Literature DB >> 16266339

Treatment of dogs diagnosed with medial shoulder instability using radiofrequency-induced thermal capsulorrhaphy.

James L Cook1, James L Tomlinson, Derek B Fox, Keith Kenter, Cristi R Cook.   

Abstract

OBJECTIVE: To report clinical findings and outcome in dogs diagnosed with medial shoulder instability (MSI) treated with radiofrequency-induced thermal capsulorrhaphy (RITC). STUDY
DESIGN: Retrospective study. ANIMALS: Dogs (n=43) with MSI.
METHODS: Medical records from consecutive cases with MSI based on orthopedic examination, palpation of shoulder abduction angles, and arthroscopic findings were used to determine clinical findings and long-term (> or = 1 year) outcome of RITC.
RESULTS: Forty-three dogs met the criteria for inclusion; 2 dogs had bilateral MSI. The most common clinical findings were chronic unilateral weight-bearing lameness, large (> 45 degrees) shoulder abduction angles, and spinatus muscle atrophy in the affected limb. Mean preoperative abduction angle (50.7 degrees +/- 4.8 degrees) in affected shoulders was significantly larger than in the unaffected shoulders (32.5 degrees +/- 2.1 degrees). Mean postoperative abduction angle in affected shoulders was not significantly different from unaffected shoulders when measured immediately, 8, 16-20 weeks, and approximately 1 year after surgery. Follow-up evaluation ranged from 1 to 6.2 years. RITC treatment resulted in improved clinical function in 40 cases (93%) with 34 cases (79%) considered excellent; 3 cases (7%) were considered failures.
CONCLUSIONS: RITC was a safe and effective method of treatment of MSI in most dogs studied. CLINICAL RELEVANCE: RITC can be considered as a viable option for surgical treatment of selected cases of MSI in dogs.

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Year:  2005        PMID: 16266339     DOI: 10.1111/j.1532-950X.2005.00071.x

Source DB:  PubMed          Journal:  Vet Surg        ISSN: 0161-3499            Impact factor:   1.495


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