Use of the distomedial-proximolateral oblique radiographic view of the elbow joint for examination of the medial coronoid process in dogs.
OBJECTIVE
To describe and evaluate a new radiographic view of the elbow joint in dogs that would potentially enhance observation of the medial coronoid process (MCP).


METHODS
20 cadaver limbs from 10 dogs and clinical examination of 100 elbow joints of 53 dogs.


METHODS
Twenty elbow joints from 10 cadavers were imaged by use of mediolateral, flexed mediolateral, craniocaudal, craniolateral-caudomedial oblique (Cr15L-CdMO), and distomedial-proximolateral oblique (Di35M-PrLO) radiographic views before and after placement of 3 lead pellets placed on the cranial, medial, and craniodistal aspect of the MCP. Three examiners independently reviewed these radiographs. One hundred elbow joints of 53 dogs with forelimb lameness and signs of pain elicited on palpation of the elbow joint were examined. These joints were radiographed and treated by use of arthroscopy. Three examiners independently graded the radiographs.


RESULTS
The MCP was identified on all Di35M-PrLO views made during the anatomic study. The Di35M-PrLO view had the largest area under the receiving operating characteristic (ROC) curve for detection of abnormalities of the MCP. Fractured and nonfractured MCP could only be significantly differentiated on Di35M-PrLO and mediolateral views. The Di35M-PrLO view had a higher agreement between examiners than other radiographic views for detection of fractures of the MCP.


CONCLUSIONS
The Di35M-PrLO view enhances the identification of anomalies and fragmentation of the MCP in dogs, compared with other radiographic views. The Di35M-PrLO view may be of benefit for early screening of dogs potentially affected with elbow dysplasia.
Clinique Vétérinaire de l'Ouest, Angers, France.
Philippe R
PR
Haudiquet
Denis J
DJ
Marcellin-Little
Martha E
ME
Stebbins
D000818:Animals; D019540:Area Under Curve; D004283:Dog Diseases / Q000000981:diagnostic imaging*; D004285:Dogs / Q000033:anatomy & histology*; D005260:Female; D005552:Forelimb / Q000000981:diagnostic imaging*; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000662:veterinary*; D007794:Lameness, Animal / Q000000981:diagnostic imaging; D008297:Male; D011446:Prospective Studies; D012372:ROC Curve; D011859:Radiography / Q000379:methods / Q000662:veterinary*