Orthopedic Diseases of Young Dogs Flashcards

1
Q

who usually gets OCD?

A

large and giant breed dogs

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2
Q

what radiographic findings are typical of OCD?

A

flattening of subchondral bone or caudal humeral head
saucer-shaped radiolucent area

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3
Q

why is arthroscopic management of OCD of the proximal humerus technically difficult?

A

overlying muscle mass

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4
Q

what is the prognosis of OCD of the proximal humerus?

A

good to excellent for normal function
most sound in 4-8 weeks

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5
Q

when are clinical signs of elbow dysplasia seen?

A

5-7 months of age

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6
Q

can you feel crepitus with elbow dysplasia?

A

yes: not that much muscle to obscure

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7
Q

what is the indication for surgery for elbow dysplasia?

A

persistent lameness

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8
Q

when does the anconeal process fuse?

A

13 weeks

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9
Q

when is removal of the ununited anconeal process perfromed?

A

if anatomic reduction is not possible

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10
Q

what is OC?

A

disturbance of endochondral ossification
OCD is manifestation of

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11
Q

what is the pathophysiology of OCD?

A

loss of chondrocytes
cleft formation
vertical fissures develop
communicate with joint
formation of a cartilage flap

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12
Q

what induces joint inflammation in OCD?

A

cartilage degradation products reach synovial fluid

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13
Q

does OC cause clinical signs before a loose flap forms (OCD)?

A

no

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14
Q

what can be found on physical exam to suggest OCD?

A

crepitus/swelling seldom evident
extreme extension of shoulder elicits pain
extreme flexion may elicit pain
muscle atrophy

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15
Q

is OCD bilateral or unilateral?

A

initially unilateral lameness
commonly bilateral

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16
Q

from what view is OCD not visiblee?

A

cranio-caudal view

17
Q

what does the defect fill with in OCD after surgery?

A

fibrocartilage

18
Q

how long should a dog rest after OCD surgery?

A

4-6 weeks

19
Q

what is elbow dysplasia?

A

primary incongruity between humerus, radius, ulna

20
Q

what are the main types of canine elbow dysplasia?

A

fragmented medial coronoid process of ulna
ununited anconeal process of ulna
osteochondritis dissecans of the medial humeral condyle

21
Q

what develops over time with canine elbow dysplasia?

A

periarticular osteophytes and soft-tissue fibrosis

22
Q

which breeds frequently get elbow dysplasia?

A

labrador retrievers
rottweilers
bernese mountain dogs
newfoundlands
golden retrievers
german shepherds
chows

23
Q

what is found on physical exam with canine elbow dysplasia?

A

crepitus
joint effusion and periarticular soft-tissue thickening
pain with manipulation of joint and palpation of medial coronoid process

24
Q

what views should you take to check for canine elbow dysplasia?

A

lateral and AP views
flexed lateral exposed anconeal process

25
Q

is canine elbow dysplasia commonly bilateral?

A

yes

26
Q

what can be seen on radiography with canine elbow dysplasia?

A

blunting or indistinct coronoid
osteophytosis of the radial head
earliest finding is anconeal osteophytosis
later subtrochlear sclerosis
periarticular osteophytosis

27
Q

does surgery halt the progression of DJD in canine elbow dysplasia?

A

no

28
Q

what is the prognosis of canine elbow dysplasia with surgery?

A

50% no lameness
30% intermittent lameness
20% no improvement

29
Q

is arthrotomy or arthroscopy better for canine elbow dysplasia?

A

arthroscopy

30
Q

what causes an ununited anconeal process?

A

incongruous growth of radius and ulna
long radius pushes condyle against anconeal process

31
Q

what does removal of the ununited anconeal process result in?

A

instability and osteoarthritis

32
Q

who does dynamic proximal ulnar osteotomy for ununited anconeal process have good results in?

A

6-12 months of age