Histomorphometry of fragmented medial coronoid process in dogs: a comparison of affected and normal coronoid

Kelson C Danielson1, Noel Fitzpatrick, Peter Muir

  • 1Comparative Orthopaedic Research Laboratory, University of Wisconsin, School of Veterinary Medicine, Madison, 53706, USA.

Veterinary Surgery : VS
|August 17, 2006
PubMed
Abstract

Insights

Fatigue microdamage in the medial coronoid process (MCP) is linked to fragmented medial coronoid process (FMCP) in dogs. This bone damage occurs before cartilage changes, indicating its importance in FMCP development.

Area of Science:

  • Veterinary Orthopedics
  • Biomechanical Engineering
  • Canine Pathology

Background:

  • Fragmented medial coronoid process (FMCP) is a common canine elbow disease.
  • The pathogenesis of FMCP, particularly the role of fatigue microdamage, requires further elucidation.

Purpose of the Study:

  • To investigate the association between fatigue microdamage and fragmented medial coronoid process (FMCP).
  • To evaluate the severity of microdamage in relation to FMCP classification.

Main Methods:

  • Prospective study involving 38 dogs with FMCP undergoing coronoid ostectomy.
  • Analysis of medial coronoid process (MCP) specimens using bulk staining for microdamage and microscopy.
  • Evaluation of diffuse damage (D.Dx), osteocyte loss, porosity, and cartilage thickness.

Main Results:

  • Affected MCP specimens exhibited increased diffuse damage, osteocyte loss, and porosity compared to controls.
  • Severe FMCP cases (Classes 3 and 4) showed the highest levels of fatigue microdamage.
  • Microcracks were observed in subchondral bone even in early-stage FMCP (Class 1) with no visible cartilage fissuring.

Conclusions:

  • Subchondral fatigue microdamage accumulation is associated with MCP fragmentation.
  • Bone microdamage precedes articular cartilage fibrillation, highlighting its role in FMCP pathogenesis.
  • Identifying the cause of microdamage is crucial for developing strategies to prevent elbow osteoarthritis.

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