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ACVS Phase II > Elbow Dysplasia > Flashcards

Elbow Dysplasia Flashcards

1
Q

de Bakker, VCOT, 2013:
Flexor enthesopathy - arthroscopic features

  1. Was local synovitis more common in primary flexor enthesopathy or concomitant flexor enthesopathy?
  2. What finding was seen in cases of primary flexor enthesopathy only (not concomitant flexor enthesopathy)?
  3. Recommended diagnostic test(s) for confirmation of flexor enthesopathy?
A

de Bakker, VCOT, 2013:

  1. Local synovitis was more common in primary flexor enthesopathy
  2. An irregular surface of the mid-portion of the ulnar trochlear notch
  3. Arthroscopy combined with CT
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2
Q

de Bakker, VCOT, 2013:

Planar bone scintigraphy vs HiSPECT for diagnosis of flexor enthesopathy?

A

de Bakker, VCOT, 2013:

Planar bone scintigraphy only allows attribution of lameness to the elbow joint whereas HiSPECT enables localization of pathology within the elbow joint, however HiSPECT is insufficient to distinguish primary from concomitant flexor enthesopathy

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3
Q

Eljack, Vet Surg, 2013:
Estimation of radioulnar incongruence using 3D models

  1. Characteristics of a positive RUI?
  2. Characteristics of a negative RUI?
  3. Accuracy?
A

Eljack, Vet Surg, 2013:

  1. Positive RUI was characterized by a clear space between the sphere and the radial head
  2. Negative RUI was characterized by collision of the sphere and the radial head
  3. Overall accuracy was very high
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4
Q

Farrell, Vet Surg, 2014:
Radiographic arthrosis vs cartilage pathology

  1. Interobserver agreement for composite cartilage score assignment?
  2. Agreement between radiographic and arthroscopic assessment?
  3. Elbows with a higher radiographic score are significantly more likely to have a higher composite cartilage score - true or false?
A

Farrell, Vet Surg, 2014:

  1. Near perfect agreement for composite cartilage score assignment
  2. Excellent agreement between radiographic and arthroscopic assessment
  3. True
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5
Q

Lau, VCOT, 2015:

Role of joint incongruity in the development of medial coronoid process disease in Labs during the rapid growth phase?

A

Lau, VCOT, 2015:

No role of joint incongruity observed

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6
Q

Lau, Vet Surg, 2015:

  1. What % of dogs up to 12 months of age with medial coronoid process disease were diagnosed with a combination of radiography and CT?
  2. What % of older dogs with medial coronoid process disease were diagnosed with a combination of radiography and CT?
  3. Medial coronoid process disease can be present without relevant radiographic and CT findings - true or false?
A

Lau, Vet Surg, 2015:

  1. 100% of dogs up to 12 months of age with MCPD could be diagnosed
  2. 80% of older dogs with MCPD could be diagnosed
  3. True
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7
Q

Eljack and Bottcher, Vet Surg, 2015:

  1. What % of elbows appeared congruent despite having fragmented medial coronoid processes and/or cartilage damage?
  2. What is the odds ratio for the development of advanced cartilage damage with each millimeter of RUI?
A

Eljack and Bottcher, Vet Surg, 2015:

  1. 40% of elbows appeared congruent despite having FCP and/or cartilage damage
  2. Each millimeter of RUI had an odds ratio of 6.4 for the development of advanced cartilage damage
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8
Q

Coppieters, VRU, 2016:

  1. CT findings in elbow dysplasia?
  2. What arthroscopic finding had a significant agreement with CT?
  3. What is required for an accurate estimation of the extent of elbow cartilage lesions?
A

Coppieters, VRU, 2016:

  1. Periarticular osteophytosis (100%), abnormal shape of the medial coronoid process (96%), subchondral bone defect of the medial part of the humeral condyle (96%)
  2. Presence of fragmentation of the medial coronoid process
  3. Arthroscopic joint inspection is still required for an accurate estimation of the extent of elbow cartilage lesions
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9
Q

Alves-Pimento, VCOT, 2017:
Curvature radii measurements for assessment of humeroulnar congruity

  1. Agreement between curvature radii measurements for flexed vs extended views?
  2. Ulnar trochlear notch curvature radii measurements vs humeral trochlear curvature radii measurements?
A

Alves-Pimento, VCOT, 2017:

  1. Good agreement between curvature radii measurements for flexed vs extended views
  2. Ulnar trochlear notch curvature radii measurements were greater than humeral trochlear curvature radii measurements
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10
Q

Griffon, Vet Surg, 2018:

Comparison between radiographic, CT and arthroscopic assessments of RUI?

A

Griffon, Vet Surg, 2018:

Fair agreement between radiographic and CT assessments of RUI, fair to poor agreement between radiography/CT and arthroscopic assessments of RUI

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11
Q

Mostafa, VCOT, 2019:

Did normalized humeroradial and humeroulnar distances increase or decrease in dogs with medial coronoid disease?

A

Mostafa, VCOT, 2019:

Normalized humeroradial and humeroulnar distances increased with MCPD

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12
Q

Petkov, Vet Surg, 2019:

Radial torsion in dogs with medial coronoid disease vs healthy dogs?

