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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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576 <strong>Small</strong> <strong>Animal</strong> Radiolo g y <strong>and</strong> Ultrasono graphy<br />

Fig. 4-128 A 6-year-old female<br />

Labrador Retriever was brought in<br />

for acute right forelimb lameness <strong>and</strong><br />

elbow pain. A <strong>and</strong> B, Radiographic<br />

findings include fragmented medial<br />

coronoid process (arrow) with secondary<br />

degenerative joint disease<br />

<strong>and</strong> an extraarticular mineralized<br />

body associated with the medial<br />

humeral epicondyle (arrowhead).<br />

Diagnosis: Chronic fragmented <strong>and</strong><br />

ununited medial humeral epicondyle<br />

<strong>and</strong> chronic fragmented medial coronoid<br />

process.<br />

A<br />

B<br />

humerus (Fig. 4-128) gives rise to massive enthesiophytes <strong>and</strong> periarticular mineralization<br />

around the medial aspect of the elbow.<br />

Patellar Luxation. Medial patellar luxation is a congenital lesion seen most frequently<br />

in miniature <strong>and</strong> small-breed dogs <strong>and</strong> rarely in cats. 582-588 The medial patella displacement<br />

is recognized easily; however, when the limb is extended during positioning for radiographs,<br />

the patella may resume a normal position. Varying degrees of severity may be<br />

observed (Fig. 4-129). The distal femur <strong>and</strong> proximal tibia may present an S-shaped (sig-

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