In Class Cases

Question 1

What was the main issue with Sienne?

Answer 1

bilateral carpal osteoarthritis

Question 2

What was wrong with the LF of Sienne?

Answer 2

3rd carpal bone lysis and osteophytes

OA in midcarpal joint

proximal cannon suspensory ligament issues (radiopaque)

Question 3

What was wrong with the RF of Sienne?

Answer 3

mild OA, osteophytes in midcarpal joint

Question 4

What was the DDX of Sienne?

Answer 4

carpal osteoarthritis, LF > RF

osteophytes, 3rd carpal remodeling

LF suspensory demitis

Question 5

What were the recommendations for Sienne?

Answer 5

U/S LF suspensory ligament

inject midcarpal joint

continue firocoxib

further workup on LH

Question 6

What was the first issue with Buck?

Answer 6

effusion of medial femorotibial compartment in the right stifle

Question 7

What was Buck first treatments?

Answer 7

corticosteroid injections

hyaluronic acid (large component of synovial fluid) (deteriorates with inflammation)

Amikacin (antibiotic)

Question 8

What were the radiographs like for Buck?

Answer 8

cranial caudal radiograph of stifle

osteophyte on tibia

enthesophyte on femur at origin of medial collateral ligament

Question 9

What was is like at the lateral part of the stifle on Buck?

Answer 9

no extra noticeable change

Question 10

What did the hock radiographs of Buck show?

Answer 10

decreased joint space in distal intertarsal joint

bone spavin, OA

Question 11

What did Buck’s DLPMO show?

Answer 11

CTB osteophyte

Question 12

What was Buck like 1 month later?

Answer 12

still lame after firocoxib, injections and rest

U/S stifle after seeing subchondral bone cyst in medial tibial in rads

still feeling effusion

cartilage irregularity, bone spurs, cellular debris in joint space

Question 13

What was the treatment for Buck a month later?

Answer 13

IRAP, polyacrylamide gel

arthamid and Noltrex

injected distal hock joints

Question 14

What were the main problems with Jasper?

Answer 14

lame all the way down after upper limb flexion (positive on left and right)

effusion in medial femorotibial compartment

history of sore feet, short cranial phase, increases hip excursion

needed shoeing changes but no changes to navicular bone

Question 15

What did the DP rad of the right tarsus of Jasper show?

Answer 15

mild OA of distal joints

wouldn’t cause severe lameness

Question 16

What did the cranial caudal rads of Jasper show?

Answer 16

medial condyle subchondral bone cysts

indentation on medial condyle

Question 17

What was the treatment for Jasper?

Answer 17

update shoeing

firocoxib

adequan