Page 201 - Canine Lameness
P. 201

Septic arthritis
              Carpal luxation  Visible
            History of  trauma  abnormality                       Consider to establish  polyarthritis
                                                                                    Immune-
                                                                                    mediated
                Fracture      Carpal joint                           diagnosis
                              dislocation
                                                                   Arthrocentesis  Non-calcifying
                                             X-rays    X-rays
               Incomplete                   abnormal   normal                      tendinopathy
               ossification of  Fracture/fissure line
               radial carpal
                 bone                                              Ultrasound/MRI   Carpal
                                                                                  hyperextension
                           Articular degenerative
               Osteoarthritis  changes
                                                                  Stress radiographs  Collateral
                                                  Pain in                         ligament injury
                Osseous       Angular limb        carpal
               deformities/    deformity          region
               premature                                                           Incomplete
              physeal closure                                         CT           ossification of
                                                                                   radial carpal
                              Lytic lesion                                           bone
                Osseous
                neoplasia                                         Visual observation/  Minimally
                              Soft tissue                           examination     displaced  trauma  History of
                              calcification   Regional tendinopathies:              fracture
                                               • Flexor carpi ulnaris
                Calcifying                    • Abductor pollicis longus
               tendinopathy                                           FNA
                             “Double physis”                                      Flexor deformity  dog  Juvenile
               Hypertrophic
              osteodystrophy
                                                                                   Soft tissue
                                                                                    neoplasia
          Figure 13.1  Schematic of common diseases affecting the carpal region and the steps necessary to establish a diagnosis.
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