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Elbow dysplasia in dogs - British Veterinary Association.

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ED simply describes the abnormal development of the elbow (a dog's elbow iscircled below). The term <strong>in</strong>cludes a number of specific abnormalities, whichaffect different sites <strong>in</strong> the jo<strong>in</strong>t. They cause problems by affect<strong>in</strong>g the growthof the cartilage which forms the surface of the jo<strong>in</strong>t, or the structures around it.These abnormalities, called primary lesions, then start a secondaryosteoarthritic process. The most common primary lesions are:• Osteochondritis dissecans (OCD or OD)• Fragmented or ununited coronoid process (FCP)• Ununited anconeal process (UAP)Exam<strong>in</strong>ation of different radiograhic views allows detection ofabnormalitiesThe 'extended lateral 'position gives a view of thebones and jo<strong>in</strong>t surfaces ofthe elbow from the side. Inthis view, the position ofthe jo<strong>in</strong>t is similar to that <strong>in</strong>the stand<strong>in</strong>g dogThe flexed lateral view is aside on view of the elbow.This view allowsexam<strong>in</strong>ation of thesecondary changes <strong>in</strong> EDwhich occur <strong>in</strong> the shadedareas. Note how some ofthe shaded areas here areoverlaid by otherstructures, which makesthem difficult to exam<strong>in</strong>eThe 'crani-caudal' view istaken from the front to theback of the jo<strong>in</strong>t and givesa totally different picture.Evidence of primarydisease, which cannot beidentified on the lateralview, is seen on this view.It also enablesconfirmation of secondaryabnormalitiesThere are other, more rare, primary lesions which may occur <strong>in</strong> comb<strong>in</strong>ationwith these, or on their own. Primary lesions occur dur<strong>in</strong>g the growth of apuppy, and nearly always occur <strong>in</strong> both elbows to some degree.

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