Joint Instability Flashcards

1
Q

What are common instabilities?

A
  • Hip luxation
  • Carpal hyperextension
  • Tarsal instability
  • Gastrocnemius enthesopathy
  • Digit luxation
  • Medial shoulder instability
  • Biceps Tendinopathy
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2
Q

What are causes of carpal hyperextension? Dx?

A
  • High rise fall
  • Degeneration
  • Inflammation
  • Collateral ligament injury
  • Dx = Clinical exam (compare with other limb) + Radiographs (need stressed views)
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3
Q

What does management of carpal hyperextension depend on?

A
  • Degree of lameness
  • Dysfunction
  • Exercise tolerance
  • Trauma
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4
Q

What does management of Tarsal instability depend on?

A
  • Degree of lameness
  • Dysfunction
  • Exercise tolerance
  • Almost certainly SURGICAL
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5
Q

What is Gastrocnemius enthesopathy seen in?

A
  • Large breed dogs
  • Thickened calcaneal
  • Crabbed toes
  • Partial / complete plantigrade stance
  • Almost Always SURGICAL
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6
Q

What is treatment of digit luxation?

A
  • If stable =
    -Secured with splint
    -P2/P3 luxation = cutting nail short + unguinal crest ostectomy
  • Unstable =
    -Surgery = stabilisation / Digit amputation
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7
Q

What problems do you get with shoulders?

A
  • Biceps rupture / tendinopathy
  • Medial shoulder injuries
  • Luxations
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8
Q

How can you diagnose shoulder problems?

A
  • Clinical signs =
    -Decreased in performance to weight bearing lameness
    -Pain on shoulder examination = flexion, biceps, adduction, abduction
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9
Q

What would you see with a ruptured biceps brachii?

A
  • Fully hyperextended elbow with shoulder in full flexion
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10
Q

What with the shoulder can you rule out on radiographs?

A
  • Neoplasia
  • Osteochondrosis dissecans (OCD)
  • OA
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