CCL injury, conservative or surgery?
Posted: Tue Jan 24, 2017 4:53 pm
I have a young dog that owner noted limping 2 weeks ago. She was going to start some agility with him. He seems to be getting better, but still limping some, mainly when standing up from being lying down for a while.
Gait and Posture:
Lameness on right rear leg on walk grade 1, moving the leg on a lateral circle on the swing phase of the step. Having more difficulty turning on a right circle compared to the left.
The right rear leg is to the side while standing. Sitting with the right leg extended to the side sometimetimes.
Examination:
Not painful on cervical spine palpation. Mild pain on dorso-ventral palpation at T9-11, possible due to compensation for problems on back leg.
Not painful on lumbar spine, but epaxial muscles have increased tone.
Pelvis seems aligned (difficult to evaluate since Jack is shifting his weight to the left).
Right rear leg: no abnormalities/pain on hip joint. Tibial thrust positive on flexion/negative on extension. Not showing pain on manipulation.
Generalized muscle atrophy compared to left rear, mainly quadriceps.
No abnormalities on left rear leg.
There is decreased angle of flexion on both tarsal joints, but no abnormalities on palpation
There is increased tone with myofascial points at left triceps and lattissimus dorsi, no other abnormalities found on both front legs.
Measurements:
Right rear= 16 3/4 inches
Left rear= 17 1/2 inches
Should I try conservative? or do I refer to surgeon? What is the best recommendation considering he may do agility on the future?
Gait and Posture:
Lameness on right rear leg on walk grade 1, moving the leg on a lateral circle on the swing phase of the step. Having more difficulty turning on a right circle compared to the left.
The right rear leg is to the side while standing. Sitting with the right leg extended to the side sometimetimes.
Examination:
Not painful on cervical spine palpation. Mild pain on dorso-ventral palpation at T9-11, possible due to compensation for problems on back leg.
Not painful on lumbar spine, but epaxial muscles have increased tone.
Pelvis seems aligned (difficult to evaluate since Jack is shifting his weight to the left).
Right rear leg: no abnormalities/pain on hip joint. Tibial thrust positive on flexion/negative on extension. Not showing pain on manipulation.
Generalized muscle atrophy compared to left rear, mainly quadriceps.
No abnormalities on left rear leg.
There is decreased angle of flexion on both tarsal joints, but no abnormalities on palpation
There is increased tone with myofascial points at left triceps and lattissimus dorsi, no other abnormalities found on both front legs.
Measurements:
Right rear= 16 3/4 inches
Left rear= 17 1/2 inches
Should I try conservative? or do I refer to surgeon? What is the best recommendation considering he may do agility on the future?