A

Petkov, Vet Surg, 2019:

Radial torsion in healthy dogs was 3.4 degrees, whereas radial torsion in dogs with medial coronoid disease was 11.8 degrees

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13
Q

Skinner, VCOT, 2015:

What effect did insertion of a carbon fibre rod into the elbow joint to simulate placement of an arthroscope result in?

A

Skinner, VCOT, 2015:

A small but significant change in joint congruity

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14
Q

Coppieters, Vet Surg, 2016:

Effects of second arthroscopy?

A

Coppieters, Vet Surg, 2016:

Improvement in lameness in 59% of the joints but only 45% of the owners were satisfied with the results

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15
Q

Galindo-Zamora, Vet Surg, 2014:

Effects of arthroscopic treatment of MCPD in mature dogs?

A

Galindo-Zamora, Vet Surg, 2014:

Kinetic variables improved without full restoration of function, degree of OA worsened, ROM worsened

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16
Q

Barthelemy, Vet Surg, 2014:

Long-term outcomes after arthroscopic treatment of young dogs with MCPD?

A

Barthelemy, Vet Surg, 2014:

Muscle circumference and vertical impulse distributions improved long-term despite increased OA scores, and long-term outcomes were not affected by initial RUI and/or cartilage disease

17
Q

Fitzpatrick, Vet Surg, 2013:

Effects of BODPUO?

A

Fitzpatrick, Vet Surg, 2013:

BODPUO “uncouples” the radioulnar articulation and allows divergence of the caudal aspect of the radial incisure from the radial head

18
Q

Bottcher, Vet Surg, 2013:

What is the main mechanism by which joint incongruence at the MCP is improved after PUO?

A

Bottcher, Vet Surg, 2013:

Caudal tipping is the main mechanism by which joint incongruence at the MCP is improved after PUO

19
Q

Krotscheck, Vet Surg, 2014:

  1. Effect(s) of PUO on peak contact pressure in the medial compartment?
  2. Effect(s) of PUO and DUO on mean and peak contact pressures and lateral contact area?
A

Krotscheck, Vet Surg, 2014:

  1. PUO resulted in peak contact pressures in the medial compartment lower than baseline, indicating the potential for compartmental unloading
  2. PUO and DUO returned the mean and peak contact pressures and the lateral contact area to baseline levels or less
20
Q

Caron and Fitzpatrick, Vet Surg, 2016:

  1. Effect(s) of BODPUO?
  2. Complication rate?
  3. 60% of the complications occurred in dogs that underwent what?
  4. What % of osteotomies healed within 16 weeks with a large callus?
A

Caron and Fitzpatrick, Vet Surg, 2016:

  1. Subjective lameness evaluation recorded improvement, and there was a significant increase in peak vertical force at 6 months post-op
  2. 12% complication rate
  3. 60% of the complications occurred in dogs that underwent concurrent bilateral BODPUO
  4. 88% of osteotomies healed within 16 weeks post-op with a large callus
21
Q

Williams, VCOT, 2019:

  1. Median time to diagnosis of lateral radial head subluxation following PUO?
  2. Of the 63% of the dogs that underwent revision surgery, what % achieved resolution of the lateral radial head subluxation?
A

Williams, VCOT, 2019:

  1. 6.5 weeks to the diagnosis of lateral radial head subluxation
  2. 60% achieved resolution of lateral radial head subluxation and had acceptable to good mobility, 20% achieved resolution of lateral radial head subluxation but had poor post-op mobility
22
Q

McConkey, Vet Surg, 2016:

Effect(s) of PAUL on contact pressures?

A

McConkey, Vet Surg, 2016:

PAUL resulted in decreased mean and peak contact pressures in the medial compartment without a concomitant increase in pressures in the lateral compartment

23
Q

Wendelburg and Beale, Vet Surg, 2014:
SHO

  1. Post-op complication rate?
  2. Findings at second-look arthroscopy?
  3. Outcomes at 6 months post-op?
A

Wendelburg and Beale, Vet Surg, 2014:

  1. 31% post-op complication rate
  2. Previously eburnated bone had partial fibrous tissue healing in the medial compartment and the cartilage in the lateral compartment did not appear to be adversely affected by SHO
  3. At 6 months post-op, 67% had improved significantly but only 50% had improved significantly compared to their contralateral limb
24
Q

Fitzpatrick, Vet Surg, 2015:

  1. What was of greater clinical relevance - SHO or focal coronoid treatment?
  2. Effect of SHO on peak vertical forces and asymmetry indices?
A

Fitzpatrick, Vet Surg, 2015:

  1. SHO was of greater clinical relevance as focal treatment did not alter the medium-term outcome after SHO
  2. Peak vertical forces and asymmetry indices showed significant improvement post-op
25
Q

Wilson, Vet Surg, 2014:

  1. Should BURP be performed with visual control or by tactile sensation (blind fashion)?
  2. How can the tendon be elevated away from the medial collateral ligament during arthroscopic BURP?
A

Wilson, Vet Surg, 2014:

  1. BURP should be completed with arthroscopic observation through the distal portion of the tendon release (visual control) because attempting BURP by tactile sensation alone (blind fashion) was not reliable
  2. Placing the elbow in slight supination after meniscal knife placement reduces tension within the tendon, and use of the “saddle” effect of the push knife helps to elevate the tendon away from the medial collateral ligament

ACVS Phase II (53 decks)

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