Exam3: Lecture 22: Case-Study 2

Question 1

What issue is shown in the Xray

Answer 1

Fragmented coronoid process

Question 2

What technique can be used in dogs with FCP
- preferred by many, including Dr. G
- Minimally invasive
- better visualization
- diagnose and treat if present

Answer 2

Arthroscopy / Arthrotomy

Question 3

What technique can be used for dogs with FCP
- excellent diagnostic tool for bone
- very expensive
- useful in uncommon breeds / older animals

Answer 3

CT

Question 4

What type of imagining technique is this?

Answer 4

CT of the elbows

Question 5

What treatment options are available for FCP

Answer 5

Medical
- some reports claim equal to surgery

Surgery
- Arthroscopy / arthrotomy
= fragment removal and debride
= +/- ulnar osteotomy

• Subtotal coronoidectomy

Question 6

What issue is shown in the Xray
- Grade III/IV on the left forelimb
- Noticeable head bob when walking
- Pain on hyperextension and hyperflexion of the left shoulder

Answer 6

Osteochondrosis dissecans

Question 7

What treatment options are available for Osteochondritis dissecans

Answer 7

Surgical management
- surgical removal of the loose osteo-chondral flap via arthrotomy or arthroscope
- Debridement of exposed subchondral bed

Question 8

What issue is shown in the Xray
- Stiff after sleeping
- right limb lameness that worsens after exercise
- Right stifle effusion and crepitus

Answer 8

• the rDVM did an arthrocentesis two days prior to presentation
• Stifle: lateral, then medial femoral condyle
• prognosis is guarded to fair

Question 9

What issue is shown in the Xray
- 6.5 mo old german shepherd presents with forelimb lameness and clinical signs referable to the elbow

Answer 9

UAP

• Unattinuated ulnar process

Question 10

What are the treatment options for UAP

Answer 10

best option is fragment removal
- bandage
- restricted activity