Page 312 - Canine Lameness

Septic
Tarsal luxation
arthritis
Visible
History of trauma Fracture abnormality Consider to establish polyarthritis
Immune-
mediated
Tarsal joint
diagnosis
dislocation
Collateral
ligament/ Fracture/fissure X-rays X-rays Arthrocentesis Soft tissue
line
injury
shearing injury abnormal normal
Medial/lateral soft
CCT tissue swelling Ultrasound/MRI Dorsal/plantar
tendinopathy/ tarsal joint
SDF-luxation instability
Soft tissue swelling
at CCT-insertion
Pain in Stress radiographs Collateral
Osteoarthritis Articular tarsal ligament injury History of trauma
degenerative region
changes
Osseous CT Minimally
deformities/ Angular limb displaced
premature deformity fracture
physeal closure
Defects or Visual observation
osteochondral flap Regional myotendinopathies: examination OCD
OCD • Gastrocnemius
• Superficial digital flexor
Lytic lesions (may also luxate)
FNA Idiopathic tarsal
Osseous hyperflexion/
neoplasia Soft tissue -extension
calcification
Soft tissue
DDF joint mouse/ neoplasia
chronic CCT
injury
Figure 18.1 Schematic of common diseases affecting the tarsal region and the steps necessary to establish a diagnosis.