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Shoulder - resurfacing, arthroplasty and arthrodesis
Fitzpatrick N.
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Orthopaedic conditions of the gleno-humeral joint are an important cause of thoracic limb lameness in the canine patient. These include soft tissue injuries affecting the stabilizing ligaments and tendons, osteochondrosis affecting the humeral head, fractures, luxations, osteoarthritis, congenital deformity and neoplasia. Articular fractures of the proximal humerus or the scapula carry a guarded prognosis following surgical repair with approximately 50% of articular scapular fractures manifesting long term significant lameness. Management of recurrent luxations may be similarly challenging with high incidence of failure, even where the biceps tendon is intact. Indications for glenohumeral arthrodesis include recalcitrant pathologies of the shoulder joint for any reason which are not amenable to salvage in a less invasive manner and which cause persistent lameness or pain and impairment of quality of life.
Clinical cases of shoulder arthrodesis are sparsely reported in the veterinary literature. Pucheu (2008) performed arthrodesis in 14 dogs with shoulder instability, either due to severe associated degenerative joint disease or due to “major” or recurrent instability. Good to excellent clinical outcome was reported in 12/14 dogs. The range of motion of the scapula allows good limb function following shoulder arthrodesis although a mechanical pain-free lameness will persist. [...]
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