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Yoshi

• Patient:
  Yoshi, 16 month old German Shephard.



• Presenting complaint:
  Lameness of 2 months duration in the left forelimb. Radiographs indicated that bilateral medial fragmented coronoid processes were likely present.



• Endoscopic procedure:
  Arthroscopy of both elbow joints was performed. The medial fragmented coronoid processes were removed using the arthroscopic shaver and ronguers, and areas of bone not covered by cartilage were micropicked to help allow the formation of repair fibrocartilage.



• Benefits of using endoscopy:
  Arthroscopy allows excellent visualization of the joint and removal of the fragment through two very small (3mm) incisions. Normally this problem would be approached through a large arthrotomy, opening the joint entirely. This is associated with more postoperative discomfort. In addition the magnification provided by the arthroscope and the lack of bleeding due to the small incisions allows visualization of the joint which is actually better than with a standard large arthrotomy.

Submitted by:
Dr. Nathan Miller, DVM, Diplomate ACVS,
Alameda East Veterinary Hospital,
Denver, Colorado

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