Exam3: Lecture 21: Case-Study 1

Question 1

What Disease is present in this image?

Answer 1

Hip dysplasia

Question 2

For animals with Hip dysplasia, what medical and rehabilitation therapy can be used?

Answer 2

• Weight loss
  = effects can be highly significant
• NSAIDS
• Dietary changes
  = Omega 3-FA
  = decrease inflammation
  = improve peak vertical force
  = improve clinical outcome

Question 3

In animals with Hip dysplasia, what would you recommend for surgical treatment

Answer 3

• Salvage
  = Total hip replacement
  = Femoral head and neck osteotomy
• FHO also a surgical option for immature animals

Question 4

What is the medical plan for animals when medical treatment does not help the symptoms/fails to help with Hip dysplasia

Answer 4

Surgery

Question 5

What does this image show?

Answer 5

Total Hip replacement??

Question 6

What Disease is present in this image?
- pain on hyperextension
- Medial Buttress
- Positive cranial drawer + cranial tibial thrust

Answer 6

Cranial Cruciate ligament rupture

Question 7

What is the surgery on the left

Answer 7

TPLO

Question 8

What is the surgery on the right

Answer 8

TTA

Question 9

What Disease is present in this image?
- Pain on stifle palpation
- atrophy of muscles

Answer 9

Grade III/IV medial patella luxation

Question 10

What is the prognosis for an animal with MPL grade 2 and 3 surgery

Answer 10

good to excellent

Question 11

What is the prognosis for an animal with MPL grade 4 surgery

Answer 11

Guarded prognosis

Question 12

Animal presents with

History
- HBC 2 days ago
- initially stabilized at an emergency clinic
- presenting to you 2 days later

PE
- swelling
- pain
- crepitus
- No wounds notes

What is your Ddx?

Answer 12

Fracture
Fracture
Fracture

Question 13

What issue does this X-ray show?

Answer 13

Fracture of the femur

Question 14

T/F: You can use cerclage wire alone to stabilize a bone

Answer 14

FALSE

Question 15

What treatment option would you use for this dog?

Answer 15

IM pin with cerclage wire

Question 16

What are the 4 forces acting on a fracture

Answer 16

• axial compressionn
• tension
• Bending
• rotation

Question 17

What does this X-ray show?

Answer 17

Single IM pin
- best for bending forces

Question 18

What are the rules for cerclage wire?

Answer 18

• Must use a minimum of 2
• length of fracture obliquely 2-3x diameter of bone
• space wire 1/2 to 1 bone diameter apart
• Wires at least 0.5 cm from the fracture end

Question 19

What issue does this X-ray show?

Answer 19

Fracture of the femur

Question 20

What does this X-ray show?

Answer 20

IM pin with cerclage wire
Interlocking nails