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Vet Comp Orthop Traumatol 2013; 26(03): 242-247
DOI: 10.3415/VCOT-12-07-0088
Case Report
Schattauer GmbH

Avulsion fragmentation of the tibial tuberosity apophysis and associated patellar tendon enthesopathy in a skeletally immature dog

G. W. Brown
1   Grove Referrals, Fakenham, Norfolk, UK
,
S. Kalff
2   Willows Referral Service, Solihull, West Midlands, UK
,
A. Parry
2   Willows Referral Service, Solihull, West Midlands, UK
,
M. Whitehead
3   Chipping NortonVeterinary Hospital, Oxfordshire, UK
,
W. M. McKee
2   Willows Referral Service, Solihull, West Midlands, UK
› Author Affiliations
Further Information

Publication History

Received 04 July 2012

Accepted 04 January 2013

Publication Date:
19 December 2017 (online)

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Summary

A 9.5-month-old, female entire, 31.3 kg crossbred dog was presented with a 12 week history of moderate weight-bearing right pelvic limb lameness. Radiographic, computed tomographic, and ultrasonographic imaging revealed progressive avulsion fragmentation of the right tibial tuberosity apophysis and a patellar tendon insertional enthesopathy without physeal involvement. Conservative management was successful in achieving a good clinical outcome. A progressive avulsion of the contralateral proximal tibial physes that occurred concurrently resulted in development of an excessive tibial plateau slope angle. The additional development of a moderate left distal femoral varus deformity was surgically corrected. This is the first report of a progressive, traction injury to the tibial tuberosity apophysis in a dog that appears clinically and radiographically very similar to Osgood-Schlatter disease in humans.

Keywords

Tibial tuberosity - Osgood-Schlatter disease - apophysis
 

  • References

  • 1 Micheli LJ, Klein JD. Sports injuries in children and adolescents. Br J Sp Med 1991; 25: 6-9.
    CrossrefPubMedGoogle Scholar
  • 2 Gower JA, Bound NJ, Moores AP. Tibial tuberosity avulsion fracture in dogs: a review of 59 dogs. J Small Anim Pract 2008; 49: 340-353.
    CrossrefPubMedGoogle Scholar
  • 3 Skelly CM, McAllister H, Donnelly WJC. et al. Avulsion of the tibial tuberosity in a litter of greyhound puppies. J Small Anim Pract 1997; 38: 445-449.
    CrossrefPubMedGoogle Scholar
  • 4 Osgood RB. Lesions of the tibial tubercle occurring during adolescence. Boston Med Surg 1903; 48: 114-117.
    PubMedGoogle Scholar
  • 5 Von Pfeil DJF, DeCamp CE, Diegel KL. et al. Does Osgood-Schlatters disease exist in the dog?. Vet Comp Orthop Traumatol 2009; 22: 257-263.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 McKee WM. Growth deformities of the long bones in dogs. In Practice 2010; 32: 282-291.
    CrossrefPubMedGoogle Scholar
  • 7 Oxley B, Gemmill TJ, Renwick A. et al. A comparison of complication rates and clinical outcome between tibial plateau levelling osteotomy and a modified cranial closing wedge osteotomy for treatment of cranial cruciate ligament disease in the dog. Vet Surg. 2013 in press.
    PubMedGoogle Scholar
  • 8 Sumner-Smith G. Observations on epiphyseal fusion of the canine skeleton. J Small Anim Pract 1966; 7: 303-311.
    CrossrefPubMedGoogle Scholar
  • 9 Clements DN, Gemmill TG. Fracture of the proximal tibial epiphysis and tuberosity in 10 dogs. J Small Anim Pract 2003; 44: 355-358.
    CrossrefPubMedGoogle Scholar
  • 10 Ehrenbourg G, Engfeldt B. Histologic changes in the Osgood-Schlatters lesion. Acta Chir Scanda 1961; 121: 328-337.
    PubMedGoogle Scholar
  • 11 Ehrenborg G, Olsson S-E. Avulsion of the tibial tuberosity in the dog. A comparative roentgenologic study with special reference to the Osgood-Schlatters lesion in man. Acta Chir Scand 1962; 123: 28-37.
    PubMedGoogle Scholar
  • 12 Smith MEH, Haan JJ, Peck J. et al. Augmented primary repair of patellar tendon rupture in three dogs. Vet Comp Orthop Traumatol 2000; 13: 154-157.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Gholve PA, DM Sicher, Khakharia S. et al. Osgood-Schlatters syndrome. Curr Opin Pediatr 2007; 19: 44-50.
    CrossrefPubMedGoogle Scholar
  • 14 Aparicio G, Abril JC, Calvo E. Radiologic study of patellar height in Osgood-Schlatters disease. J Pediatr Orthop 1997; 17: 63-66.
    CrossrefPubMedGoogle Scholar
  • 15 Demirag B, Ozturk C, Yazici Z. et al. The pathophysiology of Osgood-Schlatters disease; a magnetic resonance investigation. J Pediatr Orthop 2004; 13: 379-382.
    CrossrefPubMedGoogle Scholar
  • 16 Gigante A, Bevilacqua C, Bonetti MG. et al. Increased external tibial torsion in Osgood-Schlatters disease. Acta Orthop Scand 2003; 74: 431-436.
    CrossrefPubMedGoogle Scholar
  • 17 Reichelt A. New findings in the area of aetiology and pathogenesis of juvenile osteochondrosis of the tibia apophysis (Osgood-Schlatters disease). Med Welt 1972; 23: 1587-1590.
    PubMedGoogle Scholar
  • 18 Schmokel H, Weber U, Hartmeier G. Salter II fracture of the proximal tibia with avulsion of the tibial tuberosity in the dog. Schweizer Archiv fur Tierheilkunde 1995; 137: 124-128.
    PubMedGoogle Scholar
  • 19 Pratt JNJ. Avulsion of the tibial tuberosity with separation of the proximal tibial physis in seven dogs. Vet Rec 2001; 149: 352-356.
    CrossrefPubMedGoogle Scholar
  • 20 Braden TD. Epiphyseal Injuries. In: Borjab MJ. editor. Pathophysiology in Small Animal Surgery. Philadelphia: Lea Febiger; 1981. p. 791-800.
    Google Scholar
  • 21 Kowaleski MP, Boudrieau RJ, Pozzi A. Stifle joint: Repair of Patellar Tendon Rupture. In: Tobias KM, Johnston SA. editors. Veterinary Surgery Small Animal. St. Louis, Missouri: Elsevier Saunders; 2012. p. 992-994.
    Google Scholar
  • 22 Brinker WO. Principles of Joint Surgery. In: Piermattei DL, Flo GL, DeCamp CE. editors. Handbook of Small Animal Orthopaedics and Fracture Repair. Philadelphia: W.B. Saunders; 2006. p. 223-226.
    Google Scholar