Canine Sports Medicine and Common Conditions Flashcards
What are the usual goals for the common patients
Return to full function, QOL and pain reduction
What is the difference between sports/agility patients and other patients?
They require everything a normal patient does and a return to full performance
What history taking considerations are needed for sports athletes (4)
Age at which they started training- higher risk of injury if training before maturity
Gonadectomy status- predisposed to injury if neutered before puberty
Activity level- how often and how long
Diets and supplements
What are the post surgical considerations to be considered? (5)
Cage confinement?
Current activity
Surgical date- phase of healing?
Current medication status- how much pain meds are they taking
Scheduled recheck with the surgeon?
What are common soft tissue injuries from agility?
Shoulder, iliopsoas strains, and CCL
T/F Rally injuries are not as common since it is a non-concussive sport
True
What are the common obedience injuries
Shoulders- usually left due to chronic uneven weight distribution and head always looking to the right
T/F Chronic repetitive stress injuries are common in flyball
True- Shoulder, carpus, iliopsoas, MSS, hip arthritis are the most common
What are the common injuries from doc diving
Back pain and hips
What are the common injuries from Field/hunt trials
Feet, carpus, and shoulders, arthritis, carpal hyperextension
Repetitive movement and injuries
T/F service dogs often get similar injuries to working dogs
True- both are injured mainly related to overuse and repetitive stress or trauma.
What does a femoral head and neck ostectomy do?
The femoral head and neck are removed. Creates a pseudoarthrosis (false joint) formed from fibrous tissues.
What are the complications of a FHO
Incorrect ostectomy (bone on bone contact)- chronic pain and hard to rehab.
What is the prognosis of a FHO
usually good- normal gaits and function are not achieved due to biomechnaimal changes, but they can return to daily function. Functional shortening of limb is expected.
what are the rehab considerations for an FHO
Control pain- usually needs NSAIDs longer than most post op patients.
Maintain ROM- need to start immediately to prevent too much fibrosis. Need active stretching exercises.
What is a total hip replacement (THR)
Salvage procedure- femoral head is removed and replaced with prosthesis and acetabulum is replaced. Eliminates joint associated pain.
What are the THR rehab considerations
Prevent post-surgical luxation and promote tissue regeneration. No abduction/adduction, leg should only move in sagittal plane (flexion and extension)
What are the phases of limb function rehab for THR
Week 2-10: limb placement- early limb use encouraged with gentle weight shifting
Week 10-12: begin limb strengthening.
Where are the menisci of the stifle joint
Between the condyles of femur and tibia.
Medial meniscus- connected to tibia and medial collateral lig
Lateral meniscus- connected to tibia, allows for higher ROM
What does the cranial crucitae ligament do?
prevents “Cranial drawer” or cranial displacement of tibia and internal rotation of tibia towards femur.
What injuries can occur with the stifle?
CCL disease, deranged stifle, luxating patella
What does a Lateral Fabellar Suture (LFS) prevent
Prevents cranial displacement of tibia
Extra info: It’s an Extra capsular stabilization technique that uses heavy gauge synthetic suture. Wraps around lateral fabella and through a hold in the tibia
T/F the suture is the only thing holding the tibia in place long term after a LFS?
False- scar tissue with have occurred during recovery period and provide long term stabilization.
What are some Rehab considerations after an LFS
Control inflammation with a TENS and massaage to reduce edema. PROM and therapeutic US should start on day 1 to improve ROM
