Shoulder Conditions

Question 1

Franklin, Vet Surg, 2013:

1. Outcomes of surgical reconstruction vs non-surgical management vs radio frequency induced thermal capsulorrhaphy (RITC) in dogs with medial shoulder instability?
2. For dogs with multidirectional shoulder instability, was surgical reconstruction or non-surgical management more likely to be associated with a successful outcome?

Answer 1

Franklin, Vet Surg, 2013:

1. Surgical reconstruction was 3 times more likely than non-surgical management to be associated with a successful outcome, and 1.6 times more likely than RITC to be associated with a successful outcome
2. Surgical reconstruction was more likely to be associated with a successful outcome in multidirectional shoulder instability

Question 2

Fujita, VCOT, 2013:

1. Effects of transection of the cranial arm of the medial glenohumeral ligament?
2. Arthroscopic findings?

Answer 2

Fujita, VCOT, 2013:

1. No signs of shoulder instability or forelimb lameness after transection of the cranial arm of the medial glenohumeral ligament
2. Evidence of inflammation in the periarticular structures of the shoulder - can lead to cartilage breakdown and shoulder instability over time

Question 3

Van Vynckt, VCOT, 2013:

1. What % did anesthetic arthrography have a positive effect on?
2. Mean time to a clear positive effect?
3. Most frequent diagnosis?

Answer 3

Van Vynckt, VCOT, 2013:

1. 93% had a positive effect
2. 11mins to a clear positive effect
3. OCD was the most frequent diagnosis

Question 4

O’Donnell, JAVMA, 2017:
Medial shoulder instability

What structure(s) were most commonly affected?

Answer 4

O’Donnell, JAVMA, 2017:

Medial glenohumeral ligament and subscapularis tendon

Question 5

Carwardine and Langley-Hobbs, JSAP, 2019:
Feline shoulder luxation

1. What % of medially injured joints were stable?
2. What % of laterally injured joints were stable?
3. What % of bilaterally injured joints were stable?
4. Was the prosthetic suture technique effective at returning the shoulder joint to a normal ROM?

Answer 5

Carwardine and Langley-Hobbs, JSAP, 2019:

1. 67% of medially injured joints were stable
2. 83% of laterally injured joints were stable
3. 0% of bilaterally injured joints were stable
4. Yes

Question 6

Murphy, Vet Surg, 2019:
Synthetic osteochondral resurfacing for large caudocentral OCD lesions

% resolution of lameness with first- vs second-generation implants?

Answer 6

Murphy, Vet Surg, 2019:

Lameness resolved in 100% of dogs treated with the first-generation implant and in 91% of dogs treated with the second-generation implant

Question 7

Kulendra, VCOT, 2019:
Supraglenoid tubercle fractures

1. Success rate of treatment?
2. Major complication rate?
3. Minor complication rate?

Answer 7

Kulendra, VCOT, 2019:

1. 75% success rate
2. 17% major complication rate
3. 75% minor complication rate