{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:30:07Z","timestamp":1793813407611,"version":"4.6.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg K Kleintiere Heimtiere"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The purpose of this report is to demonstrate that radiographic evaluation of the\n                    canine shoulder joint alone is not sensitive enough to detect migrated\n                    osteochondral fragments within the biceps tendon sheath, as a sequela to\n                    osteochondrosis dissecans of the caudal humeral head. A 6-months-old, male,\n                    35\u2009kg Hovawart was referred due to chronic intermittent lameness on the\n                    left forelimb. Survey radiographs revealed a semilunar radiolucency surrounded\n                    by a moderately sclerotic rim at the caudal aspect of the left humeral head,\n                    referred to as osteochondrosis dissecans. However, only computed tomography\n                    combined with ultrasonography could clearly confirm a dislodged osteochondral\n                    fragment within the left biceps tendon sheath and a consequent tenosynovitis.\n                    Arthroscopic treatment on the clinically affected left forelimb followed by an\n                    additional approach over the left biceps tendon sheath to remove the migrated\n                    fragment resulted in a complete remission of the lameness until the last\n                    follow-up one year after surgery. In our opinion, computed tomography should be\n                    applied in the medical work up of canine shoulder osteochondrosis (OC) as\n                    standard. Combined with ultrasonography, it can further aid in complete\n                    evaluation of the shoulder joint and reliable exclusion of displaced\n                    osteochondral fragments, which might also be missed during arthroscopy when\n                    located too far distally.<\/jats:p>","DOI":"10.1055\/a-2055-9436","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T18:56:24Z","timestamp":1685040984000},"page":"123-130","source":"Crossref","is-referenced-by-count":2,"title":["Detection of fragment migration into the biceps tendon sheath\n                    originating from a humeral osteochondrosis lesion \u2013 A case report and\n                    review of the literature"],"prefix":"10.1055","volume":"51","author":[{"given":"Viktoria","family":"Brandstetter","sequence":"additional","affiliation":[{"name":"Tierklinik Hofheim, Hofheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadja","family":"Wunderlin","sequence":"additional","affiliation":[{"name":"Tierklinik Hofheim, Hofheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"G\u00fcnther","sequence":"additional","affiliation":[{"name":"Tierklinik Hofheim, Hofheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/S0195-5616(98)50003-4","article-title":"Osteochondritis Dissecans of the Humeral Head","volume":"28","author":"SA Johnston","year":"1998","journal-title":"Veterinary Clinics of North America: Small Animal\n                    Practice"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"467","DOI":"10.5326\/0380467","article-title":"Breed Susceptibility for Developmental Orthopedic Diseases in Dogs","volume":"38","author":"E LaFond","year":"2002","journal-title":"Journal of the American Animal Hospital Association"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/S0195-5616(98)50002-2","article-title":"The Pathophysiology of Osteochondrosis","volume":"28","author":"S Ekman","year":"1998","journal-title":"Veterinary Clinics of North America: Small Animal\n                    Practice"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1080\/01652176.1987.9694112","article-title":"General and aetiologic factors in canine osteochondrosis","volume":"9","author":"S-E Olsson","year":"1987","journal-title":"Veterinary Quarterly"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/s0195-5616(98)50009-5","article-title":"Diagnostic imaging of osteochondrosis","volume":"28","author":"H Kippenes","year":"1998","journal-title":"Vet Clin North Am Small Anim Pract"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"84","DOI":"10.2460\/javma.1993.203.01.84","article-title":"Comparison of the diagnostic accuracy of positive-contrast arthrography and\n                    arthrotomy in evaluation of osteochondrosis lesions in the scapulohumeral joint\n                    in dogs","volume":"203","author":"H Van Bree","year":"1993","journal-title":"J Am Vet Med Assoc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"440","DOI":"10.3415\/VCOT-07-07-0068","article-title":"Joint mice migration into the deep digital flexor tendon sheath in dogs:\n                    Clinical cases and anatomical study","volume":"21","author":"C Post","year":"2008","journal-title":"Vet Comp Orthop Traumatol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1053\/jvet.2001.20336","article-title":"Ultrasonography for the diagnosis of diseases of the tendon and tendon sheath of\n                    the biceps brachii muscle","volume":"30","author":"M Kramer","year":"2001","journal-title":"Veterinary Surgery"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1111\/j.1740-8261.1993.tb02013.x","article-title":"Bicipital tenosynovitis in the dog-evaluation with positive contrast\n                    arthrography","volume":"34","author":"P Y Barthez","year":"1993","journal-title":"Veterinary Radiology & Ultrasound"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/S0091-0279(71)50051-X","article-title":"Osteochondritis Dissecans of the Shoulder Joint of the Dog","volume":"1","author":"RL Leighton","year":"1971","journal-title":"Veterinary Clinics of North America"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1111\/vru.12670","article-title":"Computed tomographic arthrography is a useful adjunct to survey computed\n                    tomography and arthroscopic evaluation of the canine shoulder joint","volume":"59","author":"C R Eivers","year":"2018","journal-title":"Vet Radiol Ultrasound"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1136\/vr.150.14.442","article-title":"Radiographic, computed tomographic and arthroscopic findings in 23 dogs with\n                    osteochondrosis of the tarsocrural joint","volume":"150","author":"I Gielen","year":"2002","journal-title":"Veterinary Record"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1111\/vru.12089","article-title":"Prevalence of computed tomographic subchondral bone lesions in the\n                    scapulohumeral joint of 32 immature dogs with thoracic limb lameness:\n                    Subchondral Lesions in Dogs on Scapulohumeral CT","volume":"55","author":"R Lande","year":"2014","journal-title":"Veterinary Radiology & Ultrasound"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1111\/j.1740-8261.2006.00125.x","article-title":"Comparison of the ultrasonographic appearance of osteochondrosislesions in the\n                    canine shoulder with radiography, arthrography, and arthroscopy","volume":"47","author":"B Vandevelde","year":"2006","journal-title":"Vet Radiol Ultrasound"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/j.1740-8261.1999.tb02129.x","article-title":"Ultrasonographic evaluation of the canine shoulder","volume":"40","author":"C D Long","year":"1999","journal-title":"Veterinary Radiology & Ultrasound"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.2460\/javma.1993.202.07.1099","article-title":"Pathologic correlations with magnetic resonance images of osteochondrosis\n                    lesions in canine shoulders","volume":"202","author":"H Van Bree","year":"1993","journal-title":"J Am Vet Med Assoc"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1111\/j.1748-5827.1993.tb03529.x","article-title":"Successful arthroscopic treatment of shoulder osteochondrosis in the dog","volume":"34","author":"B Van Ryssen","year":"1993","journal-title":"J Small Animal Practice"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/S0195-5616(98)50010-1","article-title":"Diagnostic and Surgical Arthroscopy in Osteochondrosis Lesions","volume":"28","author":"HJ J Van Bree","year":"1998","journal-title":"Veterinary Clinics of North America: Small Animal\n                    Practice"},{"key":"ref19","first-page":"23","volume-title":"Arthroscopically Assisted Surgery of the Shoulder Joint. In: Small Animal\n                    Arthroscopy","author":"B S Beale","year":"2003"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1111\/j.1532-950X.2008.00489.x","article-title":"Radiographic and Arthroscopic Findings in the Elbow Joints of 263 Dogs with\n                    Medial Coronoid Disease","volume":"38","author":"N Fitzpatrick","year":"2009","journal-title":"Veterinary Surgery"},{"key":"ref21","first-page":"136","volume-title":"Approach to the craniomedial region of the shoulder joint. In: An Atlas of\n                    Surgical Approaches to the Bones and Joints of the Dog and Cat","author":"D L Piermattei","year":"2004"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1111\/j.1740-8261.1985.tb01400.x","article-title":"The supinated mediolateral radiograph for detection of humeral head\n                    osteochondrosis in the dog","volume":"26","author":"T F Callahan","year":"1985","journal-title":"Veterinary Radiology"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/vru.12179","article-title":"Diagnostic sensitivity of radiography, ultrasonography, and magnetic resonance\n                    imaging for detecting shoulder osteochondrosis\/osteochondritis dissecans\n                    in dogs: Imaging Modalities In Shoulder Osteochondrosis","volume":"56","author":"C R Wall","year":"2015","journal-title":"Vet Radiol Ultrasound"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1111\/j.1740-8261.1992.tb00157.x","article-title":"Osteochondrosis lesions of the canine shoulder: correlation of positive contrast\n                    arthrography and arthroscopy","volume":"33","author":"H Van Bree","year":"1992","journal-title":"Veterinary Radiology & Ultrasound"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1111\/j.1532-950X.2007.00364.x","article-title":"Prospective Evaluation of Techniques for Differentiating Shoulder Pathology As a\n                    Source of Forelimb Lameness in Medium and Large Breed Dogs","volume":"37","author":"S M Cogar","year":"2008","journal-title":"Vet Surgery"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1111\/j.1532-950X.1989.tb01068.x","article-title":"Arthroscopic Treatment of Osteochondritis Dissecans in the Canine Shoulder","volume":"18","author":"MW Person","year":"1989","journal-title":"Vet Surgery"},{"key":"ref27","first-page":"262","volume-title":"The Shoulder Joint. In: Piermattei DL,, Flo GL, Hrsg. Handbook of Small Animal\n                    Orthopedics and Fracture Repair","author":"W O Brinker","year":"2006"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1111\/j.1532-950X.2008.00429.x","article-title":"Magnetic Resonance Imaging Findings in Dogs with Confirmed Shoulder\n                    Pathology","volume":"37","author":"S E Murphy","year":"2008","journal-title":"Veterinary Surgery"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1055\/s-0037-1616590","article-title":"Arthroscopic treatment of osteochondritis dissecans of the shoulder in 126\n                    dogs","volume":"20","author":"M Olivieri","year":"2007","journal-title":"Vet Comp Orthop Traumatol"}],"container-title":["Tier\u00e4rztliche Praxis Ausgabe K: Kleintiere \/ Heimtiere"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2055-9436.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:29:10Z","timestamp":1764160150000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2055-9436"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":29,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,5,25]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2055-9436","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1434-1239","2567-5842"],"issn-type":[{"value":"1434-1239","type":"print"},{"value":"2567-5842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}