Diagnosing Lameness Flashcards

1
Q

signs of upward fixation of patella

A

-permanently knuckled over because stifle locked in extension

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2
Q

most causes of lameness are diagnosed at a trot; what are the 5 exceptions?

A
  • sweeney
  • upward fixation of the patella
  • stringhalt
  • fibrotic myopathy
  • peroneus tertius rupture
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3
Q

Grade 1 lameness

A

transient/inconsistent

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4
Q

grade 3 lameness

A

consistently seen at trot under any circumstance

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5
Q

signs of fibrotic myopathy

A

shortened stride

slapping sound when food put down during stride

NOT painful

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6
Q

how to see hindlimb lameness

A

watch hip not hock to look for increased gluteal excursion in lame limb (head might also drop)

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7
Q

grade 4 lameness

A

obvious headbob, shortened stride, hitching etc

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8
Q

responsible for 80% of lameness

A

hoof issues

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9
Q

stringhalt treatment

A

can remove lateral digital extensor tendon but controversial because can resolve spontaneously

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10
Q

fibrotic myopathy lameness is caused by…

A

past injury to semitendinosis/membranosis -> fibrosis -> nonpainful mechanical lameness with shortened stride

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11
Q

Grade 2 lameness

A

heard to see on straightaway/best seen under select circumstances

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12
Q

predisposing factors to upward fixation of patella (2)

A
  • upright conformation

- weak quads

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13
Q

how to see forelimb lameness

A

down = sound

head up associated with lame leg

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14
Q

signs of peroneus tertius rupture

A
  • wrinkled appearance of calcanean tendon
  • stifle flexes +hock extends
  • drags toe when walking
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15
Q

components of reciprocal apparatus (2)

A
  • cranial: peroneus tertius

- caudal: SDF + tendinous portion of gastrocnemius

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16
Q

grade 5

A

minimal weight bearing

fracture lame or hoof abscess

17
Q

sweeney syndrome is caused by…

A

damage to suprascapular n -> atrophy

18
Q

treatment for upward fixation of patella

A
  • strengthen quads (hills)
  • NSAIDs
  • PARTIAL desmotomy
19
Q

patellar locking mechanism

A

medial patellar ligament locks over medial trochlear ridge

20
Q

how long to hold distal forelimb flexion test?

A

30 secs; stresses fetlock and down

21
Q

how long to hold the proximal forelimb flexion test?

A

60 secs; stresses carpus and up

22
Q

how long to hold the proximal hindlimb test?

A

90 secs; stresses tarsus and up; NOT hock specific

23
Q

if lameness worsens following a flexion test this indicates…

A

a positive flexion test

24
Q

when using blocks to diagnosis lameness you should always…

A

work distal to proximal and direct needle distally so meds don’t spread proximally