🔍 Key Findings
- A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
- A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
- Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
- A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
- In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
- Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
- Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
- The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.
Simini Surgery Review Podcast
🔍 Key Findings
- A novel caudo-medial arthroscopic portal allowed visualization of previously undescribed cartilage lesions on the caudal medial humeral condyle.
- A consistent focal cartilage lesion (HA lesion) was observed in 100% of elbows with HIF (21/21), but in none of the 31 elbows without HIF.
- Lesions varied from indentations to full-thickness cartilage loss, typically elliptical and located just medial to the humeral condyle isthmus.
- A clunk-like sensation and dynamic engagement of the anconeal process into the lesion were observed in 16/21 elbows with HIF during elbow manipulation.
- In 5/21 elbows, engagement of the anconeal process led to observable widening of the HIF line, suggesting dynamic instability.
- Findings support a novel concept of humero-anconeal incongruity as a contributor to the pathogenesis of HIF.
- Spaniel breed was not a confounder—the lesion was only present in elbows with HIF, regardless of breed.
- The study suggests potential for using arthroscopy as a screening tool for early detection of humero-anconeal incongruity and HIF risk.
Simini Surgery Review Podcast
Know What Matters in the Literature - and Why
We distill peer-reviewed surgical studies into clinically relevant summaries and
exam-style questions, so you can make informed decisions with confidence.
Free Access. No Spam. Just Smarter Surgical Learning
Multiple Choice Questions on this study
Access the full library of surgical summaries and exam-style questions.
Educational content developed independently and supported by Simini.
The maker of Simini Protect Lavage.