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Complications and outcomes associated with 13 cases of triceps tendon disruption in dogs and cats (2003–2014)
  1. Naomi Frances Earley, BVSc1,2,
  2. Gemma Ellse, BA VetMB1,
  3. Adrian M Wallace, BVSc (Hons) MANZCVS DipECVS3,
  4. Kevin J Parsons, BVSc (Hons) PhD CertSAS DipECVS4,
  5. Katja Voss, Dr med vet DipECVS5,
  6. Lauren C Pugliese, DVM MS DipACVS-SA6,
  7. Andy P Moores, BVSc DSAS (Orth) DipECVS7,
  8. Richard Whitelock, BVetMed DVR DSAS (Ortho) DipECVS1,8,
  9. Christoph Stork, Dr med vet DES ChirPA DipECVS9,
  10. Sorrel J Langley-Hobbs, MA BVetMed DSAS (Ortho) DipECVS FHEA1,4 and
  11. Heidi Radke, MA DrMedVet DipECVS1
  1. 1Queen’s Veterinary School Hospital, University of Cambridge, Cambridge, UK
  2. 2Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, UK
  3. 3Bundoora Veterinary Hospital and Clinic, Small Animal Veterinary Referral Hospital, Melbourne, AU
  4. 4Langford Veterinary Services, University of Bristol, Bristol, UK
  5. 5University Veterinary Teaching Hospital, University of Sydney, Sydney, AU
  6. 6Veterinary Medical Centre, Ohio State University, Ohio, USA
  7. 7Anderson Moores Veterinary Specialists, Small Animal Veterinary Referral Hospital, Hursley, Hampshire, UK
  8. 8Davies Veterinary Specialists, Small Animal Veterinary Referral Hospital, Higham Gobion, Hertfordshire, UK
  9. 9Orthovet, Veterinary Orthopaedic Specialist Referral Service, Kings Hill, Kent, UK
  1. E-mail for correspondence; hr264{at}cam.ac.uk

Abstract

This study reports data from a larger number of cases of triceps tendon disruption. Records from 10 veterinary referral hospitals between 2003 and 2014 were searched for canine and feline cases diagnosed with triceps tendon disruption, based on orthopaedic examination confirmed during surgery. Long-term follow-up and owner satisfaction were assessed using a questionnaire. There were 13 cases of triceps tendon disruption diagnosed across seven hospitals (nine dogs, four cats). Trauma, history or presence of a wound, surgery in the region of tendon attachment or corticosteroid treatment preceded triceps tendon disruption. Radiographic signs or histopathology suggestive of a chronic tendinopathy was common. All cases underwent surgical repair involving a tendon suture pattern, 12 of which were secured through bone tunnels. Immobilisation was used in all cases in the form of transarticular external skeletal fixation (TAESF) (8/9 dogs) or spica splint (four cats, two dogs; in one dog a TAESF was applied after complications associated with the spica splint). Complications occurred in 11 cases (17 total complications), frequently associated with the immobilisation method. One case had traumatic tendon rerupture two years following surgery. A wound at presentation was associated with the development of multiple complications. Nine cases had long-term follow-up; five achieved normal function, four achieved acceptable function. Despite the complications, overall return to subjective normal or acceptable function, as assessed by the owners, was achieved in the majority of cases.

  • musculoskeletal
  • orthopaedics
  • surgery
  • tendon
  • dog
  • cat

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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