Page 200 - Canine Lameness

Table 13.1 Key features for selected diseases affecting the carpal region.
Diagnostic test of
Disease Common signalment choice Exam findings Treatment Clinical pearls Terminology
Hyperextension All breeds Stress radiographs Increased carpal Mild injuries are protected Conservative
injury extension with a brace or splint. management most
Arthrodesis for severe often fails
injuries
Carpal bone Racing and sporting Computed Swelling and loss Bone screws placed with Use intraoperative
fractures dogs tomography of carpal flexion precision fluoroscopy to enhance
precision of screw
placement
Distal R/U Toy-breed dogs Radiographs Swelling, pain, and Surgical Fixation Frequently happen
fractures obvious instability without substantial
trauma
Antebrachial Chondrodystrophic Palpation, Varus or valgus, External fixation or bone Deformities should be Valgus = lateral
deformities dogs and physeal radiography, and length deficit, and plate treated promptly, deviation
injuries computed elbow joint before the onset of joint Varus = medial
tomography subluxation subluxation deviation
Lack or loss of Large-breed growing Gait observation Lack of extension Conservative, coaptation, Optimize growth in Flexural deformity
carpal extension dogs and goniometry and exercise growing dogs by and carpal laxity
decreasing food intake syndrome
Immune-mediated Large-breed Radiographs and Effusion, pain, and Immunosuppressive drugs Severe carpal effusion
polyarthritis (nonerosive) and arthrocentesis hyperextension and pancarpal arthrodesis suggests polyarthritis
small-breed (erosive) Instability suggests that
polyarthritis is erosive
Hypertrophic Large-breed puppies Clinical signs and Metaphyseal pain Supportive care Most patients will
osteodystrophy radiographs and swelling and recover
(HOD) hyperthermia Antebrachial
deformities can occur as
a consequence of HOD

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