DOI QR코드

DOI QR Code

개에서 상완이두건 변형 전위에 의한 내측 견관절 탈구의 안정화 증례

A Modified Stabilization of Medial Shoulder Luxation by Biceps Tendon Transposition in a Dog

  • Lee, Ho-Hyun (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Yun, Sung-Ho (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Jang, Kwang-Ho (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Kwon, Young-Sam (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University)
  • 심사 : 2015.02.14
  • 발행 : 2015.02.28

초록

10살령의 2 kg의 암컷 치와와가 다리를 딛지 못하는 전지파행으로 내원하였다. 촉진시 대결절은 정상 위치 보다 내측에서 촉진되었고 염발음이 간헐적으로 들렸다. 방사선학적 검사에서 좌측 내측 견갑상완 관절 탈구로 진단되었다. 또한, 양측성으로 3기의 내측 슬개골 탈구도 관찰되었다. 외과적으로, 내측 견관절 탈구를 상완이두건 전위술로 정복하였다. 환견은 수술 6주째 정상 보행이었고 다리를 딛게 되었다.

A 10-year-old intact female Chihuahua weighing 2 kg was presented for complaint of forelimb lameness with non-weight bearing posture. Greater tubercle was palpated medial to its normal location on palpation and crepitation was intermittent with manipulation. On radiographic examination, left medial scapulohumeral joint luxation was found. Bilateral medial patellar luxations also were found and evaluated as grade III. Surgically, the medial scapulohumeral joint luxation was reduced with transposition of the tendon of the biceps brachii muscle. The patient's gait became normal and non-weight bearing posture was resolved at 6 weeks postoperatively.

키워드

참고문헌

  1. Craig E, Hohn RB, Anderson WD. Surgical stabilization of traumatic medial shoulder dislocation. J Am Anim Hosp Assoc 1980; 16: 93-102.
  2. Hohn RB, Rosen H, Bohning RH, Brown SG. Surgical stabilization of recurrent shoulder luxation. Vet Clin North Am 1971; 1: 537-548. https://doi.org/10.1016/S0091-0279(71)50062-4
  3. Pettitt RA, Clements DN, Guilliard MJ. Stabilisation of medial shoulder instability by imbrication of the subscapularis muscle tendon of insertion. J Small Anim Pract 2007; 48: 626-631. https://doi.org/10.1111/j.1748-5827.2007.00340.x
  4. Puglisi TA. Canine humeral joint instability-part II. Compend Contin Educ Vet 1986; 8: 741-750.
  5. Rochat MC. The shoulder. In: Veterinary surgery small animal volume 1, 1st ed. Missouri: Elsevier Saunders. 2012: 692-705.
  6. Schulz KS. Diseases of the joints. In: Small animal surgery, 4th ed. Missouri: Mosby Elsevier. 2013: 1255-1261.
  7. Talcott KW, Vasseur PB. Luxation of the scapulohumeral joint. In: Textbook of small animal surgery, 3rd ed. Philadelphia: Elsevier Health Sciences. 2003: 1897-1904.
  8. Wolff EF. Transposition of the biceps brachii tendon to repair luxation of the canine shoulder joint. Vet Med Small Anim Clin 1974; 1: 51-53.