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CC BY 4.0 · VCOT Open 2022; 05(01): e36-e40
DOI: 10.1055/s-0042-1750034
Original Article

Iatrogenic Iliopsoas Tendon Injury May Occur during Femoral Head and Neck Ostectomy—An Ex-Vivo Study in Dogs

Charlotte E. Gillis
1   Department of Clinical Sciences, Mississippi State University, MS State, Mississippi, United States
,
Michael H. Jaffe
1   Department of Clinical Sciences, Mississippi State University, MS State, Mississippi, United States
,
Alison M. Lee
1   Department of Clinical Sciences, Mississippi State University, MS State, Mississippi, United States
,
Marc A. Seitz
1   Department of Clinical Sciences, Mississippi State University, MS State, Mississippi, United States
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Abstract

Objective The aim of this study was to determine if inadvertent iatrogenic damage to the iliopsoas tendon can occur during routine femoral head and neck ostectomy (FHO), using a cadaveric dog model.

Study Design Four cadaveric specimens (eight hindlimbs total) of dogs that were humanely euthanatized for reasons unrelated to this study. Pre-experimental radiography confirmed absence of pelvic or femoral comorbidities. Each limb of each paired sample was randomly assigned as either dissection-only control or FHO. The simulated FHO procedures were performed by an American College of Veterinary Surgeons diplomate, and post-procedure radiography confirmed appropriate ostectomy. The FHO limbs underwent pre- and postoperative ultrasonographic investigation by an American College of Veterinary Radiology diplomate. Finally, the FHO limbs were grossly dissected, and abnormalities were documented.

Results Gross visual damage was seen on all postoperative FHO limbs. The damage was most apparent in extreme external rotation of the limb at dissection. Yet, ultrasound investigation did not reveal changes associated with these gross lesions.

Conclusion Iatrogenic inadvertent damage to the iliopsoas tendon may occur during routine FHO, as demonstrated in this ex vivo model; however, this result is not evidence for clinical relevance. A prospective clinical study is needed to assess if iliopsoas injury secondary to FHO has any clinical impact on recovery and limb function.

Keywords

orthopaedic surgery - osteoarthritis - tendon injuries - ultrasonography - degenerative joint disease


Publication History

Received: 03 July 2021

Accepted: 29 March 2022

Article published online:
28 June 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Cannon MS, Puchalski SM. Ultrasonographic evaluation of normal canine iliopsoas muscle. Vet Radiol Ultrasound 2008; 49 (04) 378-382
    CrossrefPubMedGoogle Scholar
  • 2 Palmar R. Is it the Hip or the Stifle? - Tricks to Distinguish Them. World Small Animal Veterinary Association World Congress Proceedings. VIN; 2015. Accessed April 22, 2022 at https://www.vin.com/apputil/content/defaultadv1.aspx?id=7259229&pid=14365&
    PubMedGoogle Scholar
  • 3 Nielsen C, Pluhar GE. Diagnosis and treatment of hind limb muscle strain injuries in 22 dogs. Vet Comp Orthop Traumatol 2005; 18 (04) 247-253
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Zink C, Van Dyke JB. Canine Sports Medicine and Rehabilitation. 2nd edition. Hoboken, NJ: Wiley Blackwell; 2018. :14–15: 353–403
    CrossrefGoogle Scholar
  • 5 Off W, Matis U. Excision arthroplasty of the hip joint in dogs and cats. Clinical, radiographic, and gait analysis findings from the Department of Surgery, Veterinary Faculty of the Ludwig-Maximilians-University of Munich, Germany. 1997. Vet Comp Orthop Traumatol 2010; 23 (05) 297-305
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Evans H, De Lahunta A. Guide to the Dissection of the Dog. 8th edition. Philadelphia: Saunders WB; 2016. ; 2:62–63
    Google Scholar
  • 7 Brinker W, Piermattei D, Flo G. Handbook of Small Animal Orthopedics and Fracture Treatment. 5th edition. St. Louis: Elsevier; 2015. ; 24:488–500
    Google Scholar
  • 8 Sabiza S, Ronagh A, Khajeh A. Effective Medical Management and Physiotherapy Program of Femoral Head and Neck Ostectomy (FHO) in 24 dogs and cats. Clinical Report. Iran J Vet Surg 2019; 14 (01) 78-84
    PubMedGoogle Scholar
  • 9 Duff R, Campbell JR. Long term results of excision arthroplasty of the canine hip. Vet Rec 1977; 101 (10) 181-184
    CrossrefPubMedGoogle Scholar
  • 10 Brooks JW. Postmortem changes in animal carcasses and estimation of the postmortem interval. Vet Pathol 2016; 53 (05) 929-940
    CrossrefPubMedGoogle Scholar
  • 11 Winders CLB, Vaughn WL, Birdwhistell KE, Holsworth IG, Franklin SP. Accuracy of femoral head and neck excision via a craniolateral approach or a ventral approach. Vet Comp Orthop Traumatol 2018; 31 (02) 102-107
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Sapora JA, Palmer RH, Goh CSS. Ventral femoral head and neck ostectomy: Standard versus novel K-wire guided technique using a premeasured ostectomy angle in canine cadavers. Vet Surg 2021; 50 (06) 1201-1208
    CrossrefPubMedGoogle Scholar
  • 13 Breur GJ, Blevins WE. Traumatic injury of the iliopsoas muscle in three dogs. J Am Vet Med Assoc 1997; 210 (11) 1631-1634
    PubMedGoogle Scholar
  • 14 Cullen R, Canapp DA, Carr BJ. et al. Evaluation of iliopsoas strain with findings from diagnostic musculoskeletal ultrasound in agility performance canines-73 cases. Veterinary Evidence Online 2017; 2: 2
    PubMedGoogle Scholar
  • 15 Wilmitzer F, Gumpenberger M, Sommerfeld-Stur I. et al. Radiographically breed specific morphology and calcifying tendinopathy in the iliopsoas muscle at the lesser trochanter in rottweilers, German shepherd dogs and Bavarian mountain hounds. J Vet Sci 2016; 7: 2
    PubMedGoogle Scholar
  • 16 Cogar SM, Cook CR, Curry SL, Grandis A, Cook JL. Prospective evaluation of techniques for differentiating shoulder pathology as a source of forelimb lameness in medium and large breed dogs. Vet Surg 2008; 37 (02) 132-141
    CrossrefPubMedGoogle Scholar