References

Alves-Pimenta S, Ginja MM, Colaço B Role of elbow incongruity in canine elbow dysplasia: advances in diagnostics and biomechanics. Vet Comp Orthop Traumatol.. 2019; 32:(2)87-96 https://doi.org/10.1055/s-0038-1677513

Anderson OJ, Langley-Hobbs SJ, Parsons KJ Humeral condylar fractures and fissures in the French bulldog. Vet Surg.. 2023; 52:(1)134-145 https://doi.org/10.1111/vsu.13907

Burton NJ, Toscano MJ, Barr FJ, Owen MR Reliability of radiological assessment of ulnar trochlear notch sclerosis in dysplastic canine elbows. J Small Anim Pract.. 2008; 49:(11)572-576 https://doi.org/10.1111/j.1748-5827.2008.00611.x

Cook JL Forelimb lameness in the young patient. Vet Clin North Am Small Anim Pract.. 2001; 31:(1)55-83 https://doi.org/10.1016/s0195-5616(01)50038-8

Coulson A, Lewis NOxford: Blackwell Publishing; 2008

Dennis R, Kirberger RM, Barr F, Wrigley RH In: Dennis R, Kirberger RM, Barr F, Wrigley RH London: Saunders Elsevier; 2010a

Dennis R, Kirberger RM, Barr F, Wrigley RH In: Dennis R, Kirberger RM, Barr F, Wrigley RH London: Saunders Elsevier; 2010b

drugs.com. Salter-Harris Fracture. 2024. https://www.drugs.com/cg/salterharris-fracture.html

Engdahl K, Höglund O, Hedhammar Å, Hanson J, Bergström A The epidemiology of osteochondrosis in an insured Swedish dog population. Prev Vet Med.. 2024; 228 https://doi.org/10.1016/j.prevetmed.2024.106229

Fox DB Physeal injuries and angular limb deformities. Vet Clin North Am Small Anim Pract.. 2021; 51:(2)305-322 https://doi.org/10.1016/j.cvsm.2020.11.003

Garland BW, Dumitru EA, Ororbia A, Oxley B Spontaneous resolution of a humeral intracondylar fissure in a skeletally immature French Bulldog. VCOT Open.. 2023; 6:(1)e37-e40 http://doi.org/10.1055/s-0043-1762901

Gielen I, van Ryssen B, van Bree H Computerized tomography compared with radiography in the diagnosis of lateral trochlear ridge talar osteochondritis dissecans in dogs. Vet Comp Orthop Traumatol.. 2005; 18:(2)77-82

Guevara F, Franklin SP Triple pelvic osteotomy and double pelvic osteotomy. Vet Clin North Am Small Anim Pract.. 2017; 47:(4)865-884 https://doi.org/10.1016/j.cvsm.2017.02.005

Hutchings VC, Rutherford S Computed tomographic re-evaluation of skeletally immature French bulldogs previously diagnosed with humeral intracondylar fissure: 12 cases (2018–2022). J Small Anim Pract.. 2024; 65:(11)817-821 https://doi.org/10.1111/jsap.13768

Johnson AJ, Austin C, Breur JG Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol.. 1994; 7:(2)56-69 https://doi.org/10.1055/s-0038-1633097

Kähn H, Zablotski Y, Meyer-Lindenberg A Therapeutic success in fragmented coronoid process disease and other canine medial elbow compartment pathology: a systematic review with meta-analyses. Front Vet Sci.. 2023; 10 https://doi.org/10.3389/fvets.2023.1228497

Kieves NR Juvenile disease processes affecting the forelimb in canines. Vet Clin North Am Small Anim Pract.. 2021; 51:(2)365-382 https://doi.org/10.1016/j.cvsm.2020.12.004

Lau SF, Theyse LF, Voorhout G, Hazewinkel HA Radiographic, computed tomographic, and arthroscopic findings in Labrador Retrievers with medial coronoid disease. Vet Surg.. 2015; 44:(4)511-520 https://doi.org/10.1111/j.1532-950X.2014.12291.x

Linn KA Juvenile pubic symphysiodesis. Vet Clin North Am Small Anim Pract.. 2017; 47:(4)851-863 https://doi.org/10.1016/j.cvsm.2017.03.004

Moores AP Humeral intracondylar fissure in dogs. Vet Clin North Am Small Anim Pract.. 2021; 51:(2)421-437 https://doi.org/10.1016/j.cvsm.2020.12.006

Moores AP, Moores AL The natural history of humeral intracondylar fissure: an observational study of 30 dogs. J Small Anim Pract.. 2017; 58:(6)337-341 https://doi.org/10.1111/jsap.12670

Nap RC, Hazewinkel HA Growth and skeletal development in the dog in relation to nutrition; a review. Vet Q.. 1994; 16:(1)50-59 https://doi.org/10.1080/01652176.1994.9694417

Nelson NC In: Berry CR, Nelson NC, Winter MD New Jersey: Wiley-Blackwell; 2023

Schettler M, Cassel N, Elliot RC, Fosgate GT, Schettler K, Biller D A prevalence study of canine humeral condylar fractures over a ten-year period at an academic teaching hospital. Vet Comp Orthop Traumatol.. 2022; 35:(3)191-197 https://doi.org/10.1055/s-0042-1744445

Selman J, Towle Millard H Hypertrophic osteodystrophy in dogs. J Small Anim Pract.. 2022; 63:(1)3-9 https://doi.org/10.1111/jsap.13413

Stander N, Cassel N In: Kirberger RM, McEvoy FJ Gloucester: British Small Animal Veterinary Association; 2016

Strohmeier UW, Harris KP Humeral intracondylar fissures in French bulldogs. Vet Rec.. 2021; 189:(11) https://doi.org/10.1002/vetr.504

Thrall DE, Robertson DSt Louis, Missouri: Elsevier Saunders; 2016

Vezzoni A, Benjamino K Canine elbow dysplasia: ununited anconeal process, osteochondritis dissecans, and medial coronoid process disease. Vet Clin North Am Small Anim Pract.. 2021; 51:(2)439-474 https://doi.org/10.1016/j.cvsm.2020.12.007

Ytrehus B, Carlson CS, Ekman S Etiology and pathogenesis of osteochondrosis. Vet Pathol.. 2007; 44:(4)429-448 https://doi.org/10.1354/vp.44-4-429

The importance of early radiological assessment in juvenile canine lameness

02 April 2025
13 mins read
Volume 30 · Issue 4
Figure 1. Mediolateral (A) and close-up dorsopalmar (B) of the right carpus of two different dogs. The arrows demonstrate metaphyseal irregularity in a skeletally immature large breed patient, consistent with a normal cutback zone.
Figure 1. Mediolateral (A) and close-up dorsopalmar (B) of the right carpus of two different dogs. The arrows demonstrate metaphyseal irregularity in a skeletally immature large breed patient, consistent with a normal cutback zone.

Abstract

Radiography remains the cornerstone in evaluating lameness in small animal practice, and early identification of pathological musculoskeletal conditions is imperative, particularly in the juvenile or skeletally immature patient. Delays in diagnosing conditions affecting longitudinal bone growth or joint congruity can lead to significant growth-related complications. This article discusses the radiological aspects of key orthopaedic conditions in young canine patients, focusing on the importance of early diagnosis and intervention. A narrow window often exists to treat the cause before the onset of arthritis and chronic lameness. The discussion centres on selected conditions, such as hip and elbow dysplasia, osteochondrosis, humeral intracondylar fissures, retained endochondral cartilage cores, hypertrophic osteodystrophy and physeal trauma. The veterinarian's role in achieving timely and accurate diagnosis is emphasised. Common pitfalls and normal variations are also addressed.

Lameness is a prevalent condition prompting pet owners to seek veterinary care, often leading to radiographic examination of the affected limb. Despite advancements in diagnostic imaging, radiography remains the cornerstone in evaluating lameness in small animal practice. Early radiographic evaluation is crucial in juvenile canine patients, especially larger breeds, where prompt identification of musculoskeletal pathology is essential because of the risk of serious growth-related complications. Delayed diagnosis and inappropriate treatment in certain conditions can result in abnormal bone growth, joint incongruity and irreversible osteoarthrosis (Fox, 2021). This emphasises the continued importance of radiography in the management of lameness in young patients.

This article discusses radiological aspects of key juvenile orthopaedic conditions for which timely diagnosis and intervention are beneficial for the patient. The discussion will focus on hip and elbow dysplasia, osteochondrosis, humeral intracondylar fissures, retained endochondral cartilage cores, hypertrophic osteodystrophy and physeal trauma. Emphasis will be placed on the importance of understanding patient signalment, disease prevalence in certain breeds, recognising normal anatomical variations and avoiding common pitfalls in radiographic interpretation.

Register now to continue reading

Thank you for visiting UK-VET Companion Animal and reading some of our peer-reviewed content for veterinary professionals. To continue reading this article, please register today.