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overground locomotory function in the most rapid and comfortable
manner. Return of limb function may be assisted through promoting
swimming, or wading through water in a water treadmill, or through
activities on obstacle courses that encourage marked excursions of
the treated diseased joint. Throughout the rehabilitation programme the
progress of the patient should be closely monitored. Regardless of
the rehabilitation methods used, the primary outcome measure should
be an assessment of the function of the limb when the patient is walking
and running, since ability to return to normal function in these important
activities is the goal of the arthroscopic procedure and of the postopera-
tive care.

Further reading

Bardet, J.F. (1998) Diagnosis of shoulder instability in dogs and cats: a retrospec-
tive study. Journal of the American Animal Hospital Association 34, 42–54.
Beale, B.S., Hulse, D.A., Schulz, K. and Whitney, W.O. (2003) Small Animal
Arthroscopy. Saunders, Philadelphia, PA.
Burton, N.J., Perry, M.J., Fitzpatrick, N. and Owen, M.R. (2010) Comparison
of bone mineral density in medial coronoid processes of dogs with and without
medial coronoid process fragmentation. American Journal of Veterinary
Research 71, 41–46.
Chow, J.C.Y. (2001) Advanced Arthroscopy. Springer Verlag, Berlin.
Danielson, K.C., Fitzpatrick, N., Muir, P. and Manley, P.A. (2006) Histomor-
phometry of fragmented medial coronoid process in dogs: a comparison of
affected and normal coronoid processes. Veterinary Surgery 35, 501–509.
Fitzpatrick, N. and Yeadon, R. (2009) Working algorithm for treatment decision
making for developmental disease of the medial compartment of the elbow in
dogs. Veterinary Surgery 38, 285–300.
Fitzpatrick, N., Yeadon, R. and Smith, T.J. (2009) Early clinical experience with
osteochondral autograft transfer for treatment of osteochondritis dissecans of
the medial humeral condyle in dogs. Veterinary Surgery 38, 246–260.
Fitzpatrick, N., Smith, T.J., Evans, R.B., O’Riordan, J. and Yeadon, R. (2009)
Subtotal coronoid ostectomy for treatment of medial coronoid disease in 263
dogs. Veterinary Surgery 38, 233–245.
Gielen, I., Van Ryssen, B., Coopman, F. and van Bree, H. (2007) Comparison of
subchondral lesion size between clinical and non-clinical medial trochlear ridge
talar osteochondritis dissecans in dogs. Veterinary and Comparative Ortho-
paedics and Traumatology 20, 8–11.
Kunkel, K.A. and Rochat, M.C. (2008) A review of lameness attributable to the
shoulder in the dog: part one. Journal of the American Animal Hospital Asso-
ciation 44, 156–162.
Kunkel, K.A. and Rochat, M.C. (2008) A review of lameness attributable to the
shoulder in the dog: part one. Journal of the American Animal Hospital Asso-
ciation 44, 163–170.
Lapish, J. and Van Ryssen, B. (2006) Arthroscopic equipment. In BSAVA Manual
of Canine and Feline Musculoskeletal Disorders, Houlton, J.E.F., Cook, J.L.,