Medial Coronoid Disease and Medial Compartment Disease

medical coronoid disease imageMedial coronoid disease is the most common form of elbow dysplasia in dogs. The spectrum of pathology that we find in medial coronoid disease is very variable; it can range from mild cartilage softening to fragmentation of the medial coronoid process itself. In some severe cases, the damage to the cartilage and bone can involve the whole medial half of the joint (medial humeral condyle and ulnar articular surface). This severe presentation is commonly known as medial compartment disease. Unfortunately medial compartment disease can occur in dogs as young as 1 year of age.
 
Medial coronoid disease and medial compartment disease are best diagnosed and initially treated with CT scan and arthroscopy. Arthroscopy is the fastest, most effective, and least invasive method for fragment removal. In those severe cases where the whole medial side of the elbow is affected, simple arthroscopic treatment of the fragment may not be sufficient.
 
We now offer (in addition to onsite CT scan and arthroscopy) advanced surgical treatments of medial compartment disease by means of Proximal Abducting Ulnar Osteotomy (PAUL). PAUL, unloads the medial compartment, thus reducing pain and improving limb use and function.
 
Please do not hesitate to contact orthopaedics@vet.gla.ac.uk directly to discuss potential cases that may benefit from this surgery.