A case study in advanced imaging, early diagnosis, and proactive orthopaedic care

Dennis, an English Springer Spaniel, was referred after months of mild but recurring front-leg lameness. Clinical examination and routine investigations, including X-rays, failed to identify a clear cause, but the ongoing nature of the problem prompted further investigation.

A CT scan of both elbows was performed to assess the joints in greater detail.

What the CT scan showed

CT imaging revealed:

• Bilateral incomplete ossification of the humeral condyles (IOHC), also known as humeral intracondylar fissures (HIF)

• Left medial coronoid process disease with early apical fragmentation

These findings represent tiny fissures and early joint changes that are difficult to detect on standard X-rays. IOHC is reported in around one in seven English Springer Spaniels and can significantly weaken the elbow, increasing the risk of a sudden and painful fracture if left undiagnosed.

Why early diagnosis mattered

Because the condition was identified early, Dennis was able to undergo planned preventative surgery to stabilise the affected bone and reduce the risk of catastrophic fracture. Early intervention also allows better long-term management of joint health and helps minimise the progression of arthritis.

Dennis is now on a proactive care and monitoring plan and has returned to an active, comfortable lifestyle.

Why CT scanning makes a difference

This case highlights the value of advanced veterinary CT imaging, particularly for dogs with recurrent or unexplained lameness where routine imaging is inconclusive. Having access to local CT scanning in Melton Mowbray allows earlier diagnosis, improved surgical planning, and better outcomes for patients.

If a dog has ongoing or unexplained lameness, speak to your vet about referral for further investigation.