Zoran Lončar. CONGRESS AMVAC/RoSAVA September, 2014
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1 Zoran Lončar Veterinary Clinic Belgrade, Serbia CONGRESS AMVAC/RoSAVA September, 2014
2 ALL ABOUT THE KNEEE To become familiar with the EXAM To recognize most common DISEASES To GET an idea about TREATMENTS
3
4 CLINICAL EXAM
5 WALK
6 NORMAL WALK
7
8 CLINICAL EXAM
9 STANCE
10
11
12
13
14 CLINICAL EXAM
15 ORTHOPEDIC EXAM
16 ROM-RANGE OF MOTION
17 PALPATION
18
19 CLINICAL EXAM
20 SPECIAL TESTS
21 PATELLA COLLATERAL LIGAMENTS
22 DRAW TEST TC TEST
23
24 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
25 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
26 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
27 OCD MICROTRAUMA INCONGRUENCY DIFFUSION
28
29
30 BILATERAL 4-9 months OCD
31 OCD LATERAL CONDYLE: MEDIAL CONDYLE:
32
33
34
35 CHRONIC OA PAIN-BILATERAL CCL RUPTURE PROGNOSIS
36 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
37 PATELLA LUXATION BILATERAL COMMON 75% MEDIAL SMALL BREEDS COMMON
38 CAUSE: ANGULAR DEFORMITIES FORCES: TRACTION TO PATELLA TO MEDIAL OR LATERAL FROM TROCHLEA
39
40
41 CONSEQUENCES CARTILAGE EROSION OSTEOARTHRITIS CCL RUPTURE
42 GRADE II I IV III
43 TREATMENT CONSERVATIVE - I grade small breeds SURGERY - ALL BUT ( TTT, TP) - III i IV OSTEOTOMIES - OA: PATELLA GROOVE
44
45
46
47 PROGNOSIS 15-55% RECIDIVES PREOPERATIVE PLANNING OA
48 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
49 TIBIAL CREST AVULSION
50 TERRIERS
51 TREATMENT
52 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
53 TENSION TRACTION PHYSITIS R L
54 REPETITIVE FORCES CHONDRITIS LARGE BREEDS PAIN and SWELLING
55 6 months after CONSERVATIVE TREATMENT!!!
56
57 MOST COMMON DISEASES YOUNG DOG OCD PATELLA LUXATION TIBIAL CREST AVULSION TENSION TRACTION PHYSITIS LIGAMENT/TENDON INJURIES
58 TENDON/LIGAMENT AVULSIONS CCL EDPL CaCL FAST SURGICAL INTERVENTION
59 YOUNG DOG PATELLA LUXATION TRAUMA OCD
60 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
61
62 CRANIAL CRUCIATE LIGAMENT RUPTURE PARTIAL/COMPLETE COMMON AT THE END-OA MENISCUS INJURY
63 CAUSE TRAUMA UNCOMMON NON TRAUMA BIOMECHANICAL STRESS DEGENERATIVE PROCESS
64
65
66
67 TREATMENT INTRAARTICULAR EXSTRAARTICULAR OSTEOTOMIES
68
69 TPLO TTA TT CROWN
70 PROGNOSIS FAST TREATMENT: -FULL RECOVERY -OA I had the surgery I was afraid
71 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
72 CAUDAL CRUCIATE LIGAMENT RUPTURE
73 CAUDAL SUBLUXATION OF TIBIA STRESS ON MEDIAL COLLATERAL LIGAMENT STRESS ON CRANIO-MEDIAL PART OF THE MENISCUS
74 TRAUMA SPORT DOGS 1 / 150 CCL
75
76 NORMAL RCC L. RCaCL
77 EXTRACAPSULAR TREATMENT
78 TREATMENT
79 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
80 COLLATERAL LIGAMENT RUPTURE UNCOMMON TRAUMA CONCURRENT INJURIES
81
82 TREATMENT
83 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
84 SPORT DOGS FUNCTION DEFICITS EDPL LUXATION
85 TREATMENT
86 MOST COMMON DISEASES ADULT DOG CRANIAL CRUCIATE LIGAMENT RUPTURE CAUDAL CRUCIATE LIGAMENT RUPTURE EDPL LUXATION COLLATERAL LIGAMENT INJURIES DEGENERATIVE JOINT ARTHRITIS
87 DEGENERATIVE ARTHRITIS
88 DAMAGE vs. REPAIR
89
90
91 TREATMENT
92 FUTURE STEM CELLS PRP BIOMARKERS Y
93 ADULT DOG CCL RUPTURE D. ARTHRITIS
94 TO RECOGNIZE
95 MOST COMMON DISEASES
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