deltoid fibrotic myopathy
Posted: Sat Mar 02, 2019 3:45 am
Has anyone every seen a traumatic fibrotic myopathy in a deltoid muscle before? And if so, what sort of success have you had (if any) in treatment.
This past week I saw a young lab/shepherd dog recently taken in by a rescue agengy. People had seen the dog be hit by car twice in the past year (running loose in the countryside).
The dog went to our local specialist center who took rads and found an old fractured and permanently dislocated RFL elbow and what they called an upper leg fibrotic myopathy on the LFL. They have stated that the injury to the RFL elbow is too old to operate on. I agree on this.
The dog is WB fairly well on the RFL, but is completely NWB on the LFL.
The proximal LFL is "frozen" in the following position: shoulder flexion, elbow flexion and abduction and the forepaw is deviated medially. The long head of the triceps is increased in tone. The deltoid muscle hard to palpate but seems to be firm and tight and decreased in muscle mass. I cannot move the LFL out of its current position. The dog will occasionally touch down the LFL for balance, but he needs to lower his left shoulder down to do so.
At this time I am preparing the rescue agency that this dog needs to have a front end wheel chair built in order for him to be a happy mobile dog. However I first want to investigate if there are any treatment options for the deltoid contracture. I did work on deltoid stretching at the visit, but could not make any progress at all. Worked on some active stretching, but this is going to take some real ingenious manouevers.
I would appreciate all input.
Thanks
Jennifer Stelfox
This past week I saw a young lab/shepherd dog recently taken in by a rescue agengy. People had seen the dog be hit by car twice in the past year (running loose in the countryside).
The dog went to our local specialist center who took rads and found an old fractured and permanently dislocated RFL elbow and what they called an upper leg fibrotic myopathy on the LFL. They have stated that the injury to the RFL elbow is too old to operate on. I agree on this.
The dog is WB fairly well on the RFL, but is completely NWB on the LFL.
The proximal LFL is "frozen" in the following position: shoulder flexion, elbow flexion and abduction and the forepaw is deviated medially. The long head of the triceps is increased in tone. The deltoid muscle hard to palpate but seems to be firm and tight and decreased in muscle mass. I cannot move the LFL out of its current position. The dog will occasionally touch down the LFL for balance, but he needs to lower his left shoulder down to do so.
At this time I am preparing the rescue agency that this dog needs to have a front end wheel chair built in order for him to be a happy mobile dog. However I first want to investigate if there are any treatment options for the deltoid contracture. I did work on deltoid stretching at the visit, but could not make any progress at all. Worked on some active stretching, but this is going to take some real ingenious manouevers.
I would appreciate all input.
Thanks
Jennifer Stelfox