Lateral radioulnar subluxation in three cattle: clinical findings, treatment, and outcome.


Journal

Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 26 03 2019
revised: 21 05 2019
accepted: 21 06 2019
pubmed: 28 7 2019
medline: 16 1 2020
entrez: 27 7 2019
Statut: ppublish

Résumé

To describe the clinical signs, conservative treatment, and short- and long-term outcomes of lateral radioulnar subluxation in cattle. Three cattle with lateral radioulnar subluxation. Case series. One 3-year-old Red Holstein cow, one 2-year-old Red Holstein cow, and one 9-month-old Holstein heifer were presented with acute, grade greater than 3 of 5, mixed lameness in one forelimb. Clinical, radiographic, and ultrasonographic examination results revealed radioulnar subluxation with lateral displacement in all cases. The subluxations were manually reduced under general anesthesia by simultaneous maximum flexion of the elbow and carpal joints, medial rotation of the forearm, and application of strong pressure to the radial head and olecranon. The short-term clinical outcome after stall rest was excellent in all three cases. Clinical and radiographic follow-up examinations were performed at varying intervals, with a final on-farm examination in all three cattle 12, 7, and 9 months after reduction. Osteoarthritic changes were visible in all three cases, mainly at the medial humeral trochlea, but lameness had completely resolved in all three animals. Conservative management of lateral radioulnar subluxation had an excellent clinical outcome in all three cattle. Follow-up radiographs revealed osseous proliferation mainly in the region of the medial trochlea of the humerus and subtle signs of osteoarthritic changes. Lateral radio-ulnar subluxation is a rare but possibly underdiagnosed cause of lameness in cattle. It should be part of the differential diagnosis in cattle with elbow joint pain.

Identifiants

pubmed: 31348538
doi: 10.1111/vsu.13285
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1271-1277

Subventions

Organisme : University of the Kanton Zürich, Switzerland

Informations de copyright

© 2019 The American College of Veterinary Surgeons.

Références

Wyssmann E. Diseases of the elbow and forearm. In: Wyssmann E, ed. Limb Diseases in Cattle. Zurich, Switzerland: Orell Fuessli; 1942:157-158.
Kofler J. Application of ultrasonic examination in the diagnosis of bovine locomotory system disorders. Schweiz Arch Tierheilk. 1995;137:369-380.
Mulon P-Y, Desrochers A, Francoz D. Surgical management of septic arthritis. Vet Clin North Am Food Anim Pract. 2016;32:777-795.
Nuss K. Severity-Oriented, Sequential Therapy of Septic Monarthritis in Cattle [habilitation thesis]. Munich, Germany: Ludwig-Maximilians-University; 2000.
Hague BA, Watkins JP, Hooper RN, Taylor TS, Roussel AJ. Tension band plating of an olecranon fracture in a bull. J Am Vet Med Assoc. 1997;211:757-758.
Greenough P, MacCallum FJ, Weaver AD. Humeroradial/ulnar luxation. In: Greenough P, MacCallum FJ, Weaver AD, eds. Lameness in Cattle. Philadelphia, PA: JB Lippincott; 1972:267-268.
Senior M, Smith M, Clegg P. Subluxation of the left elbow joint in a pony at induction of general anaesthesia. Vet Rec. 2002;151:183-184.
Levine SB, Meagher DM. Repair of an ulnar fracture with radial luxation in a horse. Vet Surg. 1980;9:58-60.
Janicek JC. What is your diagnosis? Type 1 Monteggia fracture. J Am Vet Med Assoc. 2005;227:1743-1744.
Trostle SS, Peavey CL, King DS, Hartmann FA. Treatment of methicillin-resistant Staphylococcus epidermidis infection following repair of an ulnar fracture and humeroradial joint luxation in a horse. J Am Vet Med Assoc. 2001;218:554-559.
Jalim SL, McKinnon AO, Russell TM. Case report: repair of a type IV Monteggia fracture in a foal. Aust Vet J. 2009;87:463-466.
Crawley GR, Grant B. Repair of elbow joint luxation without concomitant fracture in a horse. Equine Pract. 1986;8:19-24.
Hu A, Scheuch B, Cannon J. Repair of a complete luxation of the humeroradial joint in a foal with Securos suture. Equine Vet Ed. 2007;19:424-428.
Brkljaca Bottegaro N, Gotic J, Capak H, Huber D, Kucko A, Vrbanac Z. Elbow joint luxation in a ten months old Arabian colt-a case report. Acta Vet. 2017;67:441-448.
Rubio-Martinez LM, Vazquez FJ, Romero A, Ormazabal JR. Elbow joint luxation in a 1-month-old foal. Aust Vet J. 2008;86:56-59.
Jones D. Closed reduction of a radiohumeral luxation in a mule. Equine Pract. 1995;17:33-36.
Stashak TS. Rupture of the medial collateral ligament of the humeroradial (elbow) joint. Adams’ Lameness in Horses. 4th ed. Philadelphia, PA: Lea and Febiger; 1987:674-675.
Dabareiner RM, Chaffin MK, Quirham H, Carter GK. Enthesopathy and desmitis of the medial collateral ligament of the cubital joint in 4 horses. J Am Vet Med Assoc. 2013;242:1152-1158.
Nuss K, Steiner A, Kofler J. Examination of the locomotor apparatus for diseases of the digits. In: Fiedler A, Maierl J, Nuss K, eds. Diseases of The Claws and Digits in Cattle. 2nd ed. Stuttgart, Germany: Thieme; 2019:84-101.
Salomon F-V. Ellbogengelenk. In: Salomon F-V, Geyer H, Gille U, eds. Anatomie für die Tiermedizin. Stuttgart. Germany: Enke; 2005:128-129.
Augsburger H, Frewein J, Seiferle E. Aktiver bewegungsapparat, muskelsystem, myologia. In: Nickel R, Schummer A, Seiferle E, eds. Lehrbuch der Anatomie der Haustiere. 8th ed.; Stuttgart, Germany: Parey; 2004:273-569.
Sajik D, Meeson RL, Kulendra N, et al. Multi-centre retrospective study of long-term outcomes following traumatic elbow luxation in 37 dogs. J Small Anim Pract. 2016;57:422-428.
O'Brien MG, Boudrieau RJ, Clark GN. Traumatic luxation of the cubital joint (elbow) in dogs: 44 cases (1978-1988). J Am Vet Med Assoc. 1992;201:1760-1765.

Auteurs

David Devaux (D)

Division for Farm Animal Surgery, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

Judith Müller (J)

Division for Farm Animal Surgery, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

Marc André Butty (MA)

Clinic for Ruminants, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

Adrian Steiner (A)

Clinic for Ruminants, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

Karl Nuss (K)

Division for Farm Animal Surgery, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

Articles similaires

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male
Humans Meals Time Factors Female Adult

Classifications MeSH