SA Orthopedics Flashcards

1
Q

What are the signs for forelimb lameness?

A

head bob: down on the sound
abduction, adduction or circumdunction of the limb
Change in stride length/duration

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2
Q

What are the signs for hind limb lameness?

A

Hip hike on the affected leg
Abduction, adduction or circumduction of the limb
Shorter stride of affected leg
Faster stride on sound leg
Bunny hopping

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3
Q

What is the lameness scale for small animals?

A

0-4

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4
Q

What does grade 0 mean on the lameness scale?

A

Sound

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5
Q

What does grade 1 mean on the lameness scale?

A

mild weight bearing lameness

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6
Q

What does grade 2 mean on the lameness scale?

A

moderate weight bearing lameness

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7
Q

What does grade 3 mean on the lameness scale?

A

severe weight bearing to toe touching lameness

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8
Q

What does grade 4 mean on the lameness scale?

A

non weight bearing at all times

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9
Q

What are the steps to perform a complete orthopedic examination?

A

Examine for symmetry, equal weight distribution, joint effusion, pain, swelling, crepitus, palpate areas low on muscle mass, ROM, instability

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10
Q

What would you examine on long bone palpation?

A

Pain, swelling, crepitus
Palpate in areas of low muscle mass

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11
Q

What would you examine on joint palpation?

A
  • Normal, pain free ROM
  • Swelling, pain, & crepitus
  • Instability (flexion/extension) (lateral/medial)
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12
Q

What would you examine on muscle palpation?

A
  • Pain & swelling
  • Atrophy/asymmetry
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13
Q

What would you examine on cervical spine, thoracolumbar spine, lumbosacral junction

A

palpation of lateral cervical
direct spinal palpation of dorsal spinous processes
Direct downward palpation tail manipulation & rectal palpation

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14
Q

What would you examine on phalangeal joints?

A

Nails, interdigital spaces, joint ROM, pain, thickening

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15
Q

What would you examine on carpus joints?

A

Palpation for effusion: joint space either side of the extensor tendons
Range of motion
Instability
Hyperextension injury
Palpation of the sesamoids

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16
Q

What would you examine on elbow joint?

A

Effusion: caudal in the joint, either side of the olecranon
Range of motion: carpus can almost touch shoulder

17
Q

What would you examine on shoulder joint

A

-Superman: normal, keep elbow in flexion when flexing shoulder
-Medial stability
-Biceps tenosynovitis
-Muscle palpation: supraspinatus, infraspinatus

18
Q

What would you examine on tarsus palpation?

A
  • Effusion
  • Range of motion
  • Medial & lateral instability: long and short collaterals
  • Superficial digital flexor tendon
  • Calcaneal tendon: can tear causing hocks to touch the ground
19
Q

What would you examine on stifle palpation?

A
  • Tibial crest
  • Fibular head
  • Lateral fabella
  • Patella
  • Patellar tendon
20
Q

What are the differential for lameness localizing to the carpus?

A
  • Carpal hyperextension
  • Traumatic hyperextension injury
21
Q

What are the differential for lameness localizing to the elbow in a juvenile young animal?

A

Elbow dysplasia
fragmented medial coronoid process
osteochondrosis/osteochondritis dissecans
united anconeal process
incongruity
united medial epicondyle
Congenital luxation

22
Q

What are the differential for lameness localizing to the elbow in a adult small animal?

A
  • Incomplete ossification of the humeral condyle
  • Flexor tendon enthesopathy
  • Traumatic luxation
  • Fracture
  • Neoplasia
23
Q

Describe the etiopathology, diagnosis, treatment and outcome of carpal hyperextension injury.

A

Trauma, injury to the palmar soft tissue structures
Radiographs
Treatment: conservative management (not rewarding), arthrodesis partial or pancarpal
80% achieve excellent limb function

24
Q

Describe the etiopathology, diagnosis, treatment and outcome of elbow dysplasia.

A

Hereditary
radiographs
treatment is fragment removal, arthroscopy, proximal ulna segmental ostectomy
the earlier the intervention is better but depends on degree of joint damage already present