8 - Stifle Disorder

Question 1

Cranial cruciate ligament rupture is most common in what breed

Answer 1

Labrador Rottweiler

Question 2

Cranial cruciate ligament rupture seen in what types of dogs

Answer 2

Large and overweight

Question 3

Cranial cruciate ligament rupture is more likely in male or femal

Answer 3

Female

Question 4

One of the consequences of CCL rupture is

Answer 4

Progression of OA

Question 5

CCLR

Answer 5

Cranial cruciate ligament rupture

Question 6

CCLR surgical treatments are associated with

Answer 6

Improved function and stabilitzation of the stifle

Question 7

C/S of CCLR

Answer 7

Slow degenerative, lameness, pain on passive motion of stifle, joint effusion, thickened joint, cranial drawer instability, meniscal click

Question 8

What is medial buttress associated with

Answer 8

CCLR

Question 9

Meniscal click you feel for with what disease

Answer 9

CCLR

Question 10

CCLR Pathophysiology

Answer 10

Trauma, structural deformity, pre existing degeneration

Question 11

What are the four land marks of cranial drawer model

Answer 11

Patella, Lateral fablea, tibial tuberosity, fibular head

Question 12

Medial meniscal injury in CCL Pathogenesis

Answer 12

Firm attachment of medial meniscus to tibia render its susceptible to damage from cranial tibial subluxation along with greater weight bearing

Question 13

What dogs do not need surgical management of CCL

Answer 13

Cannot tolerate GA, no lameness, no joint effusion

Question 14

Another name for modified retinacular imbrication

Answer 14

Flo

Question 15

The modified retinacular imbrication used to prevent

Answer 15

Constant sub lux of tibia

Question 16

TPLO

Answer 16

Tibial plateau leveling osteotomy

Question 17

TPLO is best in

Answer 17

Larger dogs

Question 18

TPLO does

Answer 18

Attempts to overcome the tendency for cranial tibial thrust during weight bearing by changing the angle of teh tibial plateau

Question 19

With a TPLo the rehab is

Answer 19

Delayed for a period of readjustment

Question 20

CBLO

Answer 20

Cora based leveling osteotomy

Question 21

How is CBLO different than TPLO

Answer 21

Osteotomy is distal to the joint

Question 22

CBLO may be better in what patients

Answer 22

Young - growth plate

Question 23

Tibial tuberosity advancement

Answer 23

Turn tibial tuberosity to 90 degree angle to result in compression rather than shear force

Question 24

Stability of the femoropatellar joint depends on

Answer 24

Alignment of quadriceps muscle complex and underlying bone

Question 25

Medial patella luxation is

Answer 25

Malalignment of the quadriceps complex result in the malrotation of femur and tibia

Question 26

Most patients with medial patella luxation are born with

Answer 26

Reduced patella that starts to rotate medially

Question 27

What is Grade 1

Answer 27

Push out physically but goes right back in

Question 28

What is grade 2 medial patella luxation

Answer 28

Goes out on own but pops back in to own

Question 29

What is grade 3 medial patella luxation

Answer 29

Luxated but doctor can push it back in

Question 30

What is grade 4 medial patella luxation

Answer 30

Luxated and cannot be reduced

Question 31

With grade 4 medial patella luxation what becomes a flexor muscle

Answer 31

Quadriceps

Question 32

Medial patellar luxation is in what breeds

Answer 32

Toy and mini

Question 33

Lateral patellar luxation is seen in what breeds

Answer 33

Large, and chondystsropic dogs

Question 34

With grade 1 medial patella luxation what is the lameness

Answer 34

Little to none

Question 35

medial patella luxation diagnosis

Answer 35

Palpate tibial tuberosity, feel trochlear groove, ROM

Question 36

If grade 3 or 4 what surgical treatment could u do

Answer 36

Recession trochleoplasty

Question 37

medial patella luxation capsulectomy

Answer 37

Remove redundant tissue

Question 38

medial patella luxation desmotomy

Answer 38

Grade 3 or 4, medial release

Question 39

medial patella luxation Tenotomy

Answer 39

Grade 4

Question 40

2 types of recession trocheloplasty

Answer 40

V wedge and block

Question 41

Which recession trochleoplasty is more common

Answer 41

Block

Question 42

Tibial tuberosity transposition changes the

Answer 42

Alignment of the extensor mechanism relative to the femoral trochlea

Question 43

Tibial tuberosity transposition may be used to correct

Answer 43

medial patella luxation and lateral

Question 44

medial patella luxation capsulectomy

Answer 44

Arthrotomy on redundant side, remove a strip of joint capsule, suture

Question 45

medial patella luxation desmotoomy

Answer 45

Medial release, incisor of the shortened femoropatellar ligament