic><topic>Translation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ashour, AE</creatorcontrib><creatorcontrib>Hoffman, CL</creatorcontrib><creatorcontrib>Muir, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Australian veterinary journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ashour, AE</au><au>Hoffman, CL</au><au>Muir, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between orthopaedic and radiographic examination findings and arthroscopic ligament fibre damage in dogs with cruciate ligament rupture</atitle><jtitle>Australian veterinary journal</jtitle><addtitle>Aust Vet J</addtitle><date>2019-12</date><risdate>2019</risdate><volume>97</volume><issue>12</issue><spage>490</spage><epage>498</epage><pages>490-498</pages><issn>0005-0423</issn><eissn>1751-0813</eissn><abstract>Objective
The objective is to study the correlations between physical examination and stifle radiography findings and severity of arthroscopic cranial cruciate ligament (CrCL) fibre damage in dogs with cruciate rupture (CR).
Design
Design Prospective clinical study.
Methods
Twenty‐nine client‐owned dogs with CR underwent physical examination, stifle radiography and arthroscopy, and the findings were recorded. Initial examination was repeated after sedation and after general anaesthesia. The Spearman rank correlations of examination variables with diagnostic imaging were examined.
Results
Overall, cranial tibial translation assessed by the tibial compression test in extension showed correlation with arthroscopic CrCL fibre damage (P < 0.05). Correlations between severity of cranial drawer laxity and arthroscopic CrCL fibre damage were not significant. Under general anaesthesia, stifle laxity tests were positively correlated with lameness severity grade (SR ≥ 0.41, P < 0.05). Meniscal damage was correlated with pain on the internal rotation of the tibia (SR = 0.42, P < 0.05) and severity of radiographic osteophytosis (SR = 0.53, P = 0.01).
Conclusion
Detection and estimation of severity of cranial tibial translation enable the diagnosis of CR and also the inference of the severity of CrCL fibre rupture, particularly with the tibial compression test in extension. Severity of joint laxity is best assessed under general anaesthesia. Such knowledge should reduce the risk of misdiagnosis and may enhance early diagnosis and treatment of dogs with CR over time.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><pmid>31565798</pmid><doi>10.1111/avj.12878</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0028-6005</orcidid></addata></record> |
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| subjects | Anesthesia Animals Anterior cruciate ligament Anterior Cruciate Ligament - diagnostic imaging Anterior Cruciate Ligament Injuries - diagnostic imaging Anterior Cruciate Ligament Injuries - veterinary Arthroscopy Arthroscopy - veterinary Compression cranial drawer cruciate ligament rupture Diagnosis dog Dogs - injuries Female Hip - diagnostic imaging Knee Lameness, Animal - diagnostic imaging Lameness, Animal - etiology Ligaments Male Meniscus physical examination Physical Examination - methods Physical Examination - veterinary Radiography Rupture Severity of Illness Index Skull Spine - diagnostic imaging Tibia tibial compression Translation |
| title | Correlation between orthopaedic and radiographic examination findings and arthroscopic ligament fibre damage in dogs with cruciate ligament rupture |
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