Clinical Evaluation of Iliopsoas Strain with Findings from Diagnostic Musculoskeletal Ultrasound in Agility Performance Canines – 73 Cases

  • Robert Cullen Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701
  • Debra Canapp Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701
  • David Dycus Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701
  • Brittany Carr Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701
  • Victor Ibrahim Regenerative Orthopedics and Sports Medicine 600 Pennsylvania Ave SE, Washington, DC 20003
  • Sherman Canapp Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701

Published:

2017-06-13

DOI

https://doi.org/10.18849/ve.v2i2.93

Abstract

Objective: Iliopsoas injury and strain is a commonly diagnosed disease process, especially amongst working and sporting canines. There has been very little published literature regarding iliopsoas injuries and there is no information regarding the ultrasound evaluation of abnormal iliopsoas muscles. This manuscript is intended to describe the ultrasound findings in 73 canine agility athletes who had physical examination findings consistent with iliopsoas discomfort. The population was chosen given the high incidence of these animals for the development of iliopsoas injury; likely due to repetitive stress.

Methods: Medical records of 73 agility performance canines that underwent musculoskeletal ultrasound evaluation of bilateral iliopsoas muscle groups were retrospectively reviewed. Data included signalment, previous radiographic findings, and ultrasound findings. A 3-tier grading scheme for acute strains was used while the practitioner also evaluated for evidence of chronic injury and bursitis.

Results: The majority of pathologies were localised to the tendon of insertion, with the majority being low grade I-II strains (80.8%). Tendon fibre disruption (71.2%) and indistinct hypoechoic lesions (91.8%) were the most common of acute changes noted. Hyperechoic chronic changes were noted in 84.9 percent of cases. Acute and chronic changes were commonly seen together (62.8%).

Conclusion: Diagnostic musculoskeletal ultrasound was used to identify lesions of the iliopsoas tendon consistent with acute and chronic injury, as well as identifying the region of pathology. The majority of agility performance dogs had low grade acute strains based on the tiered system, with mixed acute and chronic lesions being noted frequently.

Application: Diagnostic musculoskeletal ultrasound provides a non-invasive diagnostic modality for patients suspected of having an iliopsoas strain.


Open Access Peer Reviewed

Author Biographies

Robert Cullen, Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701

Intern of the Surgery Department

Debra Canapp, Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701

Owner, Medical Director

David Dycus, Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701

Surgeon

Brittany Carr, Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701

Rehabilitation and Sports Medicine Resident

Victor Ibrahim, Regenerative Orthopedics and Sports Medicine 600 Pennsylvania Ave SE, Washington, DC 20003

Director, PMRCenter

Sherman Canapp, Veterinary Orthopedic and Sports Medicine Group 10975 Guilford Rd Annapolis Junction, MD 20701

Owner, Chief of Staff

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