Flexor enthesopathy in an Italian cane corso: diagnostic findings and treatment results

Abstract

The pathological condition of the enthesis at the medial humerus epicondyle is referred to as flexor enthesopathy. Lesions include thickening, inflammation, fibrillation, partial rupture and calcification of the enthesis. In this case report, the evolution of primary flexor enthesopathy in a 1,5-year-old Italian cane corso is described. Several medical imaging techniques, i.e. radiography, ultrasound and computed tomography were used to diagnose primary flexor enthesopathy, in this case bilaterally. An intra-articulair injection with methylprednisolone-acetate is regarded the standard treatment. The long term follow-up was evaluated based on the clinical improvement, the size of the calcification and the increase in osteoarthritis.