Thoracic Lameness Part One Learning Objectives

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19 Questions

What is the most common clinical presentation of carpal hyperextension injury?

Variable lameness

What is the main purpose of partial carpal arthrodesis in the treatment of carpal hyperextension injury?

To preserve motion of the carpus

How long does it typically take for a partial carpal arthrodesis to fuse and provide clinical union?

12-16 weeks

What are the components of elbow dysplasia?

Incomplete ossification of the humeral condyle, elbow luxation, shoulder luxation/instability

Which diagnostic imaging technique can be used to look for concurrent collateral damage in carpal hyperextension injury?

Orthogonal and stressed radiographic views

What is the main purpose of pancarpal arthrodesis in the treatment of carpal hyperextension injury?

To perform full fusion of all carpal bones

What is the suggested aftercare for Hyperextension injury

Pain relief, NSAID + adjunctive x 7-10 days, strict confinement, regular bandage changes

What is the purpose of the orthovet brace in treating carpal hyperextension injury?

To prevent further hyperextension of the carpus

Which condition is NOT associated with conditions of the Carpus and Metacarpals?

Elbow dysplasia

What is the typical onset of lameness in large- and giant-breed, fast-growing dogs with elbow dysplasia?

5-7 months

What is the most common complication of ulna osteotomy in dogs with radial-ulna incongruence?

Premature fusion

What is the primary theory on the cause of fragmented medial coronoid process (MCP) in dogs?

All of the above

What is the most sensitive diagnostic tool for diagnosing elbow dysplasia in dogs?

MRI

What percentage of dogs treated with arthroscopy for fragmented medial coronoid process (MCP) experience increased long-term lameness?

7%

What is the typical age range for complete ossification of the anconeal process in dogs?

> 12 weeks

What is the goal of flap removal in the treatment of osteochondritis dissecans (OCD) in dogs?

Debride to bleeding subchondral bone

What is the main purpose of abrasion arthroplasty in the treatment of medial compartment disease in dogs?

Stimulate fibrocartilage formation by making the underlying bone bleed

What is the diagnostic method of choice to determine if there is radial-ulna incongruence in dogs?

Difference > 4mm on radiographs

What is the typical prognosis for elbow dysplasia regardless of intervention?

The condition will progress regardless of intervention

Learn about the differentials for lameness in the carpus, elbow, and shoulder regions of the forelimbs as well as the etiopathology, diagnosis, treatment, and outcome of various injuries and conditions such as carpal hyperextension injury, elbow dysplasia, and shoulder luxation. Understand the components of elbow dysplasia and conditions of the carpus and metacarpals.

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