Injuries involving the central tarsal bone in nonracing dogs: Short-term outcomes and prognostic factors

A.J. Armstrong; M. Bruce; R. Adams; E. Kulendra; Tony Pease; Karen L. Perry

doi:10.1111/vsu.13187

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Injuries involving the central tarsal bone in nonracing dogs: Short-term outcomes and prognostic factors

Journal article

Peer reviewed

Injuries involving the central tarsal bone in nonracing dogs: Short-term outcomes and prognostic factors

A.J. Armstrong, M. Bruce, R. Adams, E. Kulendra, Tony Pease and Karen L. Perry

Veterinary Surgery, Vol.48(4), pp.524-536

2019

DOI: https://doi.org/10.1111/vsu.13187

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Abstract

Objective To describe traumatic injuries involving the central tarsal bone (Tc) in nonracing dogs. Study design Retrospective multicenter study. Animals Thirty‐two client‐owned dogs. Methods Medical records from January 2010 to December 2016 were searched for dogs with Tc injury. Fracture classification, concurrent tarsal fractures, treatment, and perioperative management were tested for association with postoperative complications and short‐term outcome. Outcome measures consisted of the latest lameness score reported in the record. Results The most common injuries consisted of type V fractures (22) and luxation of the Tc (8). Other injuries included 1 case each of type III and type IV fractures. Twenty‐two concurrent fractures involved other tarsal bones. Complications were diagnosed in 18 (62.1%) dogs, consisting of 13 minor, 4 major, and 1 catastrophic complication. Lameness at final follow‐up (median 7 weeks) in 28 dogs was scored as 0 of 5 in 14 (50.0%) dogs, 1 of 5 in 7 (25.0%) dogs, 2 of 5 in 4 (14.3%) dogs, 4 of 5 in 1 (3.5%) dogs, and 5 of 5 in 2 (7.1%) dogs. Major complications were associated with the presence of multiple tarsal fractures (risk ratio [RR] 3.94, 95% CI 0.80–19.37, P = .13), specifically when the calcaneus was involved (RR 5.78, 95% CI 1.53–21.88, P = .05). Conclusion The most common diagnosis in this population of nonracing dogs consisted of type V Tc fractures. Fractures affecting other tarsal bones were common and were associated with a higher risk of major complications, especially those affecting the calcaneus.

Details

Title: Injuries involving the central tarsal bone in nonracing dogs: Short-term outcomes and prognostic factors
Authors/Creators: A.J. Armstrong (Author/Creator) - Michigan State University
M. Bruce (Author/Creator) - Murdoch University
R. Adams (Author/Creator) - Davies Veterinary Specialists, Higham Gobion, UK.
E. Kulendra (Author/Creator) - North Downs Hospital
Tony Pease (Author/Creator) - Southern African Catholic Bishops Conference
Karen L. Perry (Author/Creator) - Michigan State University
Publication Details: Veterinary Surgery, Vol.48(4), pp.524-536
Publisher: W. B. Saunders Co., Ltd.
Identifiers: 991005545268007891
Copyright: © 2019 The American College of Veterinary Surgeons
Murdoch Affiliation: School of Veterinary Medicine
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 3 Agriculture, Environment & Ecology; 3.232 Veterinary Sciences; 3.232.1715 Canine Orthopedics
Web Of Science research areas: Veterinary Sciences
ESI research areas: Plant & Animal Science