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Questions and Answers
Questions and Answers
What is the most common clinical presentation of carpal hyperextension injury?
What is the most common clinical presentation of carpal hyperextension injury?
- Variable lameness (correct)
- Joint effusion
- Soft tissue swelling
- Hyperextended stance
What is the main purpose of partial carpal arthrodesis in the treatment of carpal hyperextension injury?
What is the main purpose of partial carpal arthrodesis in the treatment of carpal hyperextension injury?
- To remove cartilage from the joint
- To restore normal radiocarpal joint
- To perform full fusion of all carpal bones
- To preserve motion of the carpus (correct)
How long does it typically take for a partial carpal arthrodesis to fuse and provide clinical union?
How long does it typically take for a partial carpal arthrodesis to fuse and provide clinical union?
- 2-4 weeks
- 4-6 weeks
- 8-12 weeks
- 12-16 weeks (correct)
What are the components of elbow dysplasia?
What are the components of elbow dysplasia?
Which diagnostic imaging technique can be used to look for concurrent collateral damage in carpal hyperextension injury?
Which diagnostic imaging technique can be used to look for concurrent collateral damage in carpal hyperextension injury?
What is the main purpose of pancarpal arthrodesis in the treatment of carpal hyperextension injury?
What is the main purpose of pancarpal arthrodesis in the treatment of carpal hyperextension injury?
What is the suggested aftercare for Hyperextension injury
What is the suggested aftercare for Hyperextension injury
What is the purpose of the orthovet brace in treating carpal hyperextension injury?
What is the purpose of the orthovet brace in treating carpal hyperextension injury?
Which condition is NOT associated with conditions of the Carpus and Metacarpals?
Which condition is NOT associated with conditions of the Carpus and Metacarpals?
What is the typical onset of lameness in large- and giant-breed, fast-growing dogs with elbow dysplasia?
What is the typical onset of lameness in large- and giant-breed, fast-growing dogs with elbow dysplasia?
What is the most common complication of ulna osteotomy in dogs with radial-ulna incongruence?
What is the most common complication of ulna osteotomy in dogs with radial-ulna incongruence?
What is the primary theory on the cause of fragmented medial coronoid process (MCP) in dogs?
What is the primary theory on the cause of fragmented medial coronoid process (MCP) in dogs?
What is the most sensitive diagnostic tool for diagnosing elbow dysplasia in dogs?
What is the most sensitive diagnostic tool for diagnosing elbow dysplasia in dogs?
What percentage of dogs treated with arthroscopy for fragmented medial coronoid process (MCP) experience increased long-term lameness?
What percentage of dogs treated with arthroscopy for fragmented medial coronoid process (MCP) experience increased long-term lameness?
What is the typical age range for complete ossification of the anconeal process in dogs?
What is the typical age range for complete ossification of the anconeal process in dogs?
What is the goal of flap removal in the treatment of osteochondritis dissecans (OCD) in dogs?
What is the goal of flap removal in the treatment of osteochondritis dissecans (OCD) in dogs?
What is the main purpose of abrasion arthroplasty in the treatment of medial compartment disease in dogs?
What is the main purpose of abrasion arthroplasty in the treatment of medial compartment disease in dogs?
What is the diagnostic method of choice to determine if there is radial-ulna incongruence in dogs?
What is the diagnostic method of choice to determine if there is radial-ulna incongruence in dogs?
What is the typical prognosis for elbow dysplasia regardless of intervention?
What is the typical prognosis for elbow dysplasia regardless of intervention?
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Study Notes
Study Notes
Carpal Hyperextension Injury
- Common clinical presentation includes pain, swelling, and reduced range of motion in the carpal joint.
- Partial carpal arthrodesis aims to stabilize the joint by fusing it, reducing pain and restoring function.
- Fusion after partial carpal arthrodesis typically takes around 3 to 6 months for clinical union.
- Pancarpal arthrodesis is performed to provide complete stability to the carpus in severe cases of hyperextension injury.
Elbow Dysplasia
- Components of elbow dysplasia include fractured medial coronoid process (MCP), ununited anconeal process, and elbow incongruity.
- Large- and giant-breed, fast-growing dogs often show lameness onset between 4 to 12 months of age.
- The most sensitive diagnostic tool for elbow dysplasia is radiography, especially with stress views.
- A common complication of ulna osteotomy in dogs with radial-ulna incongruence is persistent lameness.
Treatment and Management
- Suggested aftercare for hyperextension injury may include rest, physical rehabilitation, and monitoring for complications.
- The Orthovet brace serves as a stabilizing mechanism to limit motion and promote healing in carpal hyperextension.
- Abrasion arthroplasty treats medial compartment disease by creating microfractures in the joint surface to stimulate healing.
- Flap removal in osteochondritis dissecans (OCD) aims to alleviate pain and restore joint function.
- Diagnostic method of choice for radial-ulna incongruence involves comprehensive radiographic evaluation.
Prognosis and Complications
- Dogs treated via arthroscopy for fragmented MCP may experience increased long-term lameness in approximately 20% of cases.
- Complete ossification of the anconeal process in dogs typically occurs between 5 to 6 months of age.
- The overall prognosis for elbow dysplasia remains guarded regardless of intervention, with many affected dogs requiring ongoing management.
- Conditions not associated with the carpus and metacarpals may include those affecting the shoulder joint or hip.
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