Page 337 - Canine Lameness

Patellar ligament Any for traumatic; Radiographs and Obvious disruption Traumatic Common after TPLO Patellar tendinopathy
desmopathy athletic dogs for ultrasound to mild or no pain generally surgical, and TTA but does not
nontraumatic upon palpation nontraumatic cause lameness in
generally these patients
nonsurgical
Angular limb Large- and Radiographs (CT if Lameness and pain Surgical or Secondary patellar Tibial valgus and Genu
deformity giant-breed surgery is performed) variable nonsurgical luxation or CCLD varum/valgus
puppies management may be present
depending on
severity
Panosteitis Frequently seen in Radiographs (but may Pain on long bone Rest and pain Disease should be Other terms include
German Shepherd require CT during early palpation (more management self-limiting, if eosinophilic panosteitis,
Dogs between 5 stages) show common in clinical symptoms juvenile osteomyelitis, and
and 19 months of intramedullary thoracic limb), continue in the same enostosis or medullary
age radiodensities shifting leg leg, further imaging fibrosis
lameness should be considered
Septic arthritis Postsurgical dogs Joint fluid analysis, Moderate-to-severe Antibiotics and Dogs with preexisting
most common but culture, and physical pain on ROM, consider joint joint disease (such as
can happen in exam findings periarticular lavage; removal of arthritis) are
dogs with swelling, and implants once predisposed. A lack of
preexisting pitting limb edema bone healing fever or negative
arthritis complete culture results do not
rule out septic
arthritis
Gastrocnemius Athletic dogs but Radiographs may show Variable degree of Nonsurgical To stretch the muscle, Gastrocnemius avulsion is
myotendinopathy described in pets calcification, lameness and pain management extend the stifle and likely initial stage of the
as well enthesopathy, and upon palpation and unless acute, flex the tarsus more chronic
displacement; however, stretching of the traumatic avulsion myotendinopathy
ultrasound or MRI is muscle
needed if no
radiographic changes
are present
Long digital Athletic dogs but Palpation for luxation; Skipping lameness Nonsurgical most To stretch the muscle,
extensor described as radiographs may show with luxation, common flex the stifle, extend
tendinopathy complication after calcification asymptomatic with the tarsus, and flex
TPLO calcification the digits

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