Elbow Dysplasia

Elbow dysplasia in dogs is a common, inherited developmental abnormality where the three elbow bones do not fit together perfectly, causing abnormal forces, cartilage damage, pain, and arthritis. Symptoms, including front limb lameness, stiffness, and pain, usually appear between 5 and 18 months, often affecting both legs.

 

Key Facts & Management:

  • Causes: Primarily genetic, often seen in large, fast-growing breeds.
  • Conditions: Includes Fragmented Coronoid Process (FCP), Ununited Anconeal Process (UAP), Osteochondrosis (OCD), and Joint Incongruity.
  • Diagnosis: Requires veterinary examination, x-rays, and often CT scans.
  • Treatment: Can involve surgical removal of fragments (via arthroscopy) or conservative management including weight management, pain medication, and physiotherapy.
  • Prognosis: While not curable, early diagnosis and treatment can significantly help manage the condition and improve comfort.

Symptoms of Elbow Dysplasia:

  • Limping or stiffness in the front legs, usually worse after exercise.
  • Front paws turning outwards.
  • Reluctance to exercise or play.
  • Swollen or painful elbows.

Management and Treatment:

  • Weight Management: Keeping the dog lean is essential to reduce load on the joint.
  • Controlled Exercise: Low-impact exercise helps maintain muscle mass without overstressing the joint.
  • Surgery: Often recommended to remove loose bone fragments, which can be done via minimally invasive arthroscopy.
  • Medical Management: Non-steroidal anti-inflammatory drugs (NSAIDs), pain relief, and joint supplements (e.g., Omega-3, glucosamine) are often required to treat secondary arthritis.

If your dog is showing signs of limping or stiffness in the front limbs, it is essential to consult with a veterinarian for a proper diagnosis.


Ripley's Experience:

SURGERY: Proximal Abducting Ulna Osteotomy (PAUL): A bone-cutting technique to re-align the joint and reduce pressure, often used in younger dogs.

  • Surgery Date: 31/3/2014
  • Age: 10 months

The issues Ripley had since P.A.U.L. surgery...

  • 2014 + Forelimb lameness
  • 2014 - Broken canines
  • 2016 + Progressive Chronic Osteoarthritis in right elbow and right forepaw
  • 2017 - Fractured teeth due to tripping as he was unable to bend his right forelimb 
  • Off loading - this potentially increased the risk & / or caused his interdigital cysts, CCL ruptures ? 

Things Ripley's needed since P.A.U.L. surgery & perhaps as a result of the P.A.U.L. surgery...?

Veterinary Interventions:

  • 2015 - Dental Surgery
  • 2016 - Stem Cell / PRP injections
  • 2017 - Dental Surgery
  • 2017 - Cartrophen Injections
  • 2018 - Dental Surgery
  • 2018 - Cartrophen Injections
  • 2019 - Elbow Joint debridement
  • 2019 - TPLO Surgery (L)
  • 2021 - Elbow Arthcropsy
  • 2023 - Stem Cell / PRP Injections
  • 2023 - TPLO Surgery (R)
  • 2023 - Laser Fusion Podoplasty
  • 2025 - Laser Ablation (R)

Minimum bi-monthly therapy from 2014 - 2026

  • Physiotherapy
  • Hydrotherapy
  • Osteopathy
  • Acupuncture
  • Red Light Therapy