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Biomechanics of the Fractured Medial Coronoid Process and the Isolated Anconeal Process in the Canine Elbow Joint

Identifieur interne : 000880 ( Istex/Corpus ); précédent : 000879; suivant : 000881

Biomechanics of the Fractured Medial Coronoid Process and the Isolated Anconeal Process in the Canine Elbow Joint

Auteurs : J. Maierl ; P. Böttche ; H. Liebich

Source :

RBID : ISTEX:9DC33205820A071DBCDE546B54E12B081D034B50

Abstract

Introduction:  Elbow dysplasia is one of the most important orthopaedic diseases of the canine elbow joint. The medial coronoid process (MCP) and the anconeal process (AP) are involved with a high incidence.

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DOI: 10.1111/j.1439-0264.2005.00669_71.x

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ISTEX:9DC33205820A071DBCDE546B54E12B081D034B50

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<p>Results:  In the humeral fossa olecrani, there was a distinct impression on the inner side of the lateral compared to the medial epicondyle. In the ulna, the MCP was much greater than the lateral coronoid indicating that the medial process has to support the humeral condyle to a higher extent. Subchondral split lines with a transverse orientation in the fossa olecrani gave evidence of long‐term transverse tensile loading in this area. Split lines on the MCP were oriented radially as if the lateral edge was bent downwards. Subchondral bone density in the fossa olecrani was higher towards the lateral epicondyle in comparison to the medial. Furthermore, there was a bone density maximum on the medial part of the humeral condyle opposite of the MCP with its very high density.</p>
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<p>Discussion:  Gait analyses showed that there is a transverse, medially oriented force of up to 4% bodyweight acting on the paw during midstance. As the carpus is stable when slightly hyperextended during midstance loading there is a long lever arm from the ground up to an assumed rotation centre in the depth of the trochlear notch. The medially directed ground reaction force slightly rotates the forearm inwards causing a bending moment about the elbow joint, which leads to an increased pressure of the AP and the MCP. This bending in addition to sagittal loading is the reason for the high susceptibility of the MCP and AP.</p>
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<b>Introduction: </b>
Elbow dysplasia is one of the most important orthopaedic diseases of the canine elbow joint. The medial coronoid process (MCP) and the anconeal process (AP) are involved with a high incidence.</p>
<p>
<b>Aims: </b>
The aim of this study was to clarify whether these processes are especially loaded resulting in osteoarthrosis.</p>
<p>
<b>Material and Methods: </b>
Elbow joints were examined from dogs of various breeds, with a body weight over 20 kg and an age ranging from 1 to 12 years. Only joints without damage to the articular cartilage have been included in this investigation. Articular surfaces have been evaluated macroscopically, subchondral bone density (long‐term loading) and split‐lines (long‐term tensile loading) have been determined.</p>
<p>
<b>Results: </b>
In the humeral fossa olecrani, there was a distinct impression on the inner side of the lateral compared to the medial epicondyle. In the ulna, the MCP was much greater than the lateral coronoid indicating that the medial process has to support the humeral condyle to a higher extent. Subchondral split lines with a transverse orientation in the fossa olecrani gave evidence of long‐term transverse tensile loading in this area. Split lines on the MCP were oriented radially as if the lateral edge was bent downwards. Subchondral bone density in the fossa olecrani was higher towards the lateral epicondyle in comparison to the medial. Furthermore, there was a bone density maximum on the medial part of the humeral condyle opposite of the MCP with its very high density.</p>
<p>
<b>Discussion: </b>
Gait analyses showed that there is a transverse, medially oriented force of up to 4% bodyweight acting on the paw during midstance. As the carpus is stable when slightly hyperextended during midstance loading there is a long lever arm from the ground up to an assumed rotation centre in the depth of the trochlear notch. The medially directed ground reaction force slightly rotates the forearm inwards causing a bending moment about the elbow joint, which leads to an increased pressure of the AP and the MCP. This bending in addition to sagittal loading is the reason for the high susceptibility of the MCP and AP.</p>
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<abstract>Introduction:  Elbow dysplasia is one of the most important orthopaedic diseases of the canine elbow joint. The medial coronoid process (MCP) and the anconeal process (AP) are involved with a high incidence.</abstract>
<abstract>Aims:  The aim of this study was to clarify whether these processes are especially loaded resulting in osteoarthrosis.</abstract>
<abstract>Material and Methods:  Elbow joints were examined from dogs of various breeds, with a body weight over 20 kg and an age ranging from 1 to 12 years. Only joints without damage to the articular cartilage have been included in this investigation. Articular surfaces have been evaluated macroscopically, subchondral bone density (long‐term loading) and split‐lines (long‐term tensile loading) have been determined.</abstract>
<abstract>Results:  In the humeral fossa olecrani, there was a distinct impression on the inner side of the lateral compared to the medial epicondyle. In the ulna, the MCP was much greater than the lateral coronoid indicating that the medial process has to support the humeral condyle to a higher extent. Subchondral split lines with a transverse orientation in the fossa olecrani gave evidence of long‐term transverse tensile loading in this area. Split lines on the MCP were oriented radially as if the lateral edge was bent downwards. Subchondral bone density in the fossa olecrani was higher towards the lateral epicondyle in comparison to the medial. Furthermore, there was a bone density maximum on the medial part of the humeral condyle opposite of the MCP with its very high density.</abstract>
<abstract>Discussion:  Gait analyses showed that there is a transverse, medially oriented force of up to 4% bodyweight acting on the paw during midstance. As the carpus is stable when slightly hyperextended during midstance loading there is a long lever arm from the ground up to an assumed rotation centre in the depth of the trochlear notch. The medially directed ground reaction force slightly rotates the forearm inwards causing a bending moment about the elbow joint, which leads to an increased pressure of the AP and the MCP. This bending in addition to sagittal loading is the reason for the high susceptibility of the MCP and AP.</abstract>
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<genre type="journal">journal</genre>
<identifier type="ISSN">0340-2096</identifier>
<identifier type="eISSN">1439-0264</identifier>
<identifier type="DOI">10.1111/(ISSN)1439-0264</identifier>
<identifier type="PublisherID">AHE</identifier>
<part>
<date>2005</date>
<detail type="volume">
<caption>vol.</caption>
<number>34</number>
</detail>
<detail type="supplement">
<caption>Suppl. no.</caption>
<number>s1</number>
</detail>
<extent unit="pages">
<start>31</start>
<end>32</end>
</extent>
</part>
</relatedItem>
<identifier type="istex">9DC33205820A071DBCDE546B54E12B081D034B50</identifier>
<identifier type="DOI">10.1111/j.1439-0264.2005.00669_71.x</identifier>
<identifier type="ArticleID">AHE669_71_71</identifier>
<recordInfo>
<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Blackwell Verlag GmbH</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
</record>

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