Pilot Clinical Trial to Evaluate In Situ Calcium Phosphate Cement Injection for Conservative Surgical Management of Appendicular Osteosarcoma in Dogs.

Cementoplasty is a minimally invasive procedure that consists of injecting a bone substitute into the tumor lesion to provide bone reinforcement and alleviate pain. This study aimed to demonstrate the feasibility, safety, and efficacy of cementoplasty with a calcium phosphate cement in osteosarcoma to reduce pain and preserve limb function. Throughout the 6-month study, dogs received no adjuvant therapy, and dogs' evaluations included a clinical examination, monitoring of postoperative complications, radiographic follow-up, and assessment of limb function and pain scores. Out of 12 dogs enrolled, 10 were withdrawn before study completion due to deterioration in their general condition. Nine (9) dogs were followed until D28, six until D56, and two until D183. Compared to D0, more than 50% of the dogs showed improvement in both veterinarian and owner scores at their final visit. Throughout the study, 10 major and 4 minor complications were reported, all unrelated to the procedure. This open non-controlled study provides first evidence of the feasibility, safety, and efficacy of cementoplasty procedure using a calcium phosphate bone cement to relieve pain and preserve limb function in dogs suffering from appendicular osteosarcoma.

Radiographic and computed tomographic evaluation of supinator sesamoid bones in dogs.

BACKGROUND: The present study evaluated the frequency of supinator sesamoid bones (SSB) on radiography and computed tomography (CT). Interobserver agreement was evaluated in the detection of the SSBs in both methods. A correlation between the existence of SSBs and elbow diseases (ED) was assessed. For these purposes, radiographs, and CT scans of 100 dogs were scored by 3 observers. RESULTS: The SSB was identified as a round to oval-shaped opacity and measured 0.5-6.56 mm × 0.5-6.2 mm. SSBs were reported in an average of 8,33% of dogs on radiographs and 26% of dogs on CT; a bilateral sesamoid bone was present in 43,52% and 76,92% of these dogs, respectively. Seventy-two percent of the SSBs was identified on CT were not detected on radiographs. The Kappa test showed a substantial agreement (κ = 0.691) and a perfect agreement (κ = 1) between the observers in the detection of SSBs on radiography and on CT scans respectively. Additionally, a weak positive correlation was detected between ED and the existence of SSBs. CONCLUSION: A supinator sesamoid bone can be detected occasionally in the evaluation of the canine elbow joints by routine radiography. CT is superior to radiography for assessing SSBs with a higher interobserver agreement. The correlation of the existence of the SSBs and ED, needs further evaluations to prove a probable pathophysiological connection.

Ultrasonographic and anatomic study of the canine elbow joint.

OBJECTIVE: To (1) assess the canine elbow joint using a high frequency transducer (18 MHz); (2) describe the echogenicity and echo texture of the joint; and (3) correlate the ultrasonographic images with transparent plastinated anatomic sections. DESIGN: Descriptive study. SAMPLE POPULATION: German Shepherd cross-breed dogs (cadavers, n = 10; live dogs, n = 5). METHODS: Elbow joints of 10 adult German Shepherd cross-breed dog cadavers were examined by ultrasonography and then 5 cadavers were selected for use in an anatomic study, in which 2 mm thick sections were obtained in the same planes as in the ultrasonographic protocol. Sections were plastinated using the E-12 plastination method and correlated to the corresponding ultrasonographic images. The elbow joints of 5 German Shepherd adult dogs were assessed by ultrasonography for comparison with cadaver images. RESULTS: Good correspondence of soft tissue and bone structures was obtained between ultrasound images and anatomic sections. There was no difference in the ultrasonographic appearance of elbows of cadavers and live dogs in which the muscular, ligamentous, and bone components of the joints were evaluated. CONCLUSION: This study presents a descriptive comparison of anatomic and ultrasonographic images, which will offer clinicians a more comprehensive understanding of the anatomic structures of the canine elbow joint and serve as reference for further imaging diagnostic studies because of the precise correspondence between anatomic plastinated sections and ultrasonographic images.