Page 338 - Canine Lameness
P. 338

Septic
                Stifle luxation  Visible                                         arthritis
              History of trauma  Fracture  abnormality         Consider to establish  Myotendino–
                                                                                 pathies
                               Stifle joint
                                                                  diagnosis
                              dislocation
                                                      X-rays
                 Patellar    Fracture/fissure         normal/    Arthrocentesis
                 ligament       line        X-rays     joint                   Meniscal tears
                desmopathy                 abnormal   effusion
                                                       only
                            Proximally displaced                                Collateral/
               Cranial or caudal  patella                        Ultrasound/MRI  patellar
               cruciate ligament                                               ligament injury
                 deficiency
                             Cranial or caudal
                             tibial displacement                Stress radiographs  Caudal cruciate
               Patellar luxation                 Pain in                        ligament
                (Grade 2–4)                       stifle                        deficiency
                             Dislocated patella  region
                                                                    CT
               CCLD, OCD, and                                                    OCD
               patellar luxation  Osteoarthritis
                 Osseous                                          Palpation     Minimally
                deformities/  Angular limb       Regional                       displaced  trauma  History of
                               deformity
                 premature                    (myo)tendinopathies:               fracture
               physeal closure               • Long digital extensor
                                               • Gastrocnemius
                              Lytic lesion                          FNA        Patellar luxation
                 Osseous                                                       (Grade 1–3)
                 neoplasia
                             Radiographically
                             visible calcification
                 Avulsion                                                       Soft tissue
                 fragment,                                                      neoplasia
                Meniscal/LDE
                calcification
            Figure 19.1  Schematic of common diseases affecting the stifle region and the steps necessary to establish a diagnosis.
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