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Veterinary Specialist
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97 Carrington Road
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Auckland
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CASE SUMMARY
CASE NO. 313510
DATE 28-07-2010 1:30pm
CREATED 28-07-2010 3:23pm
Client Details Animal Details
Name Forrest Hill Veterinary Clinic Name Riley Saker
Address 218 Forrest Hill Road
North Shore
Auckland, 0620
Species Canine
Breed Labrador
Age 1 year 7 months
Phone(s) 09 410 5169 Sex FS
.
Attending Vet(s): Dr. Chris Warman
.
Referring Vet: Forrest Hill Veterinary Clinic
Dr Kevin O'Meara
Diagnostic Imaging Report
Radiology Report on Referring Veterinarian Radiographs
5 radiographs were reviewed. The radiographs included mediolateral images of the left and right shoulder and
humerus, with orthogonal images of both the left and right elbow.
Right shoulder : there appears to be minor enthesophyte formation associated with the supraglenoid
tuberosity. Sclerotic new bone production overlies the greater tubercle.
Left shoulder : no significant radiographic findings are recorded.
Right elbow : minor arthrosis is noted at the anconeal process. More extensive arthrosis is associated with the
cranial aspect of the radial perichondrial site. Increased sclerosis is noted at the distal aspect of the ulna
notch. In the oblique craniocaudal image there appears to be a fine radiolucent line through the medial aspect
of the medial coronoid. This latter finding could be indicative of coronoid fragmentation. In one image it is
possible to identify a faint juxta-articular osseous body associated with the medial aspect of the joint.
Left elbow : minor osteophyte formation is associated with cranial aspect of the radial head. There is
suggestion of osteophytic lipping of the medial coronoid in the craniocaudal image.
Comments : the enthesophyte formation identified at the supraglenoid tuberosity could certainly be indicative
of biceps tenosynovitis. The arthrosis within the right shoulder would be more consistent with degenerative
joint disease secondary to juvenile osteochondrosis. I would be suspicious that early degenerative joint
disease is also present within the left elbow.
The question in this case is whether the lameness is due to active elbow or shoulder disease. It is possible
that the degenerative changes within the elbow are no longer associated with active disease. It would certainly
be worthwhile getting the surgeons here at VSG to have a look at this patient considering the multi-joint
involvement. It may be necessary to ultrasound the shoulder to discern the extent of the pathology in this
region.
Thank you very much for your referral. If I can be of any further assistance please do not hesitate to be in
contact.
Regards,
Chris Warman
Veterinary Radiologist
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