Zann et al: Long‐term outcome of dogs treated by surgical debridement of proximal humeral osteochondrosis
Veterinary Surgery 6, 2023

🔍 Key Findings

  • All surgically treated shoulders developed osteoarthritis, confirmed on radiographs and CT (P = .0001, P = .005).
  • Ipsilateral muscle atrophy (↓ brachial circumference, P = .003) and decreased shoulder ROM were common long-term findings.
  • Cartilage infilling remained incomplete in all joints on arthroscopy, with median infilling of 37.4% up to 8.9 years post-op.
  • Moderate-to-severe synovitis was noted in all OC-affected joints via arthroscopy.
  • Despite clinical abnormalities, no significant difference in peak vertical force or impulse was found between affected and unaffected limbs.
  • Radiographs underestimated lesion size compared to CT (P = .001 for width, P = .038 for depth).
  • Owner-assessed mobility remained satisfactory, with median LOAD score = 6 (“mild” disability).
  • Study underscores progression of OA is likely, but clinical relevance may be low in many cases.

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How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

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