Visit to learn about the anatomy, clinical signs, diagnosis, treatment and cost to treat canine elbow dysplasia. At Colorado Canine Orthopedics our orthopedic veterinary specialty team includes four board certified veterinary surgeons with over 50 years of combined experience. All of our surgeons are Diplomates of the American College of Veterinary Surgeons. In the worst cases, all of the cartilage on the medial (innermost) aspect of the joint is worn away, again both on the medial humeral condyle and the non-fragmented portion of the coronoid, resulting in what is now termed medial compartment disease. Unfortunately, this can occur in dogs as young as 1 year of age. In previous years, there was little that could be done for dogs with medial compartment disease. Now we have a procedure that looks very promising. The procedure is called Sliding Humeral Osteotomy or SHO.