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- Title
Treatment of Dogs Diagnosed with Medial Shoulder Instability Using Radiofrequency-Induced Thermal Capsulorrhaphy.
- Authors
Cook, James L.; Tomlinson, James L.; Fox, Derek B.; Kenter, Keith; Cook, Cristi R.
- 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 (≥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°) shoulder abduction angles, and spinatus muscle atrophy in the affected limb. Mean preoperative abduction angle (50.7°±4.8°) in affected shoulders was significantly larger than in the unaffected shoulders (32.5°±2.1°). Mean postoperative abduction angle in affected shoulders was not significantly different from unaffected shoulders when measured immediately, 8, 16–20 weeks, and ∼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.
- Subjects
ANGLES; DOGS; SHOULDER injuries; RADIO frequency; VETERINARY orthopedics; VETERINARY surgery
- Publication
Veterinary Surgery, 2005, Vol 34, Issue 5, p469
- ISSN
0161-3499
- Publication type
Article
- DOI
10.1111/j.1532-950X.2005.00071.x