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Common names or
abbreviations:
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elbow
dysplasia
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osteochondrosis
dissecans (OCD)
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ununited
anconeal process (UAP)
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fragmented
coronoid process (FCP)
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premature
closure of the ulna
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Description
or definition:
Canine
elbow dysplasia is not a specific disorder. The word dysplasia merely means
“abnormal formation.” Thus, the term elbow dysplasia encompasses a
variety of developmental abnormalities that affect the elbow. Some of
the more common conditions referred to as elbow dysplasia include osteochondrosis
dissecans (OCD), ununited anconeal process (UAP), fragmented
coronoid process (FCP), and premature closure of the ulna.
These abnormalities can occur separately or simultaneously in the same
joint. Although the actual cause of elbow dysplasia remains
speculative, the underlying abnormality appears in many cases to be the
result of incongruity (a poor fit among the three bones) of the elbow joint.
Incongruity in the
elbow joint is generally caused by a disparity in the growth of the radius
and ulna. For further information on common
conditions that are associated with canine elbow dysplasia see the
individual GTF listings for FCP, UAP, OCD, and premature closure of the
ulna.
Symptoms:
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Symptoms
of elbow dysplasia (ED) can begin as early as 4-6 months of age.
The affected puppy may exhibit pain, lameness or stiffness after rising.
If only one elbow
is affected, or if one elbow is more severely affected than the other, a
noticeable limp may be evident as the dog shifts its wait off of the
painful leg. Dogs are
said to tend to bob their heads up when bearing weight on a
dysplastic limb, and bob their heads down when bearing weight on an
unaffected one. When
both elbows are affected changes in gait may be more subtle. Sometimes
dogs with elbow dysplasia stand with their pasterns turned inward and
toes out and move with their elbows out. However,
it is important to note that not all dogs that walk in this manner are
dysplastic.
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Diagnosis:
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Radiographs
(X-rays) are used to diagnose most forms of elbow dysplasia. They
are also useful in assessing the degree of osteoarthritis that has set
in as a result of the dysplasia. However, some conditions can be
difficult to identify on routine radiographs. Specialized studies
such as magnetic resonance imaging (MRI), computed tomography (CT),
nuclear scintigraphy (bone scans), or arthroscopy (examination of
the joint using a special instrument that is inserted into the joint
through a small incision) may be needed to diagnose joint incongruity
that has not yet developed into a condition that is detectable by
radiography.
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Treatment:
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Treatment
depends on the cause
of ED and the severity of the condition. Treatment can range from
conservative (crate rest and medication) to aggressive (surgery). Surgery
is more successful if the condition can be reversed before any
degenerative changes have developed. Although the causes
of elbow dysplasia ultimately lead to degenerative joint disease (DJD),
early surgery may delay the onset and progression of these secondary
degenerative changes.
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For
more information about this condition, or if your dog is experiencing
lameness, consult your veterinarian for advice.
Links
to sites about this disease:
This
summary provided by:
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Jessica
S
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Wildfire
Kennel
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