Page 176 - Canine Lameness

Consider to establish
diagnosis Septic arthritis
Arthrocentesis
Soft tissue
Fracture injury
Ultrasound and/or
NO visible MRI
Traumatic soft Abnormality abnormality Sesamoid
History of trauma Flexor tendon Visible NORMAL CT fracture trauma History of
tissue injury
--
X-rays
pathology
abnormality
Osseous displacement
Soft tissue
Traumatic digit FNA neoplasia
luxation Soft tissue swelling
Pain in
Pyoderma, NO visible Digit
trauma, etc. Displaced digits distal limb abnormality neoplasia
region
-- Abnormality
Paronychia, X-rays
trauma, etc. Skin pathology ABNORMAL
Lytic lesion Fracture
Infection,
neoplasia, etc.
Nail pathology
Fracture line Neoplasia,
Osteoarthritis osteomyelitis and
hypertrophic
Periarticular swelling
Periosteal reaction osteopathy
Neurologic
disease and pain
Worn toe nails
Degenerative changes Osteoarthritis
Enthesopathy
Chronic collateral
ligament sprain
Figure 12.1 Schematic of common diseases affecting the distal limb region and the steps necessary to establish a diagnosis